AIM Aggressive incidents (AI) are a serious concern in health care and can have negative effects on the physical and emotional well-being staff. This study aimed to determine frequency, characteristics and risk factors for aggressive behavior. METHODS AI were recorded during six months by the staff in a pediatric rehabilitation clinic using the evaluation form for AI (EVA). Patients were divided into the study group (patients who were involved in AI) and controls. RESULTS 14/105 (13%) of patients were involved in 79 AI. 0.44 AI per day occurred. Most often AI occurred on Mondays and 98% included physical, 22% verbal aggression. Most frequent target (43%) were nurses, followed by therapists (31.6%). Significant risk factors for AI were: previous aggressive behavior (p = .038), lower cognitive and higher mobility sub-scores in the WeeFIM. CONCLUSION Findings emphasize the magnitude of AI in pediatric rehabilitation and thus the importance of implement preventive strategies. ABBREVIATIONS ADL: Activity of daily living; AI: Aggressive Incidents; CFCS: Communication Function Classification System; EVA: Recording aggressive incidents (Erfassung von Aggressionsereignissen); GMFCS: Gross Motor Function Classification System; MACS: Manual Ability Classification System; SOAS-R: Staff Observation of Aggression Scale-Revised; WeeFIM: Functional Independence Measure for Children; WPV: Workplace violence.

中文翻译：

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小儿康复环境中侵害性事件的发生频率，特征和危险因素：一项前瞻性调查。

AIM侵害性事件（AI）是医疗保健中的一个严重问题，可能对员工的身心健康产生负面影响。这项研究旨在确定攻击行为的频率，特征和危险因素。方法在小儿康复诊所，工作人员使用AI评估表（EVA）在六个月内记录AI。将患者分为研究组（参与AI的患者）和对照组。结果14/105（13％）患者参与了79例AI。每天发生0.44 AI。最常见的AI发生在星期一，其中98％包括身体攻击，22％是言语攻击。最常见的目标（43％）是护士，其次是治疗师（31.6％）。AI的重要危险因素是：WeeFIM中先前的攻击行为（p = .038），较低的认知度和较高的移动性子得分。结论研究结果强调了小儿康复中AI的重要性，因此强调了实施预防策略的重要性。缩写ADL：日常生活活动；AI：侵略性事件；CFCS：通信功能分类系统；EVA：记录侵略性事件（Erfassung von Aggressionsereignissen）；GMFCS：运动功能总分类系统；MACS：手动能力分类系统；SOAS-R：修订后的员工观察侵略量表；WeeFIM：针对儿童的功能独立性评估；WPV：工作场所暴力。记录侵略性事件（Erfassung von Aggressionsereignissen）；GMFCS：运动功能总分类系统；MACS：手动能力分类系统；SOAS-R：修订后的员工观察侵略量表；WeeFIM：针对儿童的功能独立性评估；WPV：工作场所暴力。记录侵略性事件（Erfassung von Aggressionsereignissen）；GMFCS：运动功能总分类系统；MACS：手动能力分类系统；SOAS-R：修订后的员工观察侵略量表；WeeFIM：针对儿童的功能独立性评估；WPV：工作场所暴力。