Psychological impact of verbal abuse and violence by patients on nurses working in psychiatric departments

Psychological impact of verbal abuse and violence by patients on nurses working in psychiatric departments
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DOI:
10.1111/j.1440-1819.2006.01457.x
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发表时间:
2006-02-01
影响因子:
11.9
通讯作者:
Okamura, H
Okamura, H
中科院分区:
医学2区
文献类型:
--
作者:
Inoue, M;Tsukano, K;Okamura, H

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本研究的目的是评估精神科护士工作的病人的言语虐待或暴力的心理影响,并确定其影响的相关因素。调查表分发给两所医院的266名护士,并从其中232名护士那里获得了答复。由于其中3人在精神科工作不足1个月,4人未能回答所有问题,因此从225名护士那里获得了有效答复。在225名回答有效的护士中,有141名护士回答曾遭受言语虐待或暴力,令他们留下印象,因此,他们仍然是最终分析的对象。采用事件影响量表(IES-R)评定心理影响。在曾遭受言语虐待或暴力的护士中,有21%的护士的得分超过了IES-R的截止点(24/25),对家庭支持的满意度低,以及艾森克人格量表修订版的神经质被证明是造成心理影响的原因。在精神科工作的护士被证明在遭受言语虐待或暴力时会受到严重的心理影响。这些结果表明,需要精神科护士工作的精神护理方法。
The aim of this study was to assess the psychological impact of verbal abuse or violence by patients on nurses working in psychiatry departments and to identify factors related to their impact. Survey sheets were distributed to a total of 266 nurses working at two hospitals, and replies were obtained from 232 of them. Because three of them had less than 1 month of experience working in the psychiatry department and four of them failed to answer all the questions, valid replies were obtained from 225 nurses. Among the 225 whose replies were valid, 141 nurses who replied that they had experienced verbal abuse or violence that left an impression on them remained as the subjects of the final analysis. The Impact of Event Scale-Revised (IES-R) was used to evaluate psychological impact. Of the nurses who had been exposed to verbal abuse or violence that left an impression, 21% had scores that exceeded the IES-R cut-off point (24/25), and low satisfaction with family support, and neuroticism on the Eysenck Personality Questionnaire-Revised were shown to have contributed to the psychological impact. Nurses working in psychiatry departments were shown to experience a severe psychological impact when exposed to verbal abuse or violence. These results suggest the need for mental care approaches for nurses working in psychiatry departments.