Flannery Raymond B, Laudani Lisa, Levitre Valerie, Walker Andrew P
The Massachusetts Department of Mental Health and Harvard Medical School, USA.
Int J Emerg Ment Health. 2006 Winter;8(1):15-22.
Patient violence toward health care staff is a complex function of person x event x environment model. Thirty-five years of research on the characteristics of patient assailants and staff victims has yielded no predictive markers and researchers are examining other possible components of the model. The precipitants, or motivation, for assaults is one area of inquiry. Although research to date has been sparse, acute psychosis, excessive sensory stimulation, and staff restrictions on patient behaviors (denial of services, privileges, etc.) appear to be common precipitants. This paper continued this inquiry over a three-year period. The most common precipitants were denial of services, acute psychosis, and excessive stimulation. No statistically significant interactions were obtained for patient / staff victim variables and these precipitants.
患者对医护人员的暴力行为是个人×事件×环境模型的复杂函数。35年来对患者攻击者和医护人员受害者特征的研究并未得出预测指标，研究人员正在研究该模型的其他可能组成部分。攻击行为的诱发因素或动机是一个研究领域。尽管迄今为止的研究较少，但急性精神病、过度的感官刺激以及医护人员对患者行为的限制（拒绝服务、特权等）似乎是常见的诱发因素。本文在三年时间里继续了这一研究。最常见的诱发因素是拒绝服务、急性精神病和过度刺激。患者/医护人员受害者变量与这些诱发因素之间未获得具有统计学意义的相互作用。
