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医生暴力。意大利北部的一项观察性研究。

Violence on doctors. An observational study in Northern Italy.

机构信息

Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties "G. D'Alessandro", University of Palermo, Palermo, Italy.

Post-Graduate School of Hygiene and Preventive Medicine. Department of Experimental Medicine. University of Perugia. Perugia, Italy.

出版信息

Med Lav. 2020 Feb 24;111(1):46-53. doi: 10.23749/mdl.v111i1.8795.

Abstract

BACKGROUND

Violence in the workplace is now universally recognized as a significant global public health issue and is one of the most serious issues affecting the healthcare sector.

OBJECTIVES

To assess the prevalence of workplace violence.

METHODS

We performed a multicenter cross-sectional study using an anonymous questionnaire submitted to doctors from Northern Italy. The survey investigates socio-demographic information, the number of years of work in the health sector and the physical and verbal aggressions that occurred in the workplace in the last 12 months.

RESULTS

The sample consists of 4545 healthcare workers, of whom 2603 (57.27%) are females. The mean age of the sample is 49.79 years (SD ± 12.63). The risk of being victim of physical aggression at work in the last 12 months is significantly associated with the following independent variables: male gender (aOR 2.09, 95% CI 1.51-2.88), work in the public sector (aOR 2.57, 95% CI 1.72-3.85), being victim of verbal aggression at work in the last 12 months (aOR 22.52, 95% CI 10.97-46.20), work in the operational units of the Medical area (aOR 2.36, 95% CI 1.33-4.21) and the Territorial area (aOR 1.97, 95% CI 1.04-3.74).

DISCUSSION

The prevalence of violent behaviour is difficult to assess, because violent incidents are underreported or unreported. The results of the study suggest that increased awareness is necessary to develop effective control strategies at individual, hospital and national levels.

摘要

背景

工作场所暴力现在已被普遍认为是一个重大的全球公共卫生问题,也是影响医疗保健行业的最严重问题之一。

目的

评估工作场所暴力的发生率。

方法

我们进行了一项多中心横断面研究,使用匿名问卷对意大利北部的医生进行调查。该调查研究了社会人口统计学信息、在卫生部门工作的年限以及过去 12 个月内在工作场所发生的身体和言语攻击。

结果

该样本由 4545 名医护人员组成,其中 2603 名(57.27%)为女性。样本的平均年龄为 49.79 岁(SD ± 12.63)。在过去 12 个月中,工作场所遭受身体攻击的风险与以下独立变量显著相关:男性(aOR 2.09,95%CI 1.51-2.88)、在公共部门工作(aOR 2.57,95%CI 1.72-3.85)、在过去 12 个月中在工作场所遭受言语攻击(aOR 22.52,95%CI 10.97-46.20)、在医疗区域的操作单元(aOR 2.36,95%CI 1.33-4.21)和领土区域(aOR 1.97,95%CI 1.04-3.74)工作。

讨论

暴力行为的发生率难以评估,因为暴力事件的报告不足或未报告。研究结果表明,有必要提高认识,以便在个人、医院和国家层面制定有效的控制策略。

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