Samsun’da hastane acil servisleri ve 112 acil çalýþanlarýna karþý þiddet: Epidemiyolojik bir çalýþma

AMAÇ: Bu çalýþmada, Samsun’da hastane acil servisleri ve 112 acil çalýþanlarýnýn son 12 ay içinde þiddete maruziyeti ve durumluk-sürekli kaygý düzeylerinin deðerlendirilmesi amaçlandý. GEREÇ-YÖNTEM: 1-30 Nisan 2004 tarihleri arasýnda, Samsun il merkezindeki beþ acil yardým istasyonu ve dört hastane acillerinin tümünde, kesitsel tipte bir araþtýrma planlandý. Anket formunu katýlýmcýlarýn tamamýnýn (n=320) kendi kendilerine doldurmalarý istendi. BULGULAR: Katýlýmcýlarýn 280’i (%87,5) araþtýrmaya katýldý. Araþtýrmaya katýlanlarýn toplam 202’si (%72,1) herhangi bir formdaki þiddete maruz kaldýðýný bildirdi. Hastane acil servis çalýþanlarýnýn (%75,9), 112 acil çalýþanlarýna (%62,3) göre daha fazla þiddete maruz kaldýðý bulundu (c2=5,08, p<0,05). Çok deðiþkenli analiz sonuçlarýna göre yaþ, cinsiyet ve tekrar þiddete maruz kalma kaygýsýnýn yüksek durumluk kaygý puaný ile, tekrar þiddete maruz kalma kaygýsýnýn yüksek sürekli kaygý puaný ile iliþkili olduðu saptandý. SONUÇ: Bu sonuçlar hastane acilleri ve 112 acillerinde, þiddetin yaygýn olduðunu açýkca göstermektedir. Ýþyerindeki þiddetin azaltýlmasý ve yok edilmesi için gerekli çalýþmalar yapýlmalýdýr.

Violence towards workers in hospital emergency services and in emergency medical care units in Samsun: an epidemiological study

BACKGROUND: The aim of this study was to determine the frequency of exposure to some form of violence during the previous 12 months and the State-Trait Anxiety levels of emergency medical care (EMC) and emergency service (ES) workers in Samsun.
METHODS: A cross-sectional study was conducted in all EMC (5) units and ES (4) in Samsun, between April 1 and April 30, 2004. A self-administered questionnaire was sent to all of the workers (n=320). RESULTS: Of the workers, 280 (87.5%) completed the survey. A total of 202 (72.1%) participants reported that they had witnessed some form of violence. ES workers (75.9%) were more often exposed to violence than EMC workers (62.3%) (c2=5.08, p<0.05). The multivariate analysis demonstrated that age, gender and anxiety regarding repetition of exposure to violence were related with higher state anxiety point, while anxiety regarding repetition of exposure to violence was related with higher trait anxiety point. CONCLUSION: This evidence clearly indicates that violence in ES and EMC units is a common concern. The necessary framework for the reduction and elimination of violence in the workplace should be provided.