School of Health Management, Harbin Medical University, Harbin, China.
National Center for Children's Health, Children's Hospital Affiliated Capital Medical University, Beijing, China.
Front Public Health. 2022 Jul 12;10:930118. doi: 10.3389/fpubh.2022.930118. eCollection 2022.
Hospital workplace violence is one of the most frequently reported types of workplace violence in the world, and it harms the mental and physical health of medical staff. Existing research on workplace violence focused more on cross-sectional studies, than longitudinal studies. Therefore, this study examined the dynamic impact of hospital workplace violence on the mental health of medical staff, with the aim of providing appropriate countermeasures and suggestions for hospitals to develop targeted psychological intervention measures in time for medical staff who experience workplace violence.
A prospective cohort study.
A total of 112 medical staff who had experienced workplace violence in the hospital for the first time were chosen.
An unconditional latent variable growth curve model was established based on the average value of the general health scale scores of medical staff, and gender and violence types (intimidation threats, physical violence) as control variables. Each medical staff was assessed for depression and anxiety at 4 different time points and the changes in the trajectories was observed.
There were significant differences in the incidence of mental health and anxiety among medical staff at different observation times. There were significant individual differences in the initial mental health status, growth rate of anxiety and depression of medical staff.
Hospitals should undertake various psychological intervention strategies based on the staff's mental health to safeguard those who have experienced workplace violence.
医院工作场所暴力是世界上最常报告的工作场所暴力类型之一,它危害医务人员的身心健康。现有关于工作场所暴力的研究更多地集中在横断面研究上,而不是纵向研究上。因此,本研究考察了医院工作场所暴力对医务人员心理健康的动态影响,旨在为医院提供适当的对策和建议,以便及时为遭受工作场所暴力的医务人员制定有针对性的心理干预措施。
前瞻性队列研究。
共选择了 112 名首次在医院经历工作场所暴力的医务人员。
基于医务人员一般健康量表评分的平均值,建立了一个无条件潜在变量增长曲线模型,并将性别和暴力类型(恐吓威胁、身体暴力)作为控制变量。对每一位医务人员在 4 个不同时间点进行抑郁和焦虑评估,并观察轨迹的变化。
不同观察时间医务人员心理健康和焦虑发生率存在显著差异。医务人员心理健康的初始状态、焦虑和抑郁增长率存在显著个体差异。
医院应根据员工的心理健康状况,采取各种心理干预策略,为遭受工作场所暴力的员工提供保障。