Servicio de Cardiología, Sanatorio Delta, Rosario, Argentina.
Facultad de Medicina, Universidad de Buenos Aires (UBA) - UDH Hospital Dr. Prof. Alejandro Posadas, Buenos Aires, Argentina.
Rev Peru Med Exp Salud Publica. 2023 Apr-Jun;40(2):179-188. doi: 10.17843/rpmesp.2023.402.12646.
OBJECTIVES.: Motivation for the study. The COVID-19 pandemic has caused profound repercussions at different socio-environmental levels. Its impact on violence against healthcare team workers in Argentina has not been well documented. Main findings. The present study evidenced high rates of aggression, particularly verbal aggression. In addition, almost half of the participants reported having suffered these events on a weekly basis. All participants who experienced violence reported having experienced post-event symptoms, and up to one-third reported having considered changing their profession after these acts. Implications. It is imperative to take action to prevent acts of violence against health personnel, or to mitigate its impact on the victims. . To explore the frequency and impact of violence against healthcare workers in Argentina and to compare it with the rest of their Latin American peers during the COVID-19 pandemic.
MATERIALS AND METHODS.: A cross-sectional study was conducted by applying an electronic survey on Latin American medical and non-medical personnel who carried out health care tasks since March 2020. We used Poisson regression to estimate crude (PR) and adjusted (aPR) Prevalence Ratios with their respective 95% confidence intervals.
RESULTS.: A total of 3544 participants from 19 countries answered the survey; 1992 (56.0%) resided in Argentina. Of these, 62.9% experienced at least one act of violence; 97.7% reported verbal violence and 11.8% physical violence. Of those who were assaulted, 41.5% experienced violence at least once a week. Health personnel from Argentina experienced violence more frequently than those from other countries (62.9% vs. 54.6%, p<0.001), and these events were more frequent and stressful (p<0.05). In addition, Argentinean health personnel reported having considered changing their healthcare tasks and/or desired to leave their profession more frequently (p<0.001). In the Poisson regression, we found that participants from Argentina had a higher prevalence of violence than health workers from the region (14.6%; p<0.001).
CONCLUSIONS.: There was a high prevalence of violence against health personnel in Argentina during the COVID-19 pandemic. These events had a strong negative impact on those who suffered them. Our data suggest that violence against health personnel may have been more frequent in Argentina than in other regions of the continent.
研究动机。COVID-19 大流行在不同的社会环境层面造成了深远的影响。其对阿根廷医疗团队工作人员遭受暴力的影响尚未得到充分记录。主要发现:本研究表明,攻击率很高,特别是言语攻击。此外,几乎一半的参与者报告每周都会遭遇这些事件。所有经历过暴力的参与者都报告说经历过事件后的症状,多达三分之一的人报告说在这些行为之后考虑过改变职业。意义:必须采取行动防止针对卫生人员的暴力行为,或减轻其对受害者的影响。目的:探讨 COVID-19 大流行期间阿根廷医疗保健工作者遭受暴力的频率和影响,并与拉丁美洲其他国家的同行进行比较。材料和方法:对自 2020 年 3 月以来从事医疗保健工作的拉丁美洲医务人员和非医务人员进行了一项横断面研究。我们使用泊松回归来估计未经调整(PR)和调整(aPR)的粗患病率比及其各自的 95%置信区间。结果:共有来自 19 个国家的 3544 名参与者回答了调查;1992 名(56.0%)居住在阿根廷。其中,62.9%的人至少经历过一次暴力行为;97.7%的人报告言语暴力,11.8%的人报告身体暴力。在遭受攻击的人中,41.5%的人每周至少经历一次暴力。与来自其他国家的人相比,来自阿根廷的医疗人员经历暴力的频率更高(62.9%对 54.6%,p<0.001),这些事件更频繁且压力更大(p<0.05)。此外,阿根廷医疗人员报告说,他们更频繁地考虑改变他们的医疗任务和/或希望离开他们的职业(p<0.001)。在泊松回归中,我们发现阿根廷的参与者遭受暴力的比例高于该地区的卫生工作者(14.6%;p<0.001)。结论:在 COVID-19 大流行期间,阿根廷发生了高频率的医疗人员暴力事件。这些事件对遭受这些事件的人产生了强烈的负面影响。我们的数据表明,针对卫生人员的暴力行为在阿根廷可能比在该大陆其他地区更为频繁。