Faculty of Nursing and Midwifery, Department of Medical Surgical Nursing, Tabriz University of Medical Sciences, Tabriz, Iran.
Scand J Caring Sci. 2020 Dec;34(4):1010-1016. doi: 10.1111/scs.12809. Epub 2019 Dec 12.
Trust is widely acknowledged as the main component of relationships between patients and nurses.
Considering the importance of building trust in the patient-nurse relationship especially in vulnerable patients such as patients undergoing haemodialysis, this study was carried out to assess the trust of these patients towards nurses in the haemodialysis unit and to explore its relationship with some characteristics of the patients.
In this cross-sectional study, a total of 180 patients undergoing maintenance haemodialysis were selected using random sampling method. Data were collected by trust in nurses (TNS) scale. The collected data were analysed by SPSS (ver.21) software using anova, independent t-test and Pearson's correlation coefficient.
The mean score of patients' trust in nurses was 23.82, showing a high level of trust towards nurses. The lowest score (with a mean score of 4.17) was related to the providing of accurate information by nurses about the disease. Pearson's correlation coefficient indicated a positive significant relationship between the age and patient's trust (r = 0.17, p > 0.05), and there was a negative relationship between the mean score of trust and the mean of interdialytic weight gain (r = 0.57, p > 0.05).
Although the patient trust towards nurses was high in this study, there were some deficiencies in certain items especially in the provision of information and education to the patients. Education of specialised courses for nurses and empowering them to provide a high quality care to the patients on dialysis could help to increase the patents' trust.
信任被广泛认为是患者与护士之间关系的主要组成部分。
考虑到在患者-护士关系中建立信任的重要性,尤其是在易受影响的患者(如接受血液透析的患者)中,本研究旨在评估这些患者对血液透析病房护士的信任,并探讨其与患者某些特征的关系。
在这项横断面研究中,采用随机抽样法选取了 180 名接受维持性血液透析的患者。使用信任护士量表(TNS)收集数据。使用 SPSS(版本 21)软件对收集的数据进行方差分析、独立 t 检验和 Pearson 相关系数分析。
患者对护士信任的平均得分为 23.82,表现出对护士的高度信任。得分最低的项目(平均得分 4.17)与护士就疾病向患者提供准确信息有关。Pearson 相关系数表明,患者年龄与患者信任呈正相关(r=0.17,p>0.05),而信任平均得分与透析间期体重增加的平均得分呈负相关(r=0.57,p>0.05)。
尽管本研究中患者对护士的信任度较高,但在某些项目中仍存在一些不足,特别是在向患者提供信息和教育方面。为护士提供专门的课程教育,并赋予他们为透析患者提供高质量护理的能力,可以帮助提高患者的信任度。