Department of Psychiatry and Psychotherapy, Medical University of Silesia, Katowice, Poland.
Psychiatr Danub. 2012 Sep;24 Suppl 1:S147-52.
Aggression in the medical environment can take on different forms. It can be inflicted both by patients and workmates and may also cause a rise of aggressive behavior performed by the physiotherapists themselves. The aim of the study was to evaluate possible danger that may occur in the working environment of physiotherapists as well as to assess the correlation between such factors as the length of professional experience and exposure to the aggression inflicted by patients and workmates in the workplace with the level of aggression occurring within the professional group of physiotherapists.
The study was conducted among 50 physiotherapists from Opole and the Silesian Voivodships in Poland. Two types of questionnaires were used: the author's own questionnaire, assessing exposure of the physiotherapists to aggression in the workplace, and the Buss-Perry Aggression Questionnaire. The results were analyzed with the Statistica 8.0 application.
60% of participants suffered from patients' verbal aggression, 8% from physical aggression and 26% from the patients' emotional self-aggression at least twice a month. The study showed a minor correlation between the duration of the length of professional experience and the level of hostility (r=0.2; p>0.05). There is a considerable impact of negative emotions present in relations with workmates at the workplace causing mainly increase of general aggression among physiotherapists and hostility. Similarly, negative emotions that may appear in relations between psychiatrists and patients show a positive correlation with the level of general aggression developed by doctors.
It can be observed that there is a huge impact of the impulsive behaviour and attitude (presented both by patients and workmates in the workplaces) on the appearance of aggressive actions by physiotherapists (especially anger and hostility). Further research in this field is needed.
医疗环境中的攻击行为可能有不同的形式。它既可以由患者和同事实施，也可能导致理疗师自身攻击性行为的增加。本研究的目的是评估理疗师工作环境中可能存在的危险，以及评估专业经验的长短以及在工作场所中遭受患者和同事攻击的暴露程度与理疗师群体中发生的攻击性水平之间的相关性。
该研究在波兰的奥波莱和西里西亚省的 50 名理疗师中进行。使用了两种问卷：作者自己的问卷，评估理疗师在工作场所受到攻击的情况；以及 Buss-Perry 攻击问卷。使用 Statistica 8.0 应用程序对结果进行了分析。
60%的参与者每月至少遭受过两次患者的言语攻击，8%的参与者遭受过身体攻击，26%的参与者遭受过患者的情绪自我攻击。研究表明，专业经验的长短与敌意水平之间存在轻微的相关性（r=0.2；p>0.05）。在工作场所与同事的关系中存在的负面情绪对理疗师的一般攻击性和敌意有相当大的影响。同样，在精神科医生和患者之间的关系中可能出现的负面情绪与医生表现出的一般攻击性水平呈正相关。
可以观察到，患者和同事在工作场所中的冲动行为和态度（都有）对理疗师攻击性行为的出现有巨大影响（尤其是愤怒和敌意）。需要进一步在该领域进行研究。
