物理治療師與職能治療師的職場不法侵害-橫斷性研究

Workplace violence against physical therapists and occupational therapists: a cross-sectional study

李炎諭(Yan-Yuh Lee)

指導教授 ： 戴嘉言

高雄醫學大學/健康科學院/公共衛生學系公共衛生學碩士班/碩士(2019年)

摘要

背景：
臨床上常見物理治療師與職能治療師遭遇包括身體暴力、言語暴力、威嚇、性騷擾與其他的職場不法侵害，本研究目的為探討物理治療師與職能治療師面臨職場不法侵害的盛行率、特徵與預測因子。
研究方法：
本研究採取橫斷式研究，使用中文版之「醫療職場暴力問卷調查工具」調查，以羅吉斯回歸分析職場不法侵害的預測因子。
結果：
本研究一共發出300份問卷，回收259分，回收率為86.3%，其中132位為物理治療師，127位為職能治療師，其中有85位(32.8%)曾經遭遇至少一種的職場不法侵害，其中有被性騷擾的個案均為女性，加害者最多為病人，最常發生於醫療機構內，醫學中心受到言語暴力或威嚇的風險方面顯著高於區域醫院、地區醫院或診所(p<0.05)，復健對象為成人的風險也顯著高於兒童(調整後勝算比：3.11 (95%信賴區間1.24-7.78))。個案量較多會有較高的風險遭遇言語暴力、威嚇(調整後勝算比：2.16 (95%信賴區間1.14-4.11))或性騷擾(調整後勝算比：5.48 (95%信賴區間1.09-27.42))。
結論：
職場不法侵害在物理治療師與職能治療師仍屬常見，性別、復健對象、個案量與醫院層級可能與職場不法侵害的發生有關。

關鍵字

物理治療師 ； 職能治療師 ； 職場不法侵害 ； 職場暴力 ； 性騷擾

並列摘要

Background:
Workplace violence (WPV), including physical assaults, verbal abuse, threatening, sexual harassment and other forms of WPV, is common among physical therapists (PTs) and occupational therapists (OTs). This study aimed to investigate the prevalence, characteristics and predictors of WPV among PTs and OTs.
Material and methods:
This is a cross-sectional study. The Chinese version of “Workplace violence in the health sector questionnaire” was used for investigation. Independent t-test was used for continuous variables analysis, as chi-squared test was used for categorical variables analysis. The multinomial logistic regression analysis was used to identify the risk factors associated with WPV.
Results:
A total of 300 questionnaires were distributed and 259 returned, giving a response rate of 86.3%. Among the respondents, one hundred and thirty-two were PTs, as 127 were OTs. Overall 85 (32.8%) have at least experienced one kind of WPV. Those reported sexual harassment were all female (p<0.05). WPV most frequently took place inside the institution or facility (p<0.05). The risk of verbal abuse or threatening were significantly higher in medical center than in regional hospital, local community hospitals, facilities and clinics (p<0.05). Regarding the risk of verbal abuse or threatening, the odds ratio was significant higher among adult patients than children patients (adjusted odds ratio(aOR): 3.16 (95% confident interval(CI): 1.27-7.88)). The therapist with more patients also carries higher risk of verbal abuse or threatening (aOR: 2.16 (95%CI: 1.14-4.11)) or sexual harassment (aOR: 5.48 (95%CI: 1.09-27.42))
Conclusion:
WPV is prevalent among PTs and OTs. Sex, number of the patient, type of the patient and level of healthcare facilities are associated with occurrence of different kind of WPV among PTs and OTs.

並列關鍵字

physical therapist ； occupational therapist ； workplace violence ； sexual harassment

參考文獻

1. Cheung T, Yip PS. Workplace violence towards nurses in Hong Kong: prevalence and correlates. BMC Public Health 2017;17(1):196.

2. Ridenour ML, Hendricks S, Hartley D, Blando JD. Workplace Violence and Training Required by New Legislation Among NJ Nurses. J Occup Environ Med 2017;59(4):e35-e40.

3. Al-Shamlan NA, Jayaseeli N, Al-Shawi MM, Al-Joudi AS. Are nurses verbally abused? A cross-sectional study of nurses at a university hospital, Eastern Province, Saudi Arabia. J Family Community Med 2017;24(3):173-180.

4. Bayram B, Cetin M, Colak Oray N, Can IO. Workplace violence against physicians in Turkey's emergency departments: a cross-sectional survey. BMJ Open 2017;7(6):e013568.

5. Ambesh P. Violence against doctors in the Indian subcontinent: A rising bane. Indian Heart J 2016;68(5):749-750.