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遭受言语虐待的医护人员对患者的同理心与创伤后应激反应

Empathy With Patients and Post-Traumatic Stress Response in Verbally Abused Healthcare Workers.

作者信息

Nam Soo-Hyun, Lee Dong-Wook, Seo Hwa-Yeon, Hong Yun-Chul, Yun Je-Yeon, Cho Sung-Jun, Lee Nami

机构信息

Human Rights Center, Seoul National University Hospital, Seoul, Republic of Korea.

Department of Preventive Medicine, College of Medicine, Seoul National University, Seoul, Republic of Korea.

出版信息

Psychiatry Investig. 2021 Aug;18(8):770-778. doi: 10.30773/pi.2021.0066. Epub 2021 Aug 19.

DOI:10.30773/pi.2021.0066
PMID:34404121
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8390940/
Abstract

OBJECTIVE

The current study examined the differential empathic capacity, post-traumatic symptoms, and coping strategies in healthcare workers (HCWs) according to the exposure of verbal or physical workplace violence (WPV).

METHODS

Using online survey, a total of 422 HCWs employed at a training general hospital of South Korea participated and completed self-reporting questionnaires including the WPV questionnaire with coping strategy, the Jefferson Scale of Physician Empathy.

RESULTS

Those who experienced either only verbal violence or both physical and verbal violence had lower Jefferson Scale of Physician Empathy scores (p<0.05). Posttraumatic stress symptom severity was higher among people who experienced verbal violence than physical violence. HCWs' exposure to verbal violence was associated with severe posttraumatic symptoms and a low level of empathy with patients (p<0.05). More than half of the victims of verbal violence responded that they did not take any action, receive organizational protection, or peer support, while most physically-abused HCWs received institutional intervention or help from others.

CONCLUSION

Our findings highlight the critical importance of reducing verbal violence, which may represent a larger psychological burden compared to physical violence, by actively implementing effective strategies and policies at the institutional level.

摘要

目的

本研究根据医护人员(HCWs)在工作场所遭受言语或身体暴力(WPV)的情况,考察了他们的共情能力差异、创伤后症状及应对策略。

方法

采用在线调查,韩国一家培训综合医院的422名医护人员参与并完成了自我报告问卷,包括带有应对策略的WPV问卷、杰斐逊医生共情量表。

结果

仅经历言语暴力或同时经历身体和言语暴力的医护人员,其杰斐逊医生共情量表得分较低(p<0.05)。经历言语暴力的人创伤后应激症状严重程度高于经历身体暴力的人。医护人员遭受言语暴力与严重的创伤后症状及对患者的低水平共情相关(p<0.05)。超过一半的言语暴力受害者表示他们未采取任何行动、未得到组织保护或同伴支持,而大多数遭受身体虐待的医护人员得到了机构干预或他人帮助。

结论

我们的研究结果凸显了通过在机构层面积极实施有效策略和政策来减少言语暴力的至关重要性,言语暴力可能比身体暴力带来更大的心理负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/040b/8390940/8c250430830c/pi-2021-0066f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/040b/8390940/8c250430830c/pi-2021-0066f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/040b/8390940/8c250430830c/pi-2021-0066f1.jpg

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