Wynn R, Bratlid T
Northern Sector, Asgård Hospital, Tromsø, Norway.
Scand J Caring Sci. 1998;12(2):89-93.
This pilot study addressed the problem of patients' assaults on staff at a Norwegian psychiatric university hospital. The questionnaire-based study had a retrospective design, and involved a random sample of staff (n = 85). It revealed that 100% of the nursing staff and 60.9% of the therapists (doctors, psychologists, and social workers) had been physically assaulted by patients at least once during their careers at the hospital. Most of the assaults did not result in sick leave, and could as such be classified as not serious. There were no significant differences in the number of assaults on male and female staff or between staff in the emergency, intermediary, rehabilitation and psycho-geriatric wards. The staff responded that they believed male patients were more violent and threatening than female patients, although a majority had been assaulted more frequently by female than by male patients. Assault was the reason most frequently given for physically restraining patients, and most of the staff did not believe that physically restraining patients reduced their chances of recovery. The study suggests that patients' assaults on staff in Norwegian psychiatric hospitals is an important problem, which needs further attention.
这项试点研究探讨了挪威一家大学精神病医院中患者袭击工作人员的问题。这项基于问卷调查的研究采用回顾性设计，涉及随机抽取的85名工作人员样本。研究发现，100%的护理人员以及60.9%的治疗师（医生、心理学家和社会工作者）在其于该医院工作期间至少曾遭到患者一次身体攻击。大多数袭击并未导致病假，因此可归类为不严重。在男性和女性工作人员遭受袭击的次数上，以及在急诊、中间、康复和老年精神科病房的工作人员之间，均未发现显著差异。工作人员回应称，他们认为男性患者比女性患者更暴力、更具威胁性，尽管大多数人遭到女性患者袭击的频率高于男性患者。袭击是对患者进行身体约束最常给出的理由，而且大多数工作人员不认为对患者进行身体约束会降低其康复的几率。该研究表明，挪威精神病医院中患者袭击工作人员是一个重要问题，需要进一步关注。
