Yarovitsky Yael, Tabak Nili
Legal Psychiatry Department at 'Shar Menache' Hospital.
Med Law. 2009 Dec;28(4):705-24.
The purpose of this study was to (a) investigate in the Israeli context how patient violence towards staff (nurses and auxiliaries) affects their mental state and professional performance; and (b) to investigate how the variable, internal/external locus of control, mediates the effects of this violence. Four of the five hypotheses were confirmed: type, severity and frequency of attack was correlated with the level of staffers' psychological distress and change in professional functioning; psychological distress was correlated with a negative change in professional functioning and was higher in attacked staff than in those not attacked; internal locus of control was correlated with lower psychological distress and less negative professional functioning, whereas an external locus of control correlated with higher distress and more negative functioning. A sharper awareness of the effects of violence on staff is vital at all levels of management. Most attention is given to physical injury but verbal aggression and threats, often disregarded, may have the strongest negative influence. Emotional/psychological injury was rarely treated and needs to be.
（a）在以色列的背景下，调查患者对医护人员（护士和辅助人员）的暴力行为如何影响他们的心理状态和专业表现；（b）调查“内控/外控”这一变量如何调节这种暴力行为的影响。五个假设中的四个得到了证实：攻击的类型、严重程度和频率与工作人员的心理困扰程度以及专业功能的变化相关；心理困扰与专业功能的负面变化相关，且遭受攻击的工作人员比未遭受攻击的工作人员心理困扰程度更高；内控与较低的心理困扰和较少的负面专业功能相关，而外控则与较高的困扰和更多的负面功能相关。在各级管理层中，提高对暴力行为对工作人员影响的认识至关重要。大多数注意力都集中在身体伤害上，但往往被忽视的言语攻击和威胁可能具有最强的负面影响。情感/心理伤害很少得到治疗，需要加以治疗。
