Rincón-Del Toro Teresa, Villanueva-Guerra Adela, Rodríguez-Barrientos Ricardo, Polentinos-Castro Elena, Torijano-Castillo Mª José, de Castro-Monteiro Emilia, Escrivá de Romaní de Gregorio Blanca, Barba Calderón Margarita, de Frías Redondo María Soledad, Alejo Brú Nury, Blanco Morales Concepción, Vázquez Pinilla Margarita, Besora Altés Cristina, Heras-Mosteiro Julio, Infantes Rodríguez Juan Ángel, Bustamante Fernández Pilar, de Blas Salvador Victorina
Unidad de Atención al Paciente. Gerencia Asistencial de Atención Primaria. Madrid.
Unidad de Atención al Paciente. Gerencia Asistencial de Atención Primaria. Madrid. España.
Rev Esp Salud Publica. 2016 Oct 25;90:e1-e12.
The number of aggressions towards health care professionals has risen over the past few years. There are no previous studies in primary care covering an entire region and to all professional categories. The aim of this study was to characterize aggressions in Primary Care in the Community of Madrid.
Multicenter cross-sectional study. Analysis of a Registration System that reports any type of aggression suffered by Primary Care workers, in the Community of Madrid. The study variables included sociodemographic characteristics of the aggressor and the victim, the type of aggression (verbal or physical abuse), its causes and consequences. We described median, intercuartilic range and frequencies. Logistic regression was performed calculating odds ratio and their 95% confidence intervals.
1,157 assaults were reported, 53.07% suffered by doctors. Physical assault occurred in 4.7% of the cases. The main reason was dissatisfaction with the care (36.1%). The non-medical staff showed less risk of being physically assaulted (OR: 0.38; CI95%: 0.17-0.86). The perpetrator profile was male (56.8%), aged between 31-40 (26.8%) years. Health care victim profile was female (84%), aged between 45-60 years. 10% of professionals reported some form of aggression, 5,9% of aggression were submitted to court.
The risk of assault is higher in health personnel, particularly physicians. There were significant differences by gender and age, both in the profile of the aggressor and the victim.
在过去几年中，针对医护人员的攻击行为数量有所上升。此前尚无针对整个地区所有专业类别的初级保健研究。本研究的目的是描述马德里社区初级保健中的攻击行为特征。
多中心横断面研究。对马德里社区报告初级保健工作者遭受的任何类型攻击行为的登记系统进行分析。研究变量包括攻击者和受害者的社会人口学特征、攻击类型（言语或身体虐待）、其原因和后果。我们描述了中位数、四分位间距和频率。进行逻辑回归分析，计算比值比及其95%置信区间。
报告了1157起攻击事件，其中53.07%的受害者是医生。4.7%的案例发生了身体攻击。主要原因是对护理不满意（36.1%）。非医务人员遭受身体攻击的风险较低（比值比：0.38；95%置信区间：0.17 - 0.86）。攻击者的特征为男性（56.8%），年龄在31 - 40岁之间（26.8%）。医护受害者的特征为女性（84%），年龄在45 - 60岁之间。10%的专业人员报告遭受了某种形式的攻击，5.9%的攻击事件被提交法庭。
医护人员，尤其是医生，遭受攻击的风险更高。在攻击者和受害者的特征方面，性别和年龄存在显著差异。
