Department of Psychology, University of Almeria, Almeria, Andalucía, Spain
Universidad Politécnica y Artística del Paraguay, Asuncion, Gran Asunción, Paraguay.
BMJ Open. 2020 Mar 8;10(3):e034143. doi: 10.1136/bmjopen-2019-034143.
Violence against nursing personnel in their place of work is a severe problem generating important consequences for these workers. Even though there is a large body of research on the subject, the emotional impact of aggression against healthcare workers continues to be debated.
The objective of this quantitative, observational cross-sectional study was to analyse the effects of aggression against nursing personnel and the mediating role of anxiety in somaticising physical symptoms.
The sample was made up of 1357 nursing professionals who answered questionnaires evaluating their sensitivity to anxiety and the presence of somatic symptoms.
Of the professionals who indicated that they had been the victims of aggression by family members or patients in the previous year, 52.8% said it had happened to them on one occasion, 25.2% had experienced two episodes, while 6.9% and 15.1% said they had undergone three or more aggressions, respectively. Although 89.3% of the professionals affected by acts of indicated that they had not undergone physical or psychological consequences, there was a higher prevalence of somatic alteration among workers who had been victims of violence in the workplace. Furthermore, aggression at work had a direct effect on physical somatisation, which in turn acted as a mediator in the level of anxiety of nursing professionals. Thus, aggression increased the level of anxiety of nurses through the appearance of somatic symptoms.
The results are discussed based on some of the consequences that appeared after episodes of aggression in the healthcare sector and their relationship.
工作场所中对护理人员的暴力行为是一个严重的问题，对这些工作人员造成了重要的后果。尽管关于这个主题已经有大量的研究，但针对医疗保健工作者的攻击的情绪影响仍在争论中。
本定量、观察性横断面研究的目的是分析针对护理人员的攻击行为的影响，以及焦虑在躯体化身体症状中的中介作用。
该样本由 1357 名护理专业人员组成，他们回答了评估其对焦虑的敏感性和躯体症状存在的问卷。
在过去一年中表示自己曾遭受过家庭成员或患者攻击的专业人员中，52.8%的人表示只发生过一次，25.2%的人表示发生过两次，而分别有 6.9%和 15.1%的人表示发生过三次或更多次攻击。尽管 89.3%受到暴力行为影响的专业人员表示他们没有经历过身体或心理后果，但在工作场所遭受暴力的工作人员中，躯体改变的发生率更高。此外，工作场所的攻击行为对身体的躯体化有直接影响，而躯体化反过来又在护理专业人员的焦虑水平中起中介作用。因此，攻击通过躯体症状的出现增加了护士的焦虑水平。
根据医疗保健部门发生攻击事件后的一些后果及其关系对结果进行了讨论。
