【摘要】 目的了解西安市某三甲医院医务人员遭受工作场所暴力发生情况及特点,为该院及相关卫生管理部门制定医院工作场所暴力预防和控制措施提供科学依据。方法采用医院工作场所暴力调查问卷调查西安市某三甲医院医务人员过去1年内工作场所暴力发生情况。结果 1174名被调查者中,过去1年内655人遭受工作场所暴力,发生率为55.79%,暴力多发生在白班,病房;施暴者以中年、男性、患者家属居多;69.42%的受访者认为在工作中不可避免会发生暴力事件,预防工作场所暴力可采取的措施居首位的是"传媒正确导向(87.31%)";医务人员主要应对方式是耐心解释和忍让回避,遭受暴力事件后会感到委屈、气愤、工作热情下降,甚至不想干医疗护理这一行。医院现已采取的预防工作场所暴力的主要措施有保安巡逻、病区安装摄像头、夜间工作区域内保持灯光明亮。结论医务人员遭受工作场所暴力事件普遍存在,为预防和控制医院工作场所暴力事件,提出建议:(1)医院聘用更多安保人员,对高危时段、高危科室应特别加强安保工作;(2)加强对医院职工关于预防和控制暴力的相关培训,加强对就诊者相关法律知识的普及;(3)加强与媒体的沟通合作,促进传媒正确导向;(4)畅通患者意见反馈渠道,对存在的问题及时进行整改。更多还原

【Abstract】 Objective: To explore the incidence and epidemiological features of workplace violence among medical staffs in a Third-grade Class-A hospital in Xi’an,and to provide scientific basis for the hospital and relevant health management departments to make workplace violence prevention and control measures. Methods: Using Hospital Workplace Violence Questionnaire,a survey was conducted among medical staffs in a Third-grade Class-A hospital in Xi’an to investigate the occurrence of workplace violence over the past one year. Results: Among the 1174 respondents,655 suffered workplace violence in the past one year,with a rate of 55. 79%; the violence occurred mainly in day shift and wards; the perpetrators were mainly middle-aged,male and the families of patients; 69. 42% of the respondents thought the workplace violence were unavoidable and 87. 31% of the respondents considered that the top measures that can be taken to prevent the workplace violence was"the correct media orientation"; the main coping methods of medical staffs were patience explanation and forbearance,and after suffering workplace violence,the medical staffs would feel grievances,anger,declining enthusiasm for work and even didn’t want to do medical care. The main measures that the hospital had taken to prevent workplace violence mainly included the security patrol,installing cameras in wards and keeping light bright at night in working area. Conclusions: Workplace violence is common among medical staffs. To prevent and control hospital workplace violence,it is recommended that:(1) Hospital employ more security personals and should particularly strengthen security work in high-risk period,high-risk departments;(2)it should strengthen the training of medical staff on the prevention and control of workplace violence and strengthen popularization of the relevant legal knowledge to the client;(3)it should strengthen the communication and cooperation with media and promote the correct media orientation;(4) it should smooth the patient feedback channels and timely correct the existing problems.更多还原