Marte Mattia, Cappellano Ernesto, Sestili Cristina, Mannocci Alice, La Torre Giuseppe
.
Med Lav. 2019 Apr 19;110(2):130-141. doi: 10.23749/mdl.v110i2.7807.
.
: Aggressions to healthcare personnel are a growing and underestimated phenomenon. The damage to the individual and to the community is real, since the assaults increase work stress and can also lead to sickness absence. Moreover, the consequences on the quality of care and economic repercussions need to be taken into account.
: To estimate the prevalence of violence towards medical personnel of the College of Physicians and Surgeons of Rome and to evaluate its association with socio-demographic variables.
: Cross-sectional study. Respondents completed an online questionnaire composed of 30 questions on personal information, work, any aggression suffered and opinions about the phenomenon. Descriptive statistical analysis, univariate, bivariate and multivariate analyses were performed.
: Out of 956 responders, 66.5% experienced at least one episode of aggression during their working life. Women were more likely victims than men (71%), especially due to verbal aggression (OR 1.53, 95%CI: 1.16-2.02). Age acts as a protective factor (OR 0.97; 95%CI: 0.96-0.99). The subjects with a full time position (OR 2.1; 95%CI: 1.46-3.05) seem to be more at risk. In addition, the doctors employed in the territorial structures of the National Health System (OR 2.08; 95%CI: 1.36-3.18), as well as in the local emergency services (OR 3.39; 95%CI: 1.14-10.05) and in social security institutions (OR 9.58; 95%CI:1.2-76.41) were more at risk.
: The results of this study reveal that the phenomenon of aggression is not negligible, and that awareness on the issue and staff training is essential.
对医护人员的攻击行为是一个日益严重且被低估的现象。对个人和社区的损害是切实存在的，因为这些攻击会增加工作压力，还可能导致病假。此外，还需要考虑对医疗质量的影响和经济后果。
评估罗马医师与外科医生学院医务人员遭受暴力行为的发生率，并评估其与社会人口统计学变量的关联。
横断面研究。受访者完成一份在线问卷，该问卷由30个关于个人信息、工作、遭受的任何攻击行为以及对该现象看法的问题组成。进行了描述性统计分析、单变量、双变量和多变量分析。
在956名受访者中，66.5%在其职业生涯中至少经历过一次攻击行为。女性比男性更易成为受害者（71%），尤其是遭受言语攻击（比值比1.53，95%置信区间：1.16 - 2.02）。年龄起到保护作用（比值比0.97；95%置信区间：0.96 - 0.99）。全职岗位的人员（比值比2.1；95%置信区间：1.46 - 3.05）似乎风险更高。此外，受雇于国家卫生系统地区机构的医生（比值比2.08；95%置信区间：1.36 - 3.18），以及当地急救服务机构（比值比3.39；95%置信区间：1.14 - 10.05）和社会保障机构的医生（比值比9.58；95%置信区间：1.2 - 76.41）风险更高。
本研究结果表明，攻击行为现象不可忽视，对此问题的认识和员工培训至关重要。
