• Wen-Ching Chen, Chuan-Ju Huang, Jing-Shiang Hwang, and Chiao-Chicy Chen.
• Department of Health, Yuli Hospital, Executive Yuan, Taipei, Taiwan. oldchen@ttyl.doh.gov.tw
• Qual Life Res. 2010 Oct 1; 19 (8): 1155-61.

PurposeTo clarify the relationship of health-related quality of life (HRQoL) to workplace physical violence (WPV) against nurses by psychiatric patients.MethodsA Web-based WHOQOL-BREF was used to assess HRQoL and an intranet Workplace Violence Report System was used to record WPV incidents in order to design prospective longitudinal repeat measures over a period of 12 months, as well as using a subject-domain approach to detect any significant association between HRQoL and WPV.ResultsA total of 129 physical violence events were reported, and the WHOQOL-BREF was completed a total of 860 times. A lower HRQoL score within 7 days before an event in psychological domain was a predictor of WPV after adjustment for other variables. Other consistent risk factors for violence were being married, shorter employment duration, and quite a bit or extreme worry about violence. The social domain scores worsened within 7 days after an event.ConclusionA worsened psychological domain score might predict violence, and improving HRQoL seems to be helpful in preventing WPV against nurses by psychiatric patients.

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