精神疾病诊疗机构工作人员场所暴力发生状况及影响因素分析

Analysis on the prevalence features and risk factors about workplace violence in diagnosis and treatment organization of mental disorder

目的了解精神疾病诊疗机构从业人员场所暴力发生特点及暴力事件影响因素，为实施针对性预防与控制措施提供依据和参考。方法调查对象为深圳市某精神疾病诊疗机构从业人员，利用问卷调查2015年1月1日～2015年12月31日期间场所暴力发生情况，并利用Logistic回归法分析场所暴力的影响因素。结果共调查238人，其中受暴力伤害184人，暴力总体发生率为77．3l％，暴力类型以心理暴力为主（61．15％）；男性高于女性，遭受暴力者的平均年龄为（33．20±7．69）岁；暴力的多发时间为白班（74．46％），多发地点为病房（64．13％），暴力发生的高危人群是临床工作人员（OR=16．03，95％CI：7．75—33．15）。结论精神疾病诊疗机构从业人员场所暴力发生率高，针对影响暴力发生的因素，实施有效地预防和干预措施，减少和避免场所暴力发生。

Objective To investigate the prevalence features of workplace violence （WPV） in the diagnosis and treatment organization of mental disorder, and to analyze the main influencing factors of WPV. Methods The workers from the diagnosis and treatment organization of mental disorder were respondents. Data related to the WPV were obtained by questionnaires during the past one year, and the logistic regression method was used to analyze the influencing factors. Results A total of 238 workers were investigated. 184 of respondents had been suffered from WPV. The total incidence rate of WPV was 77. 31%. The highest frequency was psychological violence （61.15%）. The WPV percent of male were higher than that of female. The age of 33.20 ± 7.69 was the majority, and the day shift were most frequently than other time （74.46%） ,and the location most likely for WPV were in patient department （64. 13% ）. The doctors and nurses were high-risk groups （ OR = 16.03,95% CI：7. 75-33. 15）. Conclusions There are high incidence rate of WPV in the diagnosis and treatment organization of mental disorder. Available intervening measures are the way to cut down the rate of violerlce.