Gillig P M, Markert R, Barron J, Coleman F
Department of Psychiatry, Wright State University School of Medicine, Dayton, Ohio 45401-0927, USA.
Psychiatr Q. 1998 Spring;69(1):45-60. doi: 10.1023/a:1022133323566.
The purpose of the study was to compare staff versus patient perceptions of the causes and emotional impact of verbal and physical aggression on a psychiatric inpatient unit, and the corrective measures each group would endorse.
Fifty-four patients and 32 nursing staff members responded to similar questions about physical and verbal aggression. They also reported their emotional responses to aggression and steps they would endorse to reduce aggression at the medical center. Data was analyzed by chi-square tests for proportion comparisons between groups.
"Verbal Abuse" was viewed an important contributor to physical aggression. Staff stressed patient substance abuse and violent lifestyles. Patients focused on the use of involuntary procedures and cultural differences between patients and staff.
Patients endorsed more restrictive safety measures as long as the measures such as metal detectors and searches were applied to staff and visitors, as well as patients. Patients requested more input into decision-making processes through patient-staff workgroups.
本研究旨在比较工作人员与患者对精神科住院单元中言语和身体攻击的原因及情感影响的看法，以及两组各自认可的纠正措施。
54名患者和32名护理人员回答了关于身体和言语攻击的类似问题。他们还报告了对攻击行为的情绪反应以及他们认可的在医疗中心减少攻击行为的措施。通过卡方检验分析数据，以比较组间比例。
“言语虐待”被视为身体攻击的一个重要促成因素。工作人员强调患者药物滥用和暴力生活方式。患者则关注非自愿程序的使用以及患者与工作人员之间文化差异。
只要金属探测器和搜查等措施适用于工作人员、访客以及患者，患者就认可更严格的安全措施。患者要求通过患者-工作人员工作组更多地参与决策过程。
