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孟加拉国三级护理医院中针对医生的身体暴力的流行情况和决定因素。

Prevalence and determinants of physical violence against doctors in Bangladeshi tertiary care hospitals.

机构信息

Department of Public Health, North South University, Dhaka, Bangladesh.

Research Rats, Dhaka, Bangladesh.

出版信息

Hum Resour Health. 2023 Mar 28;21(1):26. doi: 10.1186/s12960-023-00811-x.

Abstract

BACKGROUND

The increasing physical violence against doctors in the health sector has become an alarming global problem and a key concern for the health system in Bangladesh. This study aimed to determine the prevalence and associated factors of physical violence against doctors in Bangladeshi tertiary care hospitals.

METHODS

A cross-sectional survey was performed among 406 doctors working in tertiary care hospitals. Data were collected using a self-administered questionnaire and the binary logistic regression model was employed for predicting physical violence against doctors.

RESULTS

Of the participants, 50 (12.3%) doctors reported being exposed to physical violence in 12 months prior to the survey. According to logistic regression analysis, aged less than 30 years or younger, male and never-married doctors were prone to physical violence. Similarly, doctors from public hospitals and those worked in emergency departments were at higher risk of physical violence. More than 70% of victims reported that patients' relatives were the main perpetrators. Two-thirds of the victims referred to violence in the hospitals as a grave concern.

CONCLUSIONS

Physical violence against doctors is relatively common in the emergency departments and public hospitals in Bangladesh. This study found that male and younger doctors were at high risk of exposing physical violence. To prevent hospital violence, authorities must develop human resources, bolster patient protocol and offer physician training.

摘要

背景

卫生部门中针对医生的身体暴力日益增多,已成为全球令人担忧的问题,也是孟加拉国卫生系统的主要关注点。本研究旨在确定孟加拉国三级保健医院中医生遭受身体暴力的发生率和相关因素。

方法

在三级保健医院工作的 406 名医生中进行了横断面调查。使用自我管理问卷收集数据,并采用二元逻辑回归模型预测医生遭受身体暴力的情况。

结果

在接受调查前 12 个月内,50 名(12.3%)医生报告遭受过身体暴力。根据逻辑回归分析,年龄小于 30 岁或以下、男性和未婚医生更容易遭受身体暴力。同样,来自公立医院和急诊部门的医生遭受身体暴力的风险更高。超过 70%的受害者报告说,主要肇事者是患者的亲属。三分之二的受害者表示,医院内的暴力行为是一个严重的问题。

结论

在孟加拉国的急诊部门和公立医院中,针对医生的身体暴力相对常见。本研究发现,男性和年轻医生遭受身体暴力的风险较高。为了防止医院暴力,当局必须开发人力资源、加强患者规范并提供医生培训。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa8e/10045192/702e304c5cfb/12960_2023_811_Fig1_HTML.jpg

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