针对中国成都初级保健医生的工作场所暴力:一项跨部门调查
Xin Zeng1, Chuan Zou1,2, Hongxia Tao2
1Affiliated Fifth People's Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Journal of primary care & community health
|March 12, 2025
概括
在中国成都,近一半的初级保健医生 (PCP) 受到工作场所暴力的影响,患者是主要的事者. PCP需要接受正式培训,以管理暴力并减轻其对其实践的负面影响.
科学领域:
- 公共卫生 公共卫生
- 职业健康 职业健康 职业健康
- 医学社会学 医学社会学
背景情况:
- 工作场所暴力 (WPV) 是全球医疗保健机构的一个重大问题.
- 初级保健医生 (PCP) 越来越多地成为各种形式的WPV的目标.
- 了解中国成都WPV的具体背景,对于制定有针对性的干预措施至关重要.
研究的目的:
- 在中国成都,调查初级保健医生 (PCP) 经历的工作场所暴力 (WPV) 的流行情况.
- 确定与WPV相关的因素,包括事者类型和医生特征.
- 检查WPV对PCP的影响及其当前应对策略.
主要方法:
- 在2022年10月至11月进行了在线横截面调查.
- 一个结构化,自我管理的问卷被用来收集成都568个PCP的数据.
- 来自490份有效问卷的数据使用多层次分析进行了分析.
主要成果:
- 44.3%的PCP报告说在过去一年中至少经历了一种WPV类型,最常见的是情绪虐待 (38.0%).
- 患者及其亲属是最常见的犯罪者.
- 没有夜班的PCP的WPV几率较低,而高等教育水平与增加的几率有关. 引用的常见原因是拒绝的要求和长时间的等待时间.
- 大多数PCP缺乏正式的WPV培训,并报告了工作效率下降和焦虑增加等负面影响.
结论:
- 在成都的初级保健机构中存在WPV对PCP的适度流行.
- PCP通常缺乏有效的应对策略,并经历WPV的不良影响.
- 对于PCP来说,WPV管理的正式培训计划是必不可少的,本研究提供了支持其实施的证据.
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