江苏省三甲医院医务人员医院暴力应对策略选择

Choice of Coping Strategies for Hospital Violence Among Medical Staff in Third-Grade Class-A Hospitals in Jiangsu Province

目的:筛选影响医务人员对于预防医院暴力措施选择的因素,鼓励相关组织和社会给予医务人员更多的支持。方法:采用横断面研究,选择江苏省6个城市19家三级甲等医院开展问卷调查。结果:1793名受访者中有9.5%的受访者在过去1年中遭受过身体暴力,69.2%的受访者在相同时间内遭受过非身体暴力;遭受过医院暴力的医务人员希望获得来自组织和社会的支持;遭受非身体暴力的医务人员认为针对性的培训(OR=1.319,95%CI:1.034-1.658)和立法(OR=1.968,95%CI:1.523-2.543)对于预防医院暴力是有用的;两种暴力都遭受的医务人员认为完善暴力的上报、统计和干预(OR=1.848,95%CI:1.194-2.860)、针对医院暴力立法(OR=2.113,95%CI:1.344-3.323)等对于预防暴力是有用的;焦虑程度高的医务人员认为针对性的培训(OR=1.208,95%CI:1.111-1.313)以及完善暴力事件的上报、统计和干预(OR=1.152,95%CI:1.054-1.258)等是有效的。结论:医务人员认为有用的防暴力措施大多来自于组织和社会层面,因此组织和社会应该给予医务人员更多的支持和帮助。

Objective:To examine the factors influencing healthcare workers’opinions of strategies to prevent workplace violence,and to encourage healthcare organizations and the society to offer greater support to healthcare workers.Methods:A retrospective cross-sectional survey was conducted in Jiangsu Province.19 hospitals of 6 cities was selected to conduct a questionnaire survey.Results:9.5%of 1793 respondents had experienced physical violence in the past year and 69.2%had experienced nonphysical violence in the same period.The respondents exposed to workplace violence expected to receive organizational and social support.Those exposed to psychological violence had a strong opinion of the need for target training to strengthen their competence in responding to violence(OR=1.319,95%CI:1.034-1.658)and enacting workplace violence legislation(OR=1.968,95%CI:1.523-2.543).Medical staff who suffered from both types of violence considered it most useful to improve the reporting,statistics and intervention of violence(OR=1.848,95%CI:1.194-2.860),legislation against hospital violence(OR=2.113,95%CI:1.344-3.323)and so on.Medical staff with high anxiety level considered targeted training(OR=1.208,95%CI:1.111-1.313)and improving reporting,statistics and intervention of violent incidents(OR=1.152,95%CI:1.054-1.258)to be the most effective.Conclusion:Medical staff believed that most of the useful measures to prevent violence came from the organizational and social levels,so organizations and society should give more support and help to medical staff.