护患关系信任度及其影响因素

目的探讨护患关系信任度并分析其影响因素，为提高护患关系信任度,改善护患关系提供理论依据。方法采用护患关系信任度量表对136例住院患者进行问卷调查，总结各条目评分情况并分析护患关系信任度的影响因素。结果本组136例住院患者中，信任度量表中5个维度对知识和技术的确信、一贯性、尊重、安心感和对未来的信心得分分别是（3．62±0．26），（3．47±0．32），（3．59±0．61），（3．58±0．73），（3．35±0．79）分；得分最高的条目为按床头铃后护士很快就回应（3．92±0．35）分，得分最低的条目为护士对我的指令太多，我感到拘束，不大自由（2．75±0．10）分；多元回归分析提示，患者年龄、住院时间、付款方式是住院患者护患关系信任度的影响因素（t分别为11．940，2．537，4．362；P〈0．05）。结论护理人员应重视影响护患关系信任度的相关因素，改进护理措施及方法，以改善护患关系，提高护患关系信任度。

Evaluation of the trust level of nurse - patient relationship and its influencing factors

Objective To evaluate the trust level of nurse-patient relationship and analyze its influencing factors. Methods Trust level of nurse-patient relationship scale was used to investigate 136 inpatients. The factors influencing trust level of nurse-patient relationship was analyzed. Results Of the 136 inpatients, the scores of the five dimensions of trust scale （knowledge and technology trust, consistency, respect, sense of peace of mind and confidence in the future） were ： （ 3.62± 0.26）, （ 3.47± 0. 32 ）, （ 3.59 ± 0.61）, （3.58 ±0.73）, （3.35±0.79）, respectively. The item of maximum score was＂After ring the bell, nurses respond quickly＂ （ 3.92± 0.35 ） , and the item of lowest score was ＂Nurses have too many commands on me, I feel uneasy and not free＂ （2.75 ± 0.10）. Regression analysis showed that age （ t = 11. 940,P 〈 0.05 ） , hospitalization duration （ t = 2. 537, P 〈 0. 05 ） and type of payment （ t = 4. 362, P 〈 0.05 ） were the major influencing factors of nurse-patient relationship in the patients＇ point of view. Conclusions The nurses should pay attention to the factors that affect nurse-patient relationship, and further enhance trust level of nurse-patient relationship by improving care measures.