医务工作者人际信任影响因素及与医院Ⅱ型暴力关系

Situation and influencing factors of interpersonal trust and association of interpersonal trust with patient and visitor perpetrated violence in hospital among medical workers

目的分析医务人员一般人际信任的影响因素及与遭受医院Ⅱ型暴力的关系,为预防和减少医院Ⅱ型暴力、缓解医患矛盾提出政策建议。方法采用医务人员基本情况调查表,人际信任量表(ITS)对山东省内12家医院的3450名医务工作者进行问卷调查,对数据进行统计描述和相关回归分析。结果医务人员的人际信任得分为(76.02±8.873)分,61.4%(2104/3426)的医务人员处于较高人际信任水平(得分≥75)。人际信任水平受到性别、工作类别、科室、学历、工作年限的影响(P<0.05),且医务人员人际信任程度越高越容易遭受医院Ⅱ型暴力(r=0.13,P<0.05)。结论医院应采取针对性措施加强对于医务人员的保护;医务人员应提高自我保护意识,在与患者沟通时讲究技巧,预防和减少医院Ⅱ型暴力的发生。

Objective To investigate the situation and influencing factors of general interpersonal trust and the correlation between interpersonal trust and type II(patient/visitor-on-worker)violence in hospital among medical workers for developing countermeasures for reducing type II violence in hospital and easing conflicts between physicians and patients.Methods With stratified multistage random sampling,we conducted a self-administered questionnaire survey among 3450 medical professionals in 12 hospitals at municipal or county level in 3 cities of Shandong province during November 2018.A general questionnaire and Interpersonal Trust Scale(ITS)were used in the survey.Descriptive statistics and correlation regression analysis were performed on the data collected.Results For the 3426 professionals with valid response,the ITS score was 76.02±8.873 and 61.4%(2104)of the participants were with the ITS score of≥75,indicating a higher level of interpersonal trust.The participants’ITS scores differed significantly by gender,type of work,department,education,and working years(P<0.05 for all).The ITS score was positively correlated with the experience of type II violence in hospital among the participants(r=0.13,P<0.05).Conclusion Targeted measures should be implemented to protect medical workers from type II violence in hospitals.