新冠肺炎專責病房暴力事件預防與員工防疫心理支持之經驗分享

Experience Sharing of Violent Incident Prevention and Staff Epidemic Prevention Psychological Support in the Special Ward for COVID-19

10.6647/CN.202206_29(2).0012

張倩蜜(Chien-Mi Chang)；魏崑銘(Kun-Ming Wei)；張秀鳳(Siou-Fong Chang)

新冠肺炎 ； 暴力 ； 心理支持 ； COVID-19 ； Violence ； Psychological Support

彰化護理

29卷2期（2022 / 06 / 01）

71 - 78

繁體中文

根據衛生褔利部醫事司年度醫療暴力統計公告資料，2020年暴力事件每年平均高達約252件，而在新冠肺炎（COVID-19）爆發後我們都目睹了全世界的公共衛生及醫療健康照護系統的從業人員承受著極大的壓力，初期2020年因對此新興傳染病的訊息不足而擔心染疫，後來2021年因台灣染疫民眾暴增，造成多數醫護人員感到疲憊與無力感，無形增加醫療人員心理壓力與情緒困擾。加上照護對象為確診病人，病人因受到疾病威脅與隔離之苦，可能導致焦慮甚至暴力傾向。護理人員是醫療體系中最容易受到職場暴力事件影響的對象，為了重視護理工作的價值且認同專業工作者的角色與功能，應建立有效的預防與因應策略，將有助於減輕職場暴力對護理專業的影響。彰化基督教醫院為了因應COVID-19專責病房之暴力的發生，執行相關預防暴力的措施，包含新增專區照護標準作業流程、安排教育訓練、防暴演練、提供自我防護措施（防身警報鈴、連線型緊急鈴、病室門的警報器）等，並於2021年7月針對專責病房預防暴力措施進行滿意度問卷調查，共回收46份問卷，整體滿意度達98.7%，其中以『教育訓練』滿意度最高。也透過醫院心理諮商中心之員工防疫心理關懷措施，達到降低員工身心困擾，讓員工能放心、安心且以正向情緒持續於臨床照護。

According to the annual medical violence statistics announcement of the Department of Medical Affairs of the Ministry of Health and Welfare, the average number of violent incidents in the 2020 has reached about 252 cases per year. Practitioners in the public health and health care systems all faced great pressure. In the early 2020, due to insufficient information on this newly emerging infectious disease, they were worried about getting infected. Later, in 2021, due to the surge in the number of infected people in Taiwan, most medical staff felt fatigue and powerless which would invisibly increase the psychological pressure and emotional distress of medical staff. Furthermore, if the care objects are confirmed patients, they may suffer from anxiety and even violent tendencies due to the threat of disease and isolation. Nursing staff are the most vulnerable to workplace violence in the medical system. In order to attach importance to the value of nursing work and recognize the role and function of professional workers, effective prevention and response strategies should be established, which will help reduce the impact of workplace violence on nursing staff. Professional influence. In response to the occurrence of violence in the special ward for COVID-19, Changhua Christian Hospital has implemented measures to prevent violence, including adding standard operating procedures for special care, arranging education and training, anti-riot drills, and providing self-protection measures (self-defense alarm bell, online emergency bells, alarms on ward doors), etc., and in July 2021, a questionnaire survey on the satisfaction of violence prevention measures in special wards was conducted, a total of 46 questionnaires were collected, and the overall satisfaction rate reached 98.7%, of which ＂education and training＂ was the highest. . Through the psychological care measures for employees in the hospital's psychological counseling center, it can reduce the physical and mental distress of employees, so that employees can feel at ease, at ease, and have positive emotions to continue in clinical care.

1. 明金蓮,黃惠美,洪曉佩,曾麗華,黃美淑,江淑華,董貞吟(2016)。以系統性文獻回顧探討護理人員職場暴力現況與影響。台灣公共衛生雜誌，35(2)，116-135。
   連結：
2. Byon, H. D.,Sagherian, K.,Kim, Y.,Lipscomb, J.,Crandall, M.,Steege, L.(2021).Nurses´experience with type II workplace violence and underreporting during the COVID-19 pandemic.Workplace health & safety
3. Devi, S.(2020).COVID-19 exacerbates violence against health workers.The Lancet,396(10252),658.
4. Lee, S. M.,Kang, W. S.,Cho, A. R.,Kim, T.,Park, J. K.(2018).Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients.Comprehensive Psychiatry,87,123-127.
5. Razai, M. S.,Oakeshott, P.,Kankam, H.,Galea, S.,Stokes-Lampard, H.(2020).Mitigating the psychological effects of social isolation during the covid-19 pandemic.bmj,369,m1904.
6. Xiang, Y. T.,Yang, Y.,Li, W.,Zhang, L.,Zhang, Q.,Cheung, T.,Ng, C. H.(2020).Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed.The Lancet Psychiatry,7(3),228-229.
7. 謝佳容,黃姿裴(2018)。健康照護場域的職場暴力與性騷擾防治之相關法律與防範處理。醫療品質雜誌，12(5)，82-88。