Hanjing Zheng1, Xianfang Song2, Haiyong Li3, Peng Geng4, Tiantian Meng5, Huan Zhang1, Sha Wang1. 1. Department of Emergency, Shijiazhuang Fourth Hospital Shijiazhuang 050000, Hebei Province, China. 2. Department of Obstetrics, Shijiazhuang Fourth Hospital Shijiazhuang 050000, Hebei Province, China. 3. The First Department of Orthopedics, Dezhou Hospital of Traditional Chinese Medicine Dezhou 253000, Shandong Province, China. 4. Department of Neurosurgery, Zibo Central Hospital Gaoqing Branch Zibo 256300, Shandong Province, China. 5. Department of Infection Control Office, Shijiazhuang Fourth Hospital Shijiazhuang 050000, Hebei Province, China.
Abstract
OBJECTIVE: To explore the occurrence and dynamic trends of psychological stress responses of medical staff experiencing workplace violence at different time points. METHODS: A longitudinal study of 23 medical workers who experienced workplace violence was conducted. The perceived stress scale (PSS-4), posttraumatic stress disorder checklist for DSM-5 (PCL-5), and hospital anxiety and depression scale (HADS) were used to measure the medical workers' psychological perception of pressure, posttraumatic stress symptoms, anxiety, and depression at the time of exposure to violence, at 1 month, 2 months, and 4 months after exposure in the workplace, respectively. Repeated measures analysis of variance was applied to analyze psychological stress response and temporal effect. Factors influencing psychological stress responses were analyzed. RESULTS: The scores of PSS-4, PCL-5, HADS-anxiety, and HADS-depression of medical staff exposed to violence began to increase at the time of exposure, peaked 1 month after exposure, and gradually decreased 2 months and 4 months after exposure (all P<0.05). The main influencing factors were being nurses, physical violence, working years ≤5, and being female. CONCLUSION: Effective interventions for medical staff should be made up to 1 month after exposure to workplace violence when the psychological stress responses are the highest. AJTR
OBJECTIVE: To explore the occurrence and dynamic trends of psychological stress responses of medical staff experiencing workplace violence at different time points. METHODS: A longitudinal study of 23 medical workers who experienced workplace violence was conducted. The perceived stress scale (PSS-4), posttraumatic stress disorder checklist for DSM-5 (PCL-5), and hospital anxiety and depression scale (HADS) were used to measure the medical workers' psychological perception of pressure, posttraumatic stress symptoms, anxiety, and depression at the time of exposure to violence, at 1 month, 2 months, and 4 months after exposure in the workplace, respectively. Repeated measures analysis of variance was applied to analyze psychological stress response and temporal effect. Factors influencing psychological stress responses were analyzed. RESULTS: The scores of PSS-4, PCL-5, HADS-anxiety, and HADS-depression of medical staff exposed to violence began to increase at the time of exposure, peaked 1 month after exposure, and gradually decreased 2 months and 4 months after exposure (all P<0.05). The main influencing factors were being nurses, physical violence, working years ≤5, and being female. CONCLUSION: Effective interventions for medical staff should be made up to 1 month after exposure to workplace violence when the psychological stress responses are the highest. AJTR