Jiménez Rosa E, Bachelet Vivienne C, Gomolán Patricio, Lefio Luis Álvaro, Goyenechea Matías
Medwave Estudios Limitada, Villaseca 21, Of. 702, Ñuñoa, Santiago de Chile, Chile.
Medwave Estudios Limitada, Villaseca 21, Of. 702, Ñuñoa, Santiago de Chile, Chile; Facultad de Ciencias Médicas, Universidad de Santiago de Chile, Avenida Libertador Bernardo O'Higgins 3363, Santiago, Estación Central, Región Metropolitana, Chile.
Int Emerg Nurs. 2019 Nov;47:100792. doi: 10.1016/j.ienj.2019.100792. Epub 2019 Nov 1.
Shortage of quantitative studies regarding health risks for emergency services workers is a concern for Chilean's occupational health organizations.
To explore the incidence of violence and burnout in emergency services of the Metropolitan Region of Chile, and associations with workers' characteristics and workplace conditions.
A cross-sectional study was carried out from January to August 2016. A self-reported questionnaire explored about frequency and seriousness of violence episodes and about symptoms of burnout with the Maslach Burnout Inventory.
Of the 565 workers participating, 71% (95% CI 66.7-74.5) said violence episodes occurred at least once a week; 71.3% (95% CI 67.3-75.0) were victims of some aggression in the previous 12 months. Patients companions, relatives or friends arose as the main aggressors and the severity of the episodes was considered slight or moderate by more than 50% of participants. Fifty-seven respondents (10.5%, CI 95% 8.1-13.5) classified as having a burnout syndrome. Having been a victim of violence was associated to high emotional exhaustion (OR = 1.7, 95% CI: 1.1-2.8) and depersonalization (OR = 2.0, 95% CI 1.3-3.3).
Violence is a problem in the emergency departments of Chile's Metropolitan Region. Burnout is also present and independently associated to violence.
智利职业健康组织对急诊服务人员健康风险的定量研究不足表示关切。
探讨智利首都大区急诊服务中暴力行为和职业倦怠的发生率，以及与工作人员特征和工作场所条件的关联。
于2016年1月至8月进行了一项横断面研究。通过一份自填式问卷，利用马氏职业倦怠量表探究暴力事件的发生频率和严重程度以及职业倦怠症状。
在参与研究的565名工作人员中，71%（95%置信区间66.7 - 74.5）表示暴力事件每周至少发生一次；71.3%（95%置信区间67.3 - 75.0）在过去12个月中曾遭受某种攻击。患者的同伴、亲属或朋友是主要攻击者，超过50%的参与者认为事件的严重程度为轻微或中等。57名受访者（10.5%，95%置信区间8.1 - 13.5）被归类为患有职业倦怠综合征。遭受暴力与高情绪耗竭（比值比=1.7，95%置信区间：1.1 - 2.8）和去个性化（比值比=2.0，95%置信区间1.3 - 3.3）相关。
暴力是智利首都大区急诊科的一个问题。职业倦怠也存在，且与暴力独立相关。
