急诊医护人员遭受工作场所暴力后心理状况的调查

Investigation of Psychological Health on Medical Staff of Emergency Department After Workplace Violence.

目的探讨急诊医护人员遭受工作场所暴力后的心理健康状况。方法应用症状自评量表（symptomchecklist-90，SCL-90）对广州市6所三级甲等综合医院6个月内遭受过工作场所暴力的158名急诊医护人员进行问卷调查，并将医护人员SCL-90各因子得分与国内常模进行比较。结果遭受工作场所暴力者占急诊科全体医护人员的41．1％，遭受者组在年龄（P〈0．01）、工作时间（P〈0．001）上均小于未遭受者组，施暴者多数为患者家属（56．3％）；遭受的暴力大多数为言语的辱骂、污辱、折磨和骚扰（70．6％），遭受工作场所暴力后，急诊医护人员在躯体化、强迫症状、抑郁、焦虑、敌对、恐怖、精神病性等方面的因子分及总分、总均分均高于常模，P〈0．01或P〈O．05，阳性项目数医生明显高于护士（P〈O．01），差异具有统计学意义。结论工作场所暴力对急诊医护人员的心理健康产生严重危害，应采取措施预防和控制工作场所暴力的发生，同时应加强心理辅导和咨询。

Objective To investigate psychological health status of doctor and nurse who suffered from workplace violence in Emergency Department. Methods 158 doctors and nurses of Emergency Department in 6 hospitals of Guangzhou by SCL-90 questionnaire method were investigated,and every factor score of doctors and nurses were compared with normal model. Results Medical Staff who were suffered from workplace violence was 41.1% of all Medical Staff in Emergency Department. The suffered group was lower than no suffered group in age （P〈0.01） and working lifetime（P〈0.001）. Most of trespassers were patient＇s familiality （56.3%）. The violence was mostly verbal insult, shaming, afflicting, and harassment （70.6%）. After doctor and nurse suffered from workplace violence, the average symptom score, total score and total share of doctor and nurse was significantly higher than that of the chinese normal in aspect of the factors, like somatization, compulsion , depression, anxietas, hostility, mental disease factor（P〈0.01）. Positive item number of doctor was obviously higher than one of nurse（P〈0.01 ） Conclusions Psychological health of doctor and nurse in emergency department were affected by. workplace violence severely The workplace violence should be prevented and controlled. The psychological consultant should be provided for the doctor and nurse.