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急诊室暴力:土耳其普通外科医生的处境。

Violence in emergency service: The situation of general surgeons in Turkey.

机构信息

Department of General Surgery, Liv Hospital Vadistanbul, İstanbul-Türkiye.

Department of Public Health, İzmir Democracy University Faculty of Medicine, İzmir-Türkiye.

出版信息

Ulus Travma Acil Cerrahi Derg. 2022 Jul;28(7):988-996. doi: 10.14744/tjtes.2021.89026.

Abstract

BACKGROUND

Violence in healthcare in public health is a problem about socio-economic and personal development that is un-fortunately seen in every service but more frequently in emergency departments. In our study, we aimed to determine the violence experiences of general surgeons in the emergency room and their perceptions about it.

METHODS

The study is designed in a cross-sectional type. We sent a survey containing 11 questions to the e-mails of 941 general surgeons registered in the National Trauma and Emergency Surgery Association in August-September 2019. The rate of participation to the online survey was 9.98%.

RESULTS

The participants who have been subjected to violence in anyway and who have never encountered violence were 64.9% and 16.0%, respectively. Female surgeons composed 10.6% of the participants and their rate of exposure to violence was 90.0%. When the number of patients accepted by the surgeon increased, the rate of being exposed to violence rose (p=0.014). Those who're ex-posed to verbal violence applied to courts less frequently (p=0.046). The surgeons whose had to applied to courts could not receive remarkable support from their institutions. The participants stated that who're source of violence should get effective punishments and victims should be strongly supported.

CONCLUSION

The specialists exposed to violence in the emergency room include general surgeons. Increase of the risk of ex-posure to violence for surgeons correlates workload. Verbal violence moved to the court stage has observed less frequently than the physical. It would be appropriate to take serious sanctions strengthened by legal regulations as the first step toward a solution.

摘要

背景

公共卫生领域的医疗暴力是一个涉及社会经济和个人发展的问题,不幸的是,这种情况在每个服务领域都能看到,但在急诊科更为常见。在我们的研究中,我们旨在确定普通外科医生在急诊室的暴力经历及其对此的看法。

方法

本研究设计为横断面研究。我们在 2019 年 8 月至 9 月向全国创伤和急诊外科学会注册的 941 名普通外科医生的电子邮件中发送了一份包含 11 个问题的调查问卷。在线调查的参与率为 9.98%。

结果

以任何方式遭受过暴力和从未遭遇过暴力的参与者分别占 64.9%和 16.0%。女外科医生占参与者的 10.6%,她们遭受暴力的比例为 90.0%。当外科医生接受的患者人数增加时,遭受暴力的比例上升(p=0.014)。那些遭受言语暴力的人较少向法院提起诉讼(p=0.046)。向法院提起诉讼的外科医生无法从他们的机构获得显著的支持。参与者表示,暴力的源头应该受到有效的惩罚,受害者应该得到强有力的支持。

结论

在急诊科遭受暴力的专家包括普通外科医生。外科医生遭受暴力的风险增加与工作量相关。诉诸法庭的言语暴力比身体暴力要少。作为解决方案的第一步,采取由法律规定强化的严厉制裁措施是恰当的。

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