Department of Health, Yuli Hospital, Executive Yuan, Taipei, Taiwan.
Qual Life Res. 2010 Oct;19(8):1155-61. doi: 10.1007/s11136-010-9679-4. Epub 2010 Jun 4.
To clarify the relationship of health-related quality of life (HRQoL) to workplace physical violence (WPV) against nurses by psychiatric patients.
A Web-based WHOQOL-BREF was used to assess HRQoL and an intranet Workplace Violence Report System was used to record WPV incidents in order to design prospective longitudinal repeat measures over a period of 12 months, as well as using a subject-domain approach to detect any significant association between HRQoL and WPV.
A total of 129 physical violence events were reported, and the WHOQOL-BREF was completed a total of 860 times. A lower HRQoL score within 7 days before an event in psychological domain was a predictor of WPV after adjustment for other variables. Other consistent risk factors for violence were being married, shorter employment duration, and quite a bit or extreme worry about violence. The social domain scores worsened within 7 days after an event.
A worsened psychological domain score might predict violence, and improving HRQoL seems to be helpful in preventing WPV against nurses by psychiatric patients.
明确与精神科患者对护士实施的工作场所躯体暴力(WPV)相关的健康相关生活质量(HRQoL)关系。
使用基于网络的 WHOQOL-BREF 评估 HRQoL,使用内部网工作场所暴力报告系统记录 WPV 事件,以设计为期 12 个月的前瞻性纵向重复测量,并使用主题域方法来检测 HRQoL 和 WPV 之间是否存在任何显著关联。
共报告了 129 起躯体暴力事件,总共完成了 860 次 WHOQOL-BREF。在调整其他变量后,事件发生前 7 天内心理领域的 HRQoL 评分较低是 WPV 的预测因素。暴力的其他一致风险因素包括已婚、就业时间较短以及对暴力相当担心或极度担心。社会领域的评分在事件发生后 7 天内恶化。
心理领域评分恶化可能预示着暴力,提高 HRQoL 似乎有助于防止精神科患者对护士实施 WPV。