Postgraduate School of Occupational Health, Università Cattolica del Sacro Cuore, 00168 Roma, Italy.
Department of Woman, Child & Public Health Sciences, Fondazione A. Gemelli IRCCS, 00168 Roma, Italy.
Int J Environ Res Public Health. 2022 Oct 17;19(20):13423. doi: 10.3390/ijerph192013423.
Workplace violence (WV) is a significant occupational hazard for nurses. Previous studies have shown that WV has a reciprocal relationship with occupational stress. Headaches and sleep problems are early neuropsychological signs of distress. This cross-sectional study aims to ascertain the frequency of physical or verbal assaults on nurses and to study the association of WV with headaches and sleep problems. During their regular medical examination in the workplace, 550 nurses and nursing assistants (105 males, 19.1%; mean age 48.02 ± 9.98 years) were asked to fill in a standardized questionnaire containing the Violent Incident Form (VIF) concerning the episodes of violence experienced, the Headache Impact Test (HIT-6) regarding headaches, and the Pittsburgh Sleep Quality Inventory (PSQI) on sleep quality. Occupational stress was measured using the Effort/Reward Imbalance questionnaire (ERI). Physical and non-physical violence experienced in the previous year was reported by 7.5% and 17.5% of workers, respectively. In the univariate logistic regression models, the workers who experienced violence had an increased risk of headaches and sleep problems. After adjusting for sex, age, job type, and ERI, the relationship between physical violence and headaches remained significant (adjusted odds ratio aOR = 2.25; confidence interval CI95% = 1.11; 4.57). All forms of WV were significantly associated with poor sleep in a multivariate logistic regression model adjusted for sex, age, job type, and ERI (aOR = 2.35 CI95% = 1.44; 3.85). WV was also associated with the impact of headaches and with sleep quality. WV prevention may reduce the frequency of lasting psychoneurological symptoms, such as headaches and poor sleep quality, that interfere with the ability to work.
工作场所暴力（WV）是护士面临的重大职业危害。先前的研究表明，WV 与职业压力呈相互关系。头痛和睡眠问题是困扰的早期神经心理学迹象。这项横断面研究旨在确定对护士的身体或言语攻击的频率，并研究 WV 与头痛和睡眠问题的关联。在工作场所的常规体检期间，550 名护士和护理助理（105 名男性，19.1％；平均年龄 48.02 ± 9.98 岁）被要求填写一份标准化问卷，其中包含有关暴力事件的暴力事件表（VIF） ），经历的头痛，头痛影响测试（HIT-6）和匹兹堡睡眠质量指数（PSQI）的睡眠质量。使用努力/回报失衡问卷（ERI）来衡量职业压力。分别有 7.5％和 17.5％的工人报告了去年经历的身体和非身体暴力。在单变量逻辑回归模型中，经历暴力的工人头痛和睡眠问题的风险增加。在调整性别，年龄，工作类型和 ERI 后，身体暴力与头痛之间的关系仍然显著（调整后的优势比 aOR = 2.25；置信区间 CI95％= 1.11；4.57）。在调整性别，年龄，工作类型和 ERI 的多变量逻辑回归模型中，所有形式的 WV 与睡眠不佳均显着相关（调整后的优势比 aOR = 2.35 CI95％= 1.44；3.85）。 WV 还与头痛的影响以及睡眠质量有关。 WV 的预防可能会减少持续的神经心理学症状（例如头痛和睡眠质量差）的发生频率，这些症状会干扰工作能力。
