Jacobsen Christina, Volkmann I, Wedegärtner F, Harris J, Bertram B, Gass P, Bambas B, Framme C
Universitätsklinik für Augenheilkunde, Medizinische Hochschule Hannover (MHH), Hannover, Deutschland.
Universitätsklinik für Psychiatrie, Sozialpsychiatrie und Psychotherapie, MHH, Hannover, Deutschland.
Ophthalmologe. 2020 Aug;117(8):775-785. doi: 10.1007/s00347-020-01039-z.
The media have reported an increased willingness of patients and relatives to use violence against medical personnel. So far a few studies have been carried out on this topic and the data situation is correspondingly weak. Ophthalmologists in particular have close contact with patients at the slit lamp and are often alone with patients.
A questionnaire was developed based on the perception of prevalence of aggression scale (POPAS) questionnaire and the survey on aggression and violence among general practitioners. In autumn 2018, all members of the German Ophthalmological Society (DOG) and the Professional Association of Ophthalmologists (BVA) received an invitation by e‑mail to complete the questionnaire online.
Of the 9411 ophthalmologists contacted a total of 1508 (age 49 ± 12 years) took part in the survey (16%). Of the respondents 806 (53.7%) were female and 1139 (75.5%) participants worked in practices. A total of 1264 (83.3%) ophthalmologists had experienced aggression/violence in their work, 986 (65%) respondents had already experienced verbal assaults without threats, 363 (24.1%) doctors reported experiences with threats of physical violence and 30 (2%) participants had received medical treatment for severe physical violence. Sexual intimidation/harassment was affirmed by 322 (21.4%) of respondents, of whom 243 (75.5%) were female and 533 (47.9%) doctors felt that aggressive/violent behavior had increased in the last 5 years.
The high number of participants indicates the high relevance of the topic. The survey produced astonishing results, which should lead to further discussion and action to improve the safety of employees.
媒体报道患者及其亲属对医务人员使用暴力的意愿有所增加。到目前为止,关于这个主题的研究较少,相应的数据也较为薄弱。眼科医生尤其在裂隙灯下与患者密切接触,且经常与患者单独相处。
基于攻击行为流行率感知量表(POPAS)问卷和全科医生攻击与暴力调查,编制了一份问卷。2018年秋季,德国眼科协会(DOG)和眼科医生专业协会(BVA)的所有成员都收到了一封电子邮件邀请,邀请他们在线填写问卷。
在联系的9411名眼科医生中,共有1508名(年龄49±12岁)参与了调查(16%)。在受访者中,806名(53.7%)为女性,1139名(75.5%)参与者在诊所工作。共有1264名(83.3%)眼科医生在工作中经历过攻击/暴力行为,986名(65%)受访者曾经历过无威胁的言语攻击,363名(24.1%)医生报告曾经历过身体暴力威胁,30名(2%)参与者因严重身体暴力接受过治疗。322名(21.4%)受访者确认遭受过性恐吓/骚扰,其中243名(75.5%)为女性,533名(47.9%)医生认为在过去5年中攻击/暴力行为有所增加。
大量参与者表明该主题具有高度相关性。调查结果令人惊讶,应引发进一步的讨论和行动,以提高员工的安全性。