Bagi Hamid Reza Moretza, Khamnian Zhila, Hatami Forough, Vahdati Samad Shams, Yazdani Reza, Rahnemayan Sama
Department of Emergency Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Community Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
J Patient Exp. 2022 Jul 6;9:23743735221113053. doi: 10.1177/23743735221113053. eCollection 2022.
Lack of social trust in the physician-patient relationship will disrupt health. Since social trust has not been sufficiently studied in patients' companions, this study investigates and compares social trust and its dimensions in companions of patients discharged against medical advice with total patients' companions in the emergency room. In this cross-sectional descriptive-comparative study, 385 patients' companions were enrolled. This study was done by a questionnaire with five subscales: honesty, frankness, cooperative tendency, confidence, and trust. Data were analyzed using descriptive statistics and analytical statistics methods. In this study, there was no significant difference between the mean score of social trust between companions of patients discharged against medical advice (61.11 ± 9.01) and patients discharged after treatment (62.27 ± 6.97). There was a significant relationship between the mean score of the 2 groups only in the frankness domain (-value = .001). The level of social trust in the patients' companions was moderate in both groups. Companions of discharged patients after completing the treatment process are more explicit than the companions of patients discharged against medical advice.
医患关系中社会信任的缺失会破坏健康。由于患者同伴中的社会信任尚未得到充分研究，本研究调查并比较了违反医嘱出院患者的同伴与急诊室中所有患者同伴的社会信任及其维度。在这项横断面描述性比较研究中，纳入了385名患者同伴。本研究通过一份包含诚实、坦率、合作倾向、信心和信任五个子量表的问卷进行。数据采用描述性统计和分析性统计方法进行分析。在本研究中，违反医嘱出院患者的同伴（61.11±9.01）与治疗后出院患者的同伴（62.27±6.97）之间的社会信任平均得分无显著差异。两组的平均得分仅在坦率领域存在显著关系（P值=0.001）。两组患者同伴的社会信任水平均为中等。完成治疗过程后出院患者的同伴比违反医嘱出院患者的同伴更坦率。
