广州市医院心理暴力状况调查

Investigation of psychological violence at hospital workplace in Guangzhou

目的探讨医院心理暴力的流行病学特征及其相关因素。方法于2008年2-4月,采用便利抽样法对广东省广州市2所三级甲等医院医务人员心理暴力发生情况进行问卷调查。结果共发放问卷260份,回收有效问卷249份,回收率为95.7%;249名医务人员中1年内有150名遭受心理暴力,占60.2%;多因素Logistic回归分析结果显示,与研究生学历比较,本科生与专科生发生心理暴力的危险性增加（OR=2.008,95%CI=1.805-7.553,P〈0.01;OR=3.692,95%CI=1.805-7.553,P〈0.05）;与≥31岁人群比较,19-30岁工作人员心理暴力发生的危险性增加,（OR=2.140,95%CI=1.211-3.783,P〈0.01）;值白班和病房是医务人员心理暴力发生率较高的时间段和地点。结论学历、年龄等是医院心理暴力发生的影响因素,应采取相应的措施,尽量减少心理暴力发生。

Objective To study epidemiological features and correlation factors of psychological violence at hospital workplace.Methods Convenience sampling survey on the occurrence of psychological violence among medical staff was carried out in two grade Ⅲ general hospitals in Guangzhou city.Results A total of 260 questionnaires were distributed with 249 valid questionnaires returned with a return rate of 95.7%.Of 249 medical staff investigated,150 medical workers（60.2%） suffered from psychological violence in last 12 months. Binary logistic regression suggested that the staff with college or bachelor degree had a higher risk of psychological violence than post-graduates（ OR = 2. 008,95% CI = 1. 805 - 7. 553, P 〈 0.01 ; OR = 3. 692,95 % CI = 1. 805 - 7. 553, P 〈 0.05 ）. Compared with the staff aged 〉/31 years, the staff aged 19 - 30 years were at higher risk of psychdogical violence （ OR = 2. 140,95 % CI = 1.211 - 3. 783, P 〈 0. 01 ）. Most of hospital psychological violence occured during the day shift or in the ward. Conclusion The main related factors of hospital psychological violence were educational background and age. Comprehensive measures should be adopted to reduce psychological violence.