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印度新德里南部一家三级护理医院医生所经历的工作场所暴力及其相关风险因素的研究

A Study of Workplace Violence Experienced by Doctors and Associated Risk Factors in a Tertiary Care Hospital of South Delhi, India.

作者信息

Kumar Mukesh, Verma Madhur, Das Timiresh, Pardeshi Geeta, Kishore Jugal, Padmanandan Arun

机构信息

Junior Resident, Department of Community Medicine, VMMC and Safdarjung Hospital , New Delhi, India .

Senior Resident, Department of Community Medicine, VMMC and Safdarjung Hospital , New Delhi, India .

出版信息

J Clin Diagn Res. 2016 Nov;10(11):LC06-LC10. doi: 10.7860/JCDR/2016/22306.8895. Epub 2016 Nov 1.

Abstract

INTRODUCTION

The increasing incidences of violence against doctors in their workplaces are an important reason for stress among these healthcare workers. Many incidences of workplace violence against doctors have been reported in the past and are also being continuously reported from different parts of the country as well as the world.

AIM

To determine the prevalence of workplace violence among doctors and to study the associated risk factors in a tertiary care hospital of Delhi, India.

MATERIAL AND METHODS

A cross-sectional study was conducted using a self-administered semi-structured questionnaire. The contents were: data related to the workplace, incidences at work, violence prevention policy of the institution, reporting of incidences and follow-up, education and training for violence management. A total of 151 doctors participated in the study.

RESULTS

Total participants in the study were 151. The mean age of study participants was 26.73±4.24 years. Almost half (47.02%; 44.56% of males and 50.84% of females) of the doctors reported having an experience of violence during work hours in past 12 months. Among the cases, 39.4% were reported from Department of Obstetrics and Gynaecology while Surgery, Medicine and other departments reported 29.6%, 26.8% and 4.2% respectively. Patients or their relatives were perpetrators in most of the cases. Maximum (87.3%) of the reported cases were of verbal violence while 8.6% of the cases were of physical violence. Younger doctors with less work experience were more prone to physical violence. Regarding the time of violence, 35.1% of such cases occurred during afternoon while 30.1% of them took place at night.

CONCLUSION

A large number of doctors had experienced violence in past 12 months in a tertiary care hospital of South Delhi, India. Verbal violence came out to be most common form of violence experienced by the doctors. Afternoon or night hours were the timings when majority of such cases were reported.

摘要

引言

针对医生在工作场所暴力事件的日益增多是这些医护人员压力的一个重要原因。过去已经报道了许多针对医生的工作场所暴力事件,并且来自印度以及世界不同地区的此类事件也在不断被报道。

目的

确定印度德里一家三级护理医院中医生工作场所暴力的患病率,并研究相关风险因素。

材料与方法

采用自行填写的半结构化问卷进行横断面研究。内容包括:与工作场所相关的数据、工作中的事件、机构的暴力预防政策、事件报告与后续跟进、暴力管理的教育与培训。共有151名医生参与了该研究。

结果

研究的总参与者为151人。研究参与者的平均年龄为26.73±4.24岁。几乎一半(47.02%;男性为44.56%,女性为50.84%)的医生报告在过去12个月的工作时间里有过暴力经历。在这些案例中,39.4%来自妇产科,而外科、内科和其他科室分别报告了29.6%、26.8%和4.2%。在大多数案例中,患者或其亲属是施暴者。报告的案例中,最大比例(87.3%)是言语暴力,而8.6%的案例是身体暴力。工作经验较少的年轻医生更容易遭受身体暴力。关于暴力发生的时间,35.1%的此类案例发生在下午,而30.1%发生在晚上。

结论

在印度南德里的一家三级护理医院,大量医生在过去12个月里经历过暴力。言语暴力是医生经历的最常见暴力形式。下午或晚上是此类案例报告最多的时间段。

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