Carmel H, Hunter M
Atascadero State Hospital, California 93423.
Hosp Community Psychiatry. 1989 Jan;40(1):41-6. doi: 10.1176/ps.40.1.41.
A one-year study of staff injuries from inpatient violence at a large forensic state hospital found that 121 staff members sustained 135 injuries. Nursing staff sustained 120 of the injuries, for a rate of 16 injuries per 100 staff, and professional staff sustained three injuries, for a rate of 1.9 injuries per 100 staff. The majority of injuries to nursing staff (9.9 per 100 staff) were sustained while containing patient violence, and the rest were the result of assault (6.1 per 100 staff). Male nursing staff were nearly twice as likely as female staff to be injured and nearly three times as likely to receive containment-related injuries. The highest rates of injury were noted among ward nursing leadership. Injuries by assault were more likely than containment-related injuries to be head injuries, to cause more than three weeks' absence from work, and to affect more recently hired staff. The usefulness of the methodology in analyzing patterns of staff injury from inpatient violence is discussed.
一项针对一家大型州立法医医院住院患者暴力导致工作人员受伤情况的为期一年的研究发现，121名工作人员遭受了135次伤害。护理人员遭受了120次伤害，发生率为每100名工作人员中有16次伤害，专业人员遭受了3次伤害，发生率为每100名工作人员中有1.9次伤害。护理人员的大多数伤害（每100名工作人员中有9.9次）是在控制患者暴力时遭受的，其余则是袭击的结果（每100名工作人员中有6.1次）。男性护理人员受伤的可能性几乎是女性护理人员的两倍，遭受与控制相关伤害的可能性几乎是女性护理人员的三倍。病房护理领导层的受伤率最高。与控制相关的伤害相比，袭击造成的伤害更有可能是头部受伤，导致超过三周的缺勤，并影响新入职的工作人员。本文讨论了该方法在分析住院患者暴力导致工作人员受伤模式方面的实用性。
