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COVID-19 大流行期间患者对护士信任的影响因素:混合方法研究。

Influencing Factors of Patients' Trust in Nurses During the COVID-19 Pandemic: A Mixed-Methods Study.

机构信息

College of Nursing, Mudanjiang Medical University, Mudanjiang, Heilongjiang Province, China.

Department of Emergency, Hongqi Hospital Affiliated to Mudanjiang Medical University, Mudanjiang, Heilongjiang Province, China.

出版信息

Disaster Med Public Health Prep. 2022 Nov 3;17:e302. doi: 10.1017/dmp.2022.262.

Abstract

OBJECTIVE

This study aimed to investigate the nurse-patient trust among in-patients in the context of the coronavirus disease (COVID-19) epidemic; it further analyzed the related influencing factors, which will provide a theoretical basis for developing corresponding measures.

METHODS

This study employed a mixed-method design and analyzed 149 patients at the Hongqi Hospital, affiliated with Mudanjiang Medical University, from December 2020 to February 2021. Quantitative analysis was carried out using the "Nurse Patient Trust Scale," and qualitative analysis was performed using a semi-structured interview with in-patients.

RESULTS

The average score on the scale was 46.65 ± 2.83, and the scores of the 2 dimensions were: 23.24 ± 1.51 for ability and peace of mind, and 23.32 ± 1.53 for attitude and care. According to the interview data, the factors included 3 aspects: a comfortable hospital environment and humane management measures; the nurse's own competence; and effective communication with patients.

CONCLUSION

During the COVID-19 epidemic, there are still many factors affecting patients' trust in nurses that can be addressed by taking different measures. All these factors must be considered by the relevant managers and clinical nursing staff to maintain a better nurse-patient trust relationship.

摘要

目的

本研究旨在探讨冠状病毒病(COVID-19)流行背景下住院患者的护患信任度,并进一步分析相关影响因素,为制定相应措施提供理论依据。

方法

本研究采用混合方法设计,于 2020 年 12 月至 2021 年 2 月对牡丹江市红旗医院的 149 名住院患者进行分析。采用“护患信任量表”进行定量分析,对住院患者进行半结构式访谈进行定性分析。

结果

量表平均得分为 46.65±2.83,两个维度的得分分别为:能力和安心 23.24±1.51,态度和关怀 23.32±1.53。根据访谈资料,影响因素包括三个方面:舒适的医院环境和人性化管理措施;护士自身的能力;与患者的有效沟通。

结论

在 COVID-19 疫情期间,仍有许多因素影响患者对护士的信任,可采取不同措施加以解决。这些因素都必须由相关管理人员和临床护理人员考虑,以维持更好的护患信任关系。

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