Ochitill H N, Krieger M
South Med J. 1982 Feb;75(2):151-5. doi: 10.1097/00007611-198202000-00008.
To characterize violent behavior in hospitalized medical and surgical patients, we reviewed documented violent incidents at the San Francisco General Hospital during a two-year period. Twenty-nine incidents of verbal and physical violence occurred. One patient was gravely ill and three were delirious. All the incidents were associated with increased levels of tension and loss of impulse control. In most cases, contention with the staff regarding pain medication or ward regulations was a precipitating event. Of the 28 patients with mental disorders, 19 were substance abusers, six had organic brain syndrome, tw had neurosis, and one had schizophrenia. The findings suggest that physicians should be more sensitive to patient characteristics and to the situational characteristics of the violent incident. Explicit measures that anticipate and reduce violent behavior are reviewed.
为了描述住院内科和外科患者的暴力行为特征，我们回顾了旧金山综合医院在两年期间记录的暴力事件。共发生了29起言语和身体暴力事件。1名患者病情严重，3名患者神志不清。所有事件都与紧张程度增加和冲动控制丧失有关。在大多数情况下，与工作人员在止痛药物或病房规定方面的争执是引发事件的原因。在28名患有精神障碍的患者中，19名是药物滥用者，6名患有器质性脑综合征，2名患有神经症，1名患有精神分裂症。研究结果表明，医生应该对患者特征和暴力事件的情境特征更加敏感。本文还回顾了一些预期并减少暴力行为的明确措施。
