Rodríguez-Acosta R L, Myers D J, Richardson D B, Lipscomb H J, Chen J C, Dement J M
Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Work. 2010;35(2):191-200. doi: 10.3233/WOR-2010-0971.
Hospital workers are known to be at risk of physical assault. The objective of this study is to characterize injuries resulting from physical assault among hospital nursing staff and to identify associated risk factors. Workers' compensation reports linked to human resources data were used to identify a cohort of aides and nurses employed in acute care units at a major healthcare system from 1997 to 2004 and their reported physical assault events. Poisson regression methods were used to estimate rates and rate ratios (RR) by occupation, gender, race, age, tenure, and hospital unit. During the study period 220 assaults were reported; the overall incidence rate was 1.65 (95% CI: 1.45-1.89) per 100 full-time-equivalent employees (FTEs). Assault risk was higher among those with shorter tenure (< 5 years vs. 15 or more) (RR=1.35, 95% CI: 0.83-2.19) and younger workers (under age 30 vs. 50 or older) (RR=1.30, 95% CI: 0.78-2.19), and lower among Black workers (vs. non-Blacks) (RR=0.63, 95% CI: 0.45-0.90). Incidence rates were highest in Psychiatry (12.65, 95% CI: 8.90-17.99), Neurology (4.43, 95% CI: 3.17-6.20) and Rehabilitation (3.63, 95% CI: 1.51-8.71) units. Interventions targeting Psychiatry, Neurology, and Rehabilitation units, and younger and newly hired staff are warranted. More detailed data are needed to develop targeted interventions.
众所周知，医院工作人员面临身体攻击的风险。本研究的目的是描述医院护理人员遭受身体攻击所导致的伤害特征，并确定相关的风险因素。与人力资源数据相关联的工伤赔偿报告被用于确定1997年至2004年在一家大型医疗系统的急症护理病房工作的一组助手和护士以及他们报告的身体攻击事件。采用泊松回归方法按职业、性别、种族、年龄、任期和医院科室估计发生率和率比（RR）。在研究期间，共报告了220起攻击事件；每100名全职等效员工（FTE）的总体发生率为1.65（95%CI：1.45-1.89）。任期较短者（<5年与15年或更长时间相比）（RR=1.35，95%CI：0.83-2.19）和年轻工人（30岁以下与50岁或以上相比）（RR=1.30，95%CI：0.78-2.19）遭受攻击的风险较高，而黑人工人（与非黑人相比）（RR=0.63，95%CI：0.45-0.90）的风险较低。精神科（12.65，95%CI：8.90-17.99）、神经科（4.43，95%CI：3.17-6.20）和康复科（3.63，95%CI：1.51-8.71）病房的发生率最高。有必要针对精神科、神经科和康复科病房以及年轻和新入职员工采取干预措施。需要更详细的数据来制定有针对性的干预措施。
