医院场所暴力发生的流行特征及原因分析
Analysis on epidemiological characteristic and reason of violence in hospital
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摘要:目的 了解医院场所中暴力发生的现况, 确定暴力发生的高危因素。方法 采取整群抽样的方法, 对某医院的医务工作人员进行横断面调查。结果 在接受调查的505名医务工作人员中, 有215人曾经遭遇暴力, 暴力的发生率为42.6%。各种类型暴力事件中, 以语言暴力最为常见, 占67.7%。急诊科、检验/影像、门诊窗口和儿科是医疗机构中暴力的多发科室。暴力事件对医务人员的影响轻重不一, 轻则影响不大, 重则可致使个体产生自杀意念。遭遇暴力后, 医务人员多会理智地同对方讲道理。结论 暴力事件已经成为一个重要的公共卫生问题。建议在全社会开展宣传教育, 正确处理医患关系, 保护医务工作者的人身安全, 保证正常的医疗卫生服务。Abstract:Objective To determine the status of violence in hospitals and to confirm the high risk settings of violence.Methods A cross-sectional study was adopted.T he workers in some hospitals were investigated by cluster sampling.Results 215 workers were exposed to violence among 505 workers.The incidence rate of violence was 42.6 percentage.Among all types of violence, verbal violence was the most common, accounting for 67.7 percentage.The most high-risk office in hospital was emergency rooms, followed by clinical laboratory or image, outpatient department and pediatric rooms.The influences of violence on workers varied from light impact to suicidal ideation.Once exposed to violence, the workers might argue with patients.Conclusion The violence had an important health problem.The education should be developed and the relationship between doctor and patient should be disposed correctly in order to protect the workers safe and ensure the natural health services.
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