Wyatt J P, Watt M
Department of Accident and Emergency, Western Infirmary, Glasgow, UK.
J Accid Emerg Med. 1995 Mar;12(1):40-2. doi: 10.1136/emj.12.1.40.
The experience and training of accident and emergency (A&E) junior doctors with regard to patient aggression was investigated by use of a telephone questionnaire. A total of 114 A&E departments in five different regions in the United Kingdom were telephoned. A total of 100 junior doctors answered the questionnaire. Verbal aggression had been experienced by 96 of them, 50 had received threats and 32 said that patients had tried to assault them. Eighteen doctors had been assaulted by patients on a total of 23 occasions. Thirty-two doctors admitted that they had been upset after a violent incident, so much so that they were preoccupied with it after work. None of those assaulted received any counselling and no police charges resulted from the assaults. Only 11 doctors had received any training on how to manage aggressive patients, although 88 believed that it would be useful. The results of this study indicate that violence towards junior doctors in A&E is a significant problem. Aspects of this problem, including training and support for staff, need to be addressed urgently.
通过电话问卷调查，对急诊（A&E）初级医生在应对患者攻击行为方面的经验和培训情况进行了调查。对英国五个不同地区的114个急诊科进行了电话访问。共有100名初级医生回答了问卷。其中96人曾经历过言语攻击，50人受到过威胁，32人表示患者曾试图袭击他们。18名医生共被患者袭击过23次。32名医生承认，暴力事件发生后他们感到心烦意乱，以至于下班后仍为此事耿耿于怀。所有受袭者均未接受任何咨询，袭击事件也未导致警方提出指控。只有11名医生接受过如何应对攻击性患者的培训，尽管88人认为这种培训很有用。这项研究结果表明，急诊室针对初级医生的暴力行为是一个严重问题。这一问题的诸多方面，包括对工作人员的培训和支持，都亟待解决。
