CAJ | 학술논문

目的描述广州市5家三甲医院急诊科工作场所暴力发生的概况；调查急诊护士遭受工作场所暴力后应激障碍发生的情况；分析急诊护士遭受工作场所暴力后发生应激障碍的相关因素.方法采用自行设计的一般资料调查问卷、工作场所暴力问卷、创伤后应激障碍评定量表平民版(PCLC)以及社会支持评定量表(SSRS)对广州市5家三甲医院急诊科143名护士进行问卷调查,并对调查结果进行分析.结果广州市急诊护士遭受工作场所暴力的总体发生率为86.7％；语言暴力是主要形式.急诊护士在遭受暴力后产生委屈、气愤、工作热情下降、精神无法集中以及转行等负性情绪,甚至个别有轻生念头.过去1年内曾经遭受暴力的急诊护士(遭受暴力组)的PCL-C得分明显高于过去1年内未遭受暴力的急诊护士(非暴力组),差异具有统计学意义.在过去1年内曾经遭受暴力的急诊护士中,21.8％出现了一定程度的创伤后应激障碍症状,12.1％出现了明显的创伤后应激障碍症状.伤害程度、客观支持以及对支持的利用度进入创伤后应激障碍的回归方程,解释变异度的42.4％.结论急诊护士正面临日益严峻的工作场所暴力情况；遭受工作场所暴力的急诊护士存在创伤后应激障碍；急诊护士遭受工作场所暴力后应激障碍的发生与伤害程度、客观支持以及对支持的利用度有关.
목적 묘술엄주시5가삼갑의원급진과공작장소폭력발생적개황；조사급진호사조수공작장소폭력후응격장애발생적정황；분석급진호사조수공작장소폭력후발생응격장애적상관인소.방법 채용자행설계적일반자료조사문권、공작장소폭력문권、창상후응격장애평정량표평민판(PCLC)이급사회지지평정량표(SSRS)대엄주시5가삼갑의원급진과143명호사진행문권조사,병대조사결과진행분석.결과 엄주시급진호사조수공작장소폭력적총체발생솔위86.7％；어언폭력시주요형식.급진호사재조수폭력후산생위굴、기분、공작열정하강、정신무법집중이급전행등부성정서,심지개별유경생념두.과거1년내증경조수폭력적급진호사(조수폭력조)적PCL-C득분명현고우과거1년내미조수폭력적급진호사(비폭력조),차이구유통계학의의.재과거1년내증경조수폭력적급진호사중,21.8％출현료일정정도적창상후응격장애증상,12.1％출현료명현적창상후응격장애증상.상해정도、객관지지이급대지지적이용도진입창상후응격장애적회귀방정,해석변이도적42.4％.결론 급진호사정면림일익엄준적공작장소폭력정황；조수공작장소폭력적급진호사존재창상후응격장애；급진호사조수공작장소폭력후응격장애적발생여상해정도、객관지지이급대지지적이용도유관.
Objective To describe the general condition of workplace violence against emergency department nurses in five hospitals of Guangzhou;to investigate the status of the post-traumatic stress disorder in the emergency department nurses after suffering from workplace violence;to analyze the relative factors of post-traumatic stress disorder.Methods 143 emergency department nurses from 5 hospitals in Guangzhou were investigated by general information questionnaire,workplace violence questionnaire,PCLC and SSRS.The investigation data were analyzed.Results 86.7％ of emergency department nurses suffered from workplace violence during the past 1 year;the most popular style was non-physical violence.The emergency department nurses suffered from negative emotional experience,such as grievance,chagrin,low work passion,not focused spirit.The scores of PCL-C of emergency department nurses who had suffered from workplace violence were obviously higher than those who hadn't.21.8％ of the emergency department nurses who suffered from workplace violence in the past one year had certain degree of the signs of PTSD,12.1％ had obvious signs of PTSD.The influencing factors of PTSD:degree of hurt,objective support and availability of social support.Conclusions The situation of workplace violence which the emergency department nurses were faced with was more and more grave.The emergency department nurses who had suffered from workplace violence were in different degree of PTSD.The more social supports the nurses get,the better mental health status they will possess.