Lafta Riyadh K, Falah Nadia
a Department of Family and Community Medicine , College of Medicine, Mustansiriya University.
b Global Health Department , University of Washington , Seattle , USA.
Med Confl Surviv. 2019 Mar;35(1):65-79. doi: 10.1080/13623699.2018.1540095. Epub 2018 Nov 8.
The problem of aggression towards health care staff is global. It negatively impacts on their psychological and physical well-being, and on their performance. This study was set to explore the exposure of healthcare personnel to different forms of violence and the influence of this violence on their work and life. A sample of 700 healthcare workers was collected from six major hospitals and 20 primary health care centers in Baghdad. The questionnaire inquired about exposure to any sort of violence including insult, assaults, and displacement, being arrested, kidnapped, and intentionally injured or threatened at the workplace. More than 85% of respondents reported exposure to violence. The most important reason for violence was the poor medical services and lack of hospital supplies (22.1%). Young doctors were significantly more exposed to violence, especially verbal, mostly during the day. A significant association was seen between exposure to physical violence, male gender and short duration of experience. The most significant source of violence was the patient's relatives. There is an overwhelming surge of violence against health workers that may adversely reflect on their performance. Passing legislation that protects health workers against violence is an urgent need at this time of unrest.
医护人员遭受攻击的问题是全球性的。这对他们的身心健康以及工作表现都会产生负面影响。本研究旨在探讨医护人员遭受不同形式暴力的情况，以及这种暴力对他们工作和生活的影响。从巴格达的六家大型医院和20家初级卫生保健中心收集了700名医护人员作为样本。问卷询问了是否遭受过任何形式的暴力，包括侮辱、袭击、被驱逐、被逮捕、被绑架以及在工作场所被故意伤害或威胁。超过85%的受访者表示遭受过暴力。暴力发生的最重要原因是医疗服务差和医院物资短缺（22.1%）。年轻医生遭受暴力的情况明显更多，尤其是言语暴力，且大多发生在白天。遭受身体暴力与男性性别以及工作经验短之间存在显著关联。暴力的最重要来源是患者家属。针对医护人员的暴力事件激增，这可能会对他们的工作表现产生不利影响。在当前动荡时期，迫切需要通过立法保护医护人员免受暴力侵害。
