Department of Family and Community Medicine, Al Mustansiriya University, Baghdad, Iraq.
Department of International Health, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States of America.
PLoS One. 2021 Aug 6;16(8):e0254401. doi: 10.1371/journal.pone.0254401. eCollection 2021.
This study assessed patterns in reported violence against doctors working in 11 Baghdad hospitals providing care for patients with COVID-19 and explored characteristics of hospital violence and its impact on health workers.
Questionnaires were completed by 505 hospital doctors (38.6% male, 64.4% female) working in 11 Baghdad hospitals. No personal or identifying information was obtained.
Of 505 doctors, 446 (87.3%) had experienced hospital violence in the previous 6 months. Doctors reported that patients were responsible for 95 (21.3%) instances of violence, patient family or relatives for 322 (72.4%), police or military personnel for 19 (4.3%), and other sources for 9 (2%). The proportion of violent events reported did not differ between male and female doctors, although characteristics varied. There were 415 of the 505 doctors who reported that violence had increased since the beginning of the pandemic, and many felt the situation would only get worse. COVID-19 has heightened tensions in an already violent health workplace, further increasing risks to patients and health providers.
During the COVID-19 epidemic in Iraq an already violent hospital environment in Baghdad has only worsened. The physical and emotional toll on health workers is high which further threatens patient care and hospital productivity. While more security measures can be taken, reducing health workplace violence requires other measures such as improved communication, and addressing issues of patient care.
本研究评估了在 11 家为 COVID-19 患者提供治疗的巴格达医院工作的医生报告的暴力行为模式，并探讨了医院暴力的特征及其对卫生工作者的影响。
在 11 家巴格达医院工作的 505 名医院医生（38.6%为男性，64.4%为女性）完成了问卷调查。未获取任何个人或身份信息。
在 505 名医生中，446 名（87.3%）在过去 6 个月内经历过医院暴力。医生报告说，患者是 95 起（21.3%）暴力事件的责任人，患者家属或亲属是 322 起（72.4%），警察或军人是 19 起（4.3%），其他来源是 9 起（2%）。报告的暴力事件比例在男女医生之间没有差异，尽管特征不同。在 505 名医生中有 415 名医生报告说，自大流行开始以来，暴力事件有所增加，许多人认为情况只会恶化。COVID-19 加剧了已经暴力的医疗工作场所的紧张局势，进一步增加了患者和医疗服务提供者的风险。
在伊拉克 COVID-19 疫情期间，巴格达已经暴力的医院环境进一步恶化。卫生工作者的身心压力很大，这进一步威胁到患者护理和医院的生产力。虽然可以采取更多的安全措施，但减少医疗工作场所的暴力需要采取其他措施，如改善沟通，并解决患者护理问题。
