Unit of Psychiatry, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China; The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, School of Mental Health, Beijing, China.
Unit of Psychiatry, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China; Center for Cognition and Brain Sciences, University of Macau, Macao SAR, China; Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao SAR, China.
J Psychiatr Res. 2021 Mar;135:289-293. doi: 10.1016/j.jpsychires.2021.01.023. Epub 2021 Jan 20.
Mental health professionals are often exposed to workplace violence (WPV) in China. This study examined the prevalence of WPV and the associated factors and quality of life (QOL) among frontline mental health professionals during the COVID-19 pandemic.
This national survey was carried out between March 15 and March 20, 2020. WPV and QOL were assessed with standardized measures.
A total of 10,516 participants were included. The prevalence of overall WPV was 18.5% (95% CI: 17.9%-19.3%), while verbal abuse/threats was 15.8% and physical violence was 8.4%. Multiple logistic regression analysis revealed that male gender (OR = 1.42, p < 0.01), higher educational level (OR = 1.40, p < 0.01), working in tertiary hospitals (OR = 1.33, p < 0.01), caring for COVID-19 patients (OR = 3.10, p < 0.01) and having more severe anxiety symptom (OR = 1.21, p < 0.01) were positively associated with WPV. In contrast, working in inpatient departments (OR = 0.74, p < 0.01), having longer work experience (OR = 0.99, p = 0.03), and being a junior nurse (OR = 0.73, p < 0.01) were negatively associated with WPV. After controlling for the covariates, mental health professionals who experienced WPV had a lower overall QOL compared to those without WPV (F = 68.28, p < 0.01).
This study found that WPV was common among mental health professionals in China during the COVID-19 pandemic. Considering the negative impact of WPV on QOL and quality of patient care, appropriate measures to prevent WPV should be developed.
心理健康专业人员在中国经常面临工作场所暴力（WPV）。本研究调查了 COVID-19 大流行期间一线心理健康专业人员 WPV 的流行情况以及相关因素和生活质量（QOL）。
本全国性调查于 2020 年 3 月 15 日至 3 月 20 日进行。使用标准化措施评估 WPV 和 QOL。
共纳入 10516 名参与者。总体 WPV 的流行率为 18.5%（95%CI：17.9%-19.3%），言语虐待/威胁为 15.8%，身体暴力为 8.4%。多因素逻辑回归分析显示，男性（OR=1.42，p<0.01）、较高的教育水平（OR=1.40，p<0.01）、在三级医院工作（OR=1.33，p<0.01）、照顾 COVID-19 患者（OR=3.10，p<0.01）和更严重的焦虑症状（OR=1.21，p<0.01）与 WPV 呈正相关。相反，在住院部工作（OR=0.74，p<0.01）、工作经验较长（OR=0.99，p=0.03）和初级护士（OR=0.73，p<0.01）与 WPV 呈负相关。在控制了协变量后，经历 WPV 的心理健康专业人员的总体 QOL 低于没有 WPV 的人员（F=68.28，p<0.01）。
本研究发现，COVID-19 大流行期间，中国心理健康专业人员中 WPV 很常见。考虑到 WPV 对 QOL 和患者护理质量的负面影响，应制定适当的 WPV 预防措施。
