응급의학과 전문의가 느끼는 응급실 폭력에 대한 불안과 이에 대한 요인

초록

Purpose: The anxiety of ED staffs due to violence causes their panic, frustration and humiliation against their patients and lowers the quality of medical practice of ED. With the 2015 Korean Emergency Physician Survey (KEPS), it figures out the factors influencing the anxiety level against violence and assists how to prepare future countermeasure. Methods: From August 2015 to October 2015, a survey was conducted for emergency physician as target respondents. The group with presenting their anxieties due to violence in ER was defined as 1 and 2 points by Likert scale of 5 (anxiety group) and compared with the groups of 3-5 points (no anxiety group). The survey results related to demographic data, workload and violence were performed by statistical analysis using SPSS version 18.0. It was regarded as significant in the case of less than p-value 0.05. And it was compared with the KEPS 2010 and 2015 above and figured out its changed aspects. Results: The anxiety group were 172 (43.5%) from 395 of respondents and there was not significant difference between these 2 groups from demographic data. Regarding with the factors of security guard, workload and violence intensity they experienced, there was significant difference (p-value<0.05). In comparison of the results of 2010 and 2015, there was not significant difference among each factor. Conclusion: The severity of violence in ER was perceived but the preparation for countermeasures was not enough. The appropriate countermeasures will be needed such as adjustment for workload, preparation for working regulations about security guard and repeated training.

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