李京, 燕娟, 闫慧. 山西省不同等级医院医务人员遭受工作场所暴力现况及影响因素分析[J]. 职业卫生与应急救援, 2025, 43(2): 177-182, 201. DOI: 10.16369/j.oher.issn.1007-1326.2025.220466
引用本文: 李京, 燕娟, 闫慧. 山西省不同等级医院医务人员遭受工作场所暴力现况及影响因素分析[J]. 职业卫生与应急救援, 2025, 43(2): 177-182, 201. DOI: 10.16369/j.oher.issn.1007-1326.2025.220466
LI Jing, YAN Juan, YAN Hui. Occurrence and influencing factors of workplace violence among medical personnel in hospitals of different levels in Shanxi Province[J]. Occupational Health and Emergency Rescue, 2025, 43(2): 177-182, 201. DOI: 10.16369/j.oher.issn.1007-1326.2025.220466
Citation: LI Jing, YAN Juan, YAN Hui. Occurrence and influencing factors of workplace violence among medical personnel in hospitals of different levels in Shanxi Province[J]. Occupational Health and Emergency Rescue, 2025, 43(2): 177-182, 201. DOI: 10.16369/j.oher.issn.1007-1326.2025.220466

山西省不同等级医院医务人员遭受工作场所暴力现况及影响因素分析

Occurrence and influencing factors of workplace violence among medical personnel in hospitals of different levels in Shanxi Province

  • 摘要:
    目的 调查山西省不同等级医院医务人员遭受工作场所暴力的现况,分析其影响因素,预防工作场所暴力的发生。
    方法 采用分层抽样方法,选取山西省5所三级医院和5所二级医院共923名医务人员为调查对象,采用一般资料调查表、《医务人员遭受工作场所暴力情况调查问卷》《医务人员工作场所暴力诱发因素认知问卷》进行调查。使用logistic回归模型分析工作场所暴力的影响因素。
    结果 回收有效问卷867份,有效回收率为93.93%。三级医院医务人员共508人,二级医院医务人员359人。过去1年内在医院遭受工作场所暴力的有594人,发生率为68.51%;遭受语言攻击的发生率最高。在18个工作场所暴力诱发因素认知条目上,三级医院的医务人员有13个条目的得分高于二级医院(均P < 0.05)。logistic回归分析显示:(1)与二级医院相比,三级医院的医务人员遭受工作场所暴力的风险更大(OR=1.591,P < 0.01);(2)与月平均收入≥ 6 000元者相比,月平均收入 < 3 000元的医务人员遭受工作场所暴力的风险更大(OR=2.419,P < 0.001);(3)与日均工作时长 < 8 h者相比,日均工作时长为8~10 h、> 10 h的医务人员遭受工作场所暴力的风险更大(OR=2.381、5.008,均P < 0.001);(4)与职能科室相比,内科、外科、妇产科、儿科、急诊科的医务人员遭受工作场所暴力的风险更大(OR=2.934~12.662,均P < 0.01);(5)医院提供的预防工作场所暴力的组织支持力度越小,医务人员遭受工作场所暴力的风险越大(OR=1.411~1.829,均P < 0.05)。
    结论 山西省不同等级医院医务人员遭受工作场所暴力发生率较高。相关部门应合理分配卫生资源,关注医务人员身心健康,加强临床科室工作场所暴力的防控,更多地提供预防工作场所暴力的组织支持,全方位预防工作场所暴力事件的发生。

     

    Abstract:
    Objective To investigate the current situation of workplace violence experienced by medical personnel in hospitals of different levels in Shanxi Province, analyze its influencing factors, and propose preventive measures for workplace violence.
    Methods Using a stratified sampling method, a total of 923 medical personnel from five tertiary hospitals and five secondary hospitals in Shanxi Province were surveyed by a general information questionnaire, the Workplace Violence Questionnaire for Medical Personnel, and the Workplace Violence Inducing Factors Perception Questionnaire. Logistic regression models were applied to analyze the influencing factors of workplace violence.
    Results A total of 867 valid questionnaires were collected, with a valid response rate of 93.93%. Among these participants, 508 were from the top tertiary hospitals and 359 were from secondary hospitals. Within the past year, 594 medical personnel experienced workplace violence in hospitals, with an incidence rate of 68.51%; verbal abuse was the highest incidence.Among the 18 perception items for workplace violence -inducing factors, scores for 13 items were higher among medical personnel in the top tertiary hospitals than those in secondary hospitals(all P < 0.05). Logistic regression analysis showed that: (1) Compared with medical personnel in secondary hospitals, medical personnel in the top tertiary hospitals faced a higher risk of workplace violence(OR = 1.591, P < 0.01); (2) Compared to those with a monthly average income ≥ 6 000 yuan, those with a monthly average income < 3 000 yuan faced a higher risk of workplace violence(OR = 2.419, P < 0.001); (3) Compared with those working hours < 8 hours per day, medical personnel with daily working hours of 8 to 10 hours per day and > 10 hours per day had higher risks of workplace violence(OR = 2.381, 5.008, both P < 0.001); (4) Compared with administrative departments, medical personnel in internal medicine, surgery, obstetrics and gynecology, pediatrics, and emergency departments faced higher risks of workplace violence(OR = 2.934 to 12.662, all P < 0.01); (5) The less organizational support a hospital provides to prevent workplace violence, the higher the risk faced by medical personnel (OR = 1.411 to 1.829, all P < 0.05).
    Conclusions The incidence of workplace violence among medical personnel in hospitals of different levels in Shanxi Province was high. Relevant authorities should reasonably allocate healthcare resources, pay attention to the physical and mental well-being of medical personnel, strengthen the prevention and control of workplace violence in clinical departments, and provide more organizational support in order to comprehensively prevent workplace violence incidents.

     

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