Trust level of hospitalized patients with schizophrenia towards the medical staff and its influencing factors

Abstract

Objective To explore the trust level of hospitalized patients with schizophrenia towards medical staff and its influencing factors. Methods By convenience sampling, a total of 103 patients with schizophrenia hospitalized in a psychiatric specialized hospital in Beijing in January 2018 were selected and investigated by General Information Questionnaire, ABIM Patient Assessment for Continuous Professional Development (ABIM-PACPD) , and Affect and Cognition-based Trust (ACT) . A total of 103 questionnaires were distributed and 102 were collected, the effective recovery rate of the questionnaire was 99.0%. Results The 102 patients achieved the score of (43.19±5.58) in ACT, which was at a high level; the three items with the highest scores all belonged to the dimension of trust, and the three items with the lowest scores all belonged to the dimension of emotion. A total of 102 patients' doctor-patient communication evaluation score was (45.06±5.60) , the score ranged of 25 to 50. Correlation analysis indicated that, the total score of doctor-patient communication in schizophrenic patients was positively correlated with the total score of ACT, cognitive trust and emotional trust dimension (P<0.05) . Conclusions The inpatient schizophrenic patients have a high level of trust towards the medical staff and the influencing factors include age, source of medical expense and the effect of patient-doctor communication, etc. Key words: Schizophrenia; Doctor-patient relationship; Nurse-patient relationship; Trust