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摩尔多瓦共和国新冠疫情期间针对医护人员的工作场所暴力:一项横断面研究。

Workplace violence against healthcare workers in the Republic of Moldova during COVID-19 pandemic: a cross-sectional study.

作者信息

Ciobanu Elena, Cheptea Dumitru, Cociu Svetlana, Marga Patricia Maria, Cebanu Serghei, Dulf Diana, Peek-Asa Corinne

机构信息

Department of Preventive Medicine, "Nicolae Testemitanu" State University of Medicine and Pharmacy, Chisinau, Moldova.

Department of Public Health, Faculty of Political, Administrative and Communication Sciences, Babeș-Bolyai University, Cluj-Napoca, Romania.

出版信息

Front Public Health. 2025 Jun 3;13:1560096. doi: 10.3389/fpubh.2025.1560096. eCollection 2025.

Abstract

OBJECTIVES

This study aimed to explore healthcare providers' experiences with workplace violence cases before and during the COVID-19 pandemic and to identify the prevalence of risk factors.

METHODS

A cross-sectional study design was conducted among healthcare professionals from six hospitals in Moldova during the COVID-19 pandemic. The study included 189 medical professionals and clinical support staff.

RESULTS

This study surveyed 189 healthcare professionals, mostly aged 40-49 (31.7%), with physicians (43.9%) and nurses (42.3%) being predominant. Departments most represented were infectious disease (28.3%), emergency (21.4%), and intensive care (16.1%). Violence prevention training was lacking (83.6%). Hallways (38.5%) and poorly visible areas (34.3%) were leading environmental risk factors. Workplace violence affected 43.1% of participants. Physical assault and verbal threats have a strong correlation before and during the pandemic ( = 0.654;  = 0.714), but changes were not statistically significant. Female staff had lower odds of experiencing serious violence (OR = 0.43,  = 0.013). Workers with 11+ years' experience faced fewer incidents, while those with 2-5 years faced a higher risk.

CONCLUSION

Workplace violence remained prevalent during the COVID-19 pandemic, with statistically significant variation over time, pointing the need for ongoing prevention efforts.

摘要

目的

本研究旨在探讨医疗服务提供者在新冠疫情之前及期间处理工作场所暴力事件的经历,并确定风险因素的流行情况。

方法

在新冠疫情期间,对摩尔多瓦六家医院的医疗专业人员进行了横断面研究设计。该研究包括189名医学专业人员和临床支持人员。

结果

本研究调查了189名医疗专业人员,大多数年龄在40 - 49岁(31.7%),其中医生(43.9%)和护士(42.3%)占主导。占比最高的科室是传染病科(28.3%)、急诊科(21.4%)和重症监护室(16.1%)。缺乏暴力预防培训(83.6%)。走廊(38.5%)和视线不佳区域(34.3%)是主要的环境风险因素。工作场所暴力影响了43.1%的参与者。身体攻击和言语威胁在疫情之前和期间有很强的相关性(r = 0.654;r = 0.714),但变化无统计学意义。女性员工遭受严重暴力的几率较低(OR = 0.43,P = 0.013)。有11年以上工作经验的员工面临的事件较少,而工作2 - 5年的员工面临的风险较高。

结论

在新冠疫情期间,工作场所暴力仍然普遍存在,且随时间有统计学显著差异,这表明需要持续进行预防工作。

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