我国136家三级公立医院医护人员经历医院暴力现状调查

The current situation of hospital violence aimed at medical staffs in 136 tertiary hospitals in China

目的了解我国136家三级医院医护人员经历医院暴力现状。方法从全国31个省(直辖市、自治区)和新疆生产建设兵团的136家三级公立医院抽取20 786名医师和27 575名护士,采取手机问答的方式,就医院暴力相关方面进行问卷调查。结果有5580名医师(26.8%)和5556名护士(20.1%)认为自己在过去1年中经历了医院暴力。30～39岁医师(28.3%)、40～49岁护士(21.1%)、中级职称医护人员(医师27.8%、护士21. 3%)、西部医护人员(医师28.3%、护士23. 6%)、地方综合医院医护人员(医师30.1%、护士23.1%)、急诊科(医师44. 8%、护士40. 4%)、外科(医师30.1%、护士21. 4%)和儿科(医师36. 3%、护士21.8%)的医护人员经历过来自患方的暴力比例均较高。在3种不同医院暴力类型中,医护人员经历至少1次/月以上的躯体暴力、言语暴力和性暴力的比例分别比例为5.4%、75.2%和1.8%。结论我国136家三级公立医院医护人员经历医院暴力现状与国外水平较为持平,中级职称、中间年龄段、西部地区、妇幼相关工作和急诊科医护人员是经历医院暴力较多的人群。

Objective To learn the current situation of hospital violence aimed at medical staffs in 136 tertiary hospitals in China. Methods 20 786 doctors and 27 575 nurses were randomly selected from 136 tertiary hospitals in 31 provinces in China. By means of cell phone-based self-administrated survey questionnaire, they were surveyed with aspects of hospital violence. Results 5580 doctors (26.8%) and 5556 (20.1%) nurses thought they had experienced hospital violence in the past year. In the analysis of different ages, titles, regions, hospital types and departments, the doctors aged 30 -39 years old (28.3%), the nurses aged 40 -49 years old (21.1%), the mid-level title medical staffs (doctors 27. 8%, nurses 21. 3%), the western medical staffs (doctors 28. 3%, nurses 23. 6%), the local general hospitals staffs (doctors 30. 1 %, nurses 23. 1%) and medical staffs in emergency (doctors 44. 8%, nurses 40. 4%), surgery (doctors 30. 1%, nurses 21. 4%) and pediatrics ( doctors 36. 3%, nurses 21. 8%) had experienced hospital violence higher. In the three types ( physical assault, verbal assault and sexual assault) of hospital violence, doctors and nurses experienced about at least 1 time a month or more were 5. 4%, 75. 2%, 1. 8%. Conclusion The overall current situation of hospital violence aimed at medical staff in 136 tertiary hospitals in China is at the same level as foreign countries. The mid-level title, the middle age, the western region, the maternal and child and emergency department are the medical staffs that have experienced more hospital violence.