Quality of Life Research

, Volume 19, Issue 8, pp 1155–1161

The relationship of health-related quality of life to workplace physical violence against nurses by psychiatric patients

  • Wen-Ching Chen
  • Chuan-Ju Huang
  • Jing-Shiang Hwang
  • Chiao-Chicy Chen

DOI: 10.1007/s11136-010-9679-4

Cite this article as:
Chen, WC., Huang, CJ., Hwang, JS. et al. Qual Life Res (2010) 19: 1155. doi:10.1007/s11136-010-9679-4



To clarify the relationship of health-related quality of life (HRQoL) to workplace physical violence (WPV) against nurses by psychiatric patients.


A 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.


A 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.


A worsened psychological domain score might predict violence, and improving HRQoL seems to be helpful in preventing WPV against nurses by psychiatric patients.


Prospective longitudinal follow-up Relationship Repeated measurement Subject-domain approach Web-based WHOQOL-BREF 



Quality of life


Health-related quality of life


The acronym for the brief version of the World Health Organization Quality of Life questionnaire


Workplace physical violence

Copyright information

© Springer Science+Business Media B.V. 2010

Authors and Affiliations

  • Wen-Ching Chen
    • 1
  • Chuan-Ju Huang
    • 2
  • Jing-Shiang Hwang
    • 3
  • Chiao-Chicy Chen
    • 2
  1. 1.Department of HealthYuli Hospital, Executive YuanTaipeiTaiwan
  2. 2.Taipei City Hospital, Song De BranchTaipeiTaiwan
  3. 3.Institute of Statistical Science, Academia SinicaTaipeiTaiwan

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