CAJ | 학술논문

目的：了解广元地区医疗机构急诊科职场暴力发生情况和其发生的相关原因，探讨降低急诊科职场暴力的方法。方法：对广元地区23家二、三级医院急诊科医护人员采用调查问卷的方式对过去的12个月进行职场暴力调查。调查包括4个方面：遭受暴力情况，暴力方式、类别，对急诊科工作满意度以及职业倦怠程度。一共完成256份调查（回收率70.3%）。对职场暴力发生情况及原因分析采用逻辑回归方式进行统计分析。结果：在过去的12个月中，80%的医护人员遭受谩骂，25%的医护人员遭受身体暴力。遭受身体暴力和谩骂导致严重的后果，让医护人员产生职业倦怠情绪，增加医护人员离职可能性。结论：广元地区医疗机构急诊科职场暴力发生情况较为严重，遭受暴力最严重的是急诊科护士和急诊外科医护人员。医疗机构和卫生行政主管部门必须针对职场暴力发生的相关因素，制定出预防职场暴力发生的措施，才能有效避免急诊科职场暴力的发生和确保急诊医护人员的人身安全，确保急诊专业队伍的稳定和急诊急救专业的发展。
목적：료해엄원지구의료궤구급진과직장폭력발생정황화기발생적상관원인，탐토강저급진과직장폭력적방법。방법：대엄원지구23가이、삼급의원급진과의호인원채용조사문권적방식대과거적12개월진행직장폭력조사。조사포괄4개방면：조수폭력정황，폭력방식、유별，대급진과공작만의도이급직업권태정도。일공완성256빈조사（회수솔70.3%）。대직장폭력발생정황급원인분석채용라집회귀방식진행통계분석。결과：재과거적12개월중，80%적의호인원조수만매，25%적의호인원조수신체폭력。조수신체폭력화만매도치엄중적후과，양의호인원산생직업권태정서，증가의호인원리직가능성。결론：엄원지구의료궤구급진과직장폭력발생정황교위엄중，조수폭력최엄중적시급진과호사화급진외과의호인원。의료궤구화위생행정주관부문필수침대직장폭력발생적상관인소，제정출예방직장폭력발생적조시，재능유효피면급진과직장폭력적발생화학보급진의호인원적인신안전，학보급진전업대오적은정화급진급구전업적발전。
Objective:To realize the factors and characteristics associated with the exposure of ED workers to violence at guangyuan hospitals, and discusse reduction methods of emergency department workplace violence. Method:All ED employees at 23 tertiary hospitals in GuangYuan were surveyed using a cross sectional design. The survey instrument included four sections collecting demographic/professional information and measuring exposure to violence,degree of job satisfaction and degree of professional burnout. The questionnaire was distributed to all ED employees at participating hospitals and was completed by 256 ED workers (70.3% response rate). Multinomial and binary logistic regressions were used to investigate factors significantly associated with verbal and physical violence. Result:Over the past 12 months,four in five ED employees were verbally abused and one in four was physically assaulted. Exposure to verbal abuse was associated with serious outcomes including significantly higher levels of occupational burnout and an increased likelihood to quit current job. Exposure to physical violence was associated with increased likelihood-to-quit. Conclusion:Violence largely prevails at guangyuan EDs. Most vulnerable are nurses and employees of public hospitals who are disproportionally exposed to violence. ED stakeholders must work collaboratively to investigate the root causes of violence and devise and implement effective antiviolence policies and measures. Such measures will be necessary to protect the well-being and decrease the turnover of ED workers.