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陈祖辉, 王声湧. 精神病医院与综合医院工作场所暴力比较研究[J]. 中国公共卫生, 2004, 20(11): 1316-1317.
引用本文: 陈祖辉, 王声湧. 精神病医院与综合医院工作场所暴力比较研究[J]. 中国公共卫生, 2004, 20(11): 1316-1317.
CHEN Zu-hui, WANG Sheng-yong. Comparative study of experiences of workplace violence in a psychiatric hospital and a general hospital[J]. Chinese Journal of Public Health, 2004, 20(11): 1316-1317.
Citation: CHEN Zu-hui, WANG Sheng-yong. Comparative study of experiences of workplace violence in a psychiatric hospital and a general hospital[J]. Chinese Journal of Public Health, 2004, 20(11): 1316-1317.

精神病医院与综合医院工作场所暴力比较研究

Comparative study of experiences of workplace violence in a psychiatric hospital and a general hospital

  • 摘要:
      目的   了解精神病医院和综合医院工作场所暴力发生状况并比较其特点。
      方法   采用问卷调查方法, 同期调查广州市1所精神病医院和1所综合医院在职工作人员工作场所暴力发生率及影响因素。依据世界卫生组织关于工作场所暴力的定义, 纳入标准为: 工作人员在被调查前的12个月内遭受过暴力, 且事件发生在工作中或当班时。
      结果   医院工作场所暴力发生率较高, 精神病医院为70.52%, 综合医院为6973%。精神病医院中90.82%的受害者曾反复遭受暴力伤害, 多次暴力发生率达64.06%;49.45%的应答者1年中遭受过身体暴力; 综合医院较少发生身体暴力, 发生率仅为757%。精神病医院以患者本人肇事为主, 综合医院则以患者亲属为主。肇事者精神障碍, 患者(或陪护、探视者)要求未能得到满足, 患者自认病情无好转, 是精神病医院发生工作场所暴力的主要危险因素; 综合医院前3位原因依次为患者(或陪护、探视者)要求未能得到满足, 患者自认病情无好转及诊疗费用太高。医院工作人员对工作场所暴力认知程度很低, 精神病医院尤为突出。
      结论   精神病医院比综合医院工作场所暴力问题更为严重, 应针对各类医院特点, 开展综合性的工作场所暴力防控工作。

     

    Abstract:
      Objective   To study and compare the epidemiological features of workplace violence in a psychiatric hospital with a general hospital in Guangzhou.
      Methods   A retrospective study was carried out to look into the extent and nature of workplace violence encountered by health staff in two different kinds of hospitals at the same time. Based on the WHO's latest criteria, workplace violence was defined as any events occurred in hospital staff, who suffered violence at work during the past 12 months.
      Results   An incidence rate of 70.52% of workplace violence in the psychiatric hospital, compared with 69.73% in the general hospital.64.06% of psychiatric staff workers suffered workplace violence more than once, accounting for as high as 90.82% of psychiatric staff victims who suffered workplace violence time after time.49.45% of psychiatric staff workers compared with only 7.57% of staff workers in the general hospital stated that they were exposed to physical violence. The majority of the violence incidents involved patients in the psychiatric hospital, whilst staff workers in the general hospital reported a higher level of violence involving patients' reiatives. The main risk factors contributing to workplace violence in psychiatric staff would include: psychiatric disorders, unreasonable requirement from patients or their relatives or visitors, and late recovery as expected, although unreasonable requirement from patients or their relatives, late recovery as expected, and expensive hospital cost, were the first three risk factors in the general hospital. The cognizance about workplace violence, to health staff, especially those in the psychiatric hospital, was poor.
      Conclusion   Workplace violence was a more serious problem in the psychiatric hospital than in the general hospital. Comprehensive measures were asked for to prevent and control workplace violence.

     

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