Ulus Travma Acil Cerrahi Derg. 2009; 15(3): 239-242

Tehlikelerle karþýlaþan saðlýk personeli: Türkiyenin güney kent merkezlerinden deneyimler

Betul Gulalp¹, Ozgur Karcioglu², Zikret Koseoglu³, Azade Sari^4
1Adana Devlet Hastanesi, Acil Servis, Adana
²Bakýrköy Dr. Sadi Konuk Eðitim Ve Araþtýrma Hastanesi, Acil Servis. Ýstanbul
³Çukurova Devlet Hastanesi, Adana
⁴Adana Numune Eðitim Ve Araþtýrma Hastanesi

AMAÇ
Bu çalýþmada, acil servislerde saðlýk çalýþanlarýna yönelik þiddet, tehdit ve fiziksel saldýrýnýn sýklýk ve özellikleri araþtýrýldý.
GEREÇ VE YÖNTEM
Acil serviste çalýþanlar tarafýndan anket dolduruldu. Toplanan bireysel bilgiler þiddet þekli ve sýklýðý, cinsiyet, yaþ, meslek, acil serviste deneyim süresi, saldýrganlarýn özellikleri, olaylarýn sonucuný içermektedir. Veriler 1 ile 31 Mayýs 2006 tarihleri arasýnda elde edildi.
BULGULAR
Toplam 109 personel deðerlendirildi. Meslek (p=0,000) dýþýnda, þiddet ve cinsiyet, yaþ, deneyim süresi arasýnda anlamlý iliþki yoktu (p deðerleri sýrasýyla 0,464, 0,692, 0,298). Tehdit oraný ile cinsiyet, yaþ, meslek ve deneyim arasýnda iliþki anlamsýzdý (p deðerleri 0,311, 0,326, 0,278, 0,994). Diðer yandan fiziksel saldýrý ile cinsiyet, yaþ, meslek, deneyim arasýnda anlamlý iliþki bulundu (p deðerleri 0,042, 0,000, 0,000 ve 0,011).
SONUÇ
Acil personeline karþý þiddet sýktýr. Þiddet belirgin olarak acil hekimine yönelik geliþmektedir. Bunun dýþýnda þiddet, tehdit ve kiþisel özellikler arasýnda anlamlý iliþki yoktur. Ama, erkek cinsiyet, ≥31 yaþ, acil hekimi olmak, acil serviste beþ yýl ve üstünde çalýþmýþ olmak, fiziksel saldýrý için risk faktörleridir.

Anahtar Kelimeler: Acil servis, acil personeli; anket çalýþmasý; þiddet.

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Dangers faced by emergency staff: experience in urban centers in southern Turkey

Betul Gulalp¹, Ozgur Karcioglu², Zikret Koseoglu³, Azade Sari^4
1Department Of Emergency Medicine, Adana State Hospital, Adana, Turkey.
²Department Of Emergency Medicine, Bakirkoy Dr. Sadi Konuk Research And Training Hospital,bakirkoy, Istanbul, Turkey.
³Cukurova State Hospital, Adana.
⁴Numune Training And Research Hospital, Adana, Turkey.

BACKGROUND
The aim of this study was to investigate the incidence and characteristics of aggression, threat and physical violence directed towards the staff in emergency departments.
METHODS
A questionnaire was completed by the emergency staff. The individualized data collected included the pattern and incidence of violence, sex, age, profession, and years of experience of the emergency staff, and the behavioral characteristics of the assailants, together with outcome of incidents. Data regarding incidences occurring between May 1-31, 2006 were abstracted.
RESULTS
A total of 109 staff were evaluated. There was a statistically significant relationship between aggression and profession (p=0.000), but no relation was determined with sex, age or years of experience (p values 0.464, 0.692, and 0.298, respectively). The relationship of incidences of threat with sex, age, profession, and experience was insignificant (p values 0.311, 0.278, 0.326, 0.994, respectively). On the other hand, significant relationships were identified between physical assault and sex, age, profession, and experience (p values 0.042, 0.000, 0.000, 0.011).
CONCLUSION
Violence directed towards the emergency staff is common. Aggression occurs towards the emergency physician distinctively. Otherwise, there is no significant relationship between aggression or threat and personal characteristics. However, male sex, ≥31 years of age, being an emergency physician, and having worked for longer than five years in the emergency department are the risk factors for physical violence.

Keywords: Emergency department, emergency staff, questionnaires; violence.

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