工作场所暴力是医生工作压力的预测因素

Adwitiya Das, M. Datta, S. Banerjee, Soumitra Mondal
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摘要

针对卫生保健工作者的工作场所暴力(WPV)正在增加。本研究旨在评估某三级医院住院医师与实习医师经历过“工作压力”的比例,找出“工作压力”的行凶者,并确定“工作压力”与“工作压力”之间的关系。材料和方法:这项观察性的、以机构为基础的横断面研究包括在一家三级保健医院的六个不同部门工作的住院医生和实习生。数据收集使用预先设计、预先测试的半结构化自我管理问卷,根据世卫组织的“卫生部门WPV调查问卷”和“感知职业压力量表”进行调整和验证。结果:在323名参与者中,247人(76.47%)经历过某种形式的WPV, 138人(42.72%)经历过身体暴力,203人(62.85%)经历过心理暴力。据报道,患者亲属是身体暴力的唯一施暴者,而研究对象的老年人则是心理暴力的主要施暴者。134人(42%)报告了工作压力。在多变量分析中,心理暴力与工作压力显著相关。结论:高比例的研究对象经历过WPV。心理暴力更常见,在大多数情况下,资深同事被认为要对此负责。WPV可能与工作压力有关。
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Workplace violence as a predictor of work-related stress among doctors
Introduction: Workplace violence (WPV) toward health-care workers is increasing. The present study aims to estimate the proportion of resident doctors and interns of a tertiary care hospital who experienced WPV, to find out the perpetrators of WPV, and to ascertain any association between WPV and work-related stress. Materials and Methods: This observational, institution-based, cross-sectional study included resident doctors and interns working in six different departments of a tertiary care hospital. Data collection was done using a predesigned, pretested semi-structured self-administered questionnaire adapted and validated from the "WPV in the health sector survey questionnaire" from WHO along with "Perceived occupational stress scale." Results: Out of 323 participants, 247 (76.47%) experienced some form of WPV, 138 (42.72%) experienced physical violence and 203 (62.85%) experienced psychological violence. Patient relatives were reported as the only perpetrators of physical violence, while seniors of the study subjects were reported as main perpetrators of psychological violence. One hundred and thirty-four (42%) individuals reported work-related stress. On multivariate analysis, psychological violence was significantly associated with work-related stress. Conclusion: WPV was experienced by a high proportion of study subjects. Psychological violence was more frequently experienced, and senior colleagues were deemed responsible in most cases. WPV may be associated with work-related stress.
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