مقايسه اعتماد اجتماعي بيماران (قبل و بعد از بستري) به كادر درماني (مورد مطالعه: بيماران مراجعه‌كننده به بيمارستان‌هاي استان كهگيلويه و بويراحمد)

Comparison of Patients' Social Trust toward Medical Staff (Before and After Hospitalization); Subjects: Patients Admitted in Kohgiluyeh and Boyer-Ahmad Province Hospitals

ﻣﯿﻨﻪ و ﻫﺪف: اﻋﺘﻤﺎد اﺟﺘﻤﺎﻋﯽ اﻣﺮوزه از اﺑﻌﺎد ﻣﻬﻢ ﺳﺮﻣﺎﯾﻪ اﺟﺘﻤﺎﻋﯽ و ارﺗﺒﺎﻃﺎت اﻧﺴﺎﻧﯽ اﺳﺖ، ﮐﻪ ﻧﻘﺶ ﺑﺰرﮔﯽ در ﺗﻮﺳﻌﻪ و ﺳﻠﺎﻣﺖ ﺟﻮاﻣﻊ دارد. ﻟﺬا ﻫﺪف از اﯾﻦ ﭘﮋوﻫﺶ ﻣﻘﺎﯾﺴﻪي اﻋﺘﻤﺎد اﺟﺘﻤﺎﻋﯽ ﺑﯿﻤﺎران )ﻗﺒﻞ و ﺑﻌﺪ از ﺑﺴﺘﺮي( ﺑﻪ ﮐﺎدر درﻣﺎﻧﯽ ﺑﯿﻤﺎرﺳﺘﺎنﻫﺎي اﺳﺘﺎن ﮐﻬﮕﯿﻠﻮﯾﻪ و ﺑﻮﯾﺮاﺣﻤﺪ ﻣﯽﺑﺎﺷﺪ. روشﻫﺎ: ﺗﻌﺪاد 400 ﻧﻔﺮ از ﺑﯿﻤﺎران ﺑﺴﺘﺮي ﺷﺪه ﺑﯿﻤﺎرﺳﺘﺎنﻫﺎي اﺳﺘﺎن ﮐﻬﮕﯿﻠﻮﯾﻪ و ﺑﻮﯾﺮاﺣﻤﺪ، ﺑﻪ ﺷﯿﻮه ﻧﻤﻮﻧﻪﮔﯿﺮي ﺧﻮﺷﻪاي ﭼﻨﺪﻣﺮﺣﻠﻪاي اﻧﺘﺨﺎب ﺷﺪﻧﺪ و ﺑﺎ ﭘﺮﺳﺸﻨﺎﻣﻪ ﻣﺤﻘﻖﺳﺎﺧﺘﻪ اﻋﺘﻤﺎد اﺟﺘﻤﺎﻋﯽ ﻣﻮرد ارزﯾﺎﺑﯽ ﻗﺮار ﮔﺮﻓﺘﻨﺪ. در اﯾﻦ ﭘﮋوﻫﺶ ﺑﯿﻤﺎراﻧﯽ وارد ﻣﻄﺎﻟﻌﻪ ﺷﺪﻧﺪ ﮐﻪ )ﺑﻨﺎ ﺑﻪ ﺗﺼﻤﯿﻢ ﮐﺎدر درﻣﺎن( ﻗﺮار ﺑﻮد ﺣﺪاﻗﻞ ﯾﮏ روز در ﺑﯿﻤﺎرﺳﺘﺎن ﺑﺴﺘﺮي و ﺳﭙﺲ ﺗﺮﺧﯿﺺ ﺷﻮﻧﺪ. ﯾﺎﻓﺘﻪﻫﺎ: اﻋﺘﻤﺎد ﺑﯿﻤﺎران ﺑﻪ ﭘﺮﺳﺘﺎران )ﺑﻬﯿﺎران( و ﭘﺮﺳﻨﻞ اﺗﺎق ﻋﻤﻞ، ﻗﺒﻞ و ﺑﻌﺪ از ﺑﺴﺘﺮي ﺗﻔﺎوت ﻣﻌﻨﺎداري ﻧﺪارد P>0/05(. اﻣﺎ اﻋﺘﻤﺎد ﺑﯿﻤﺎران ﺑﻪ ﭘﺰﺷﮑﺎن، ﻗﺒﻞ و ﺑﻌﺪ از ﺑﺴﺘﺮي ﺗﻔﺎوت ﻣﻌﻨﺎداري دارد )P<0/05(، ﺑﻪ اﯾﻦ ﺻﻮرت ﮐﻪ اﻋﺘﻤﺎد ﺑﯿﻤﺎران ﺑﻪ ﭘﺰﺷﮑﺎن ﺑﻌﺪ از ﺑﺴﺘﺮي ﺣﺪود 0/27 ﺑﺎﻟﺎﺗﺮ رﻓﺘﻪ اﺳﺖ. ﻫﻤﭽﻨﯿﻦ ﻧﺸﺎن داده ﺷﺪ ﮐﻪ اﻋﺘﻤﺎد ﺑﯿﻤﺎران ﺑﻪ ﭘﺮﺳﻨﻞ ﭘﺬﯾﺮش، ﻗﺒﻞ و ﺑﻌﺪ از ﺑﺴﺘﺮي ﺗﻔﺎوت ﻣﻌﻨﺎداري دارد )P<0/05(، ﺑﻪ اﯾﻦ ﺻﻮرت ﮐﻪ اﻋﺘﻤﺎد ﺑﯿﻤﺎران ﺑﻪ ﭘﺮﺳﻨﻞ ﭘﺬﯾﺮش ﺑﻌﺪ از ﺑﺴﺘﺮي ﺣﺪود 0/24 ﭘﺎﯾﯿﻦﺗﺮ رﻓﺘﻪ اﺳﺖ. ﻧﺘﯿﺠﻪﮔﯿﺮي: ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ اﯾﻨﮑﻪ اﻋﺘﻤﺎد ﺑﯿﻤﺎران ﺑﻪ ﭘﺮﺳﻨﻞ اﺗﺎق ﻋﻤﻞ و ﭘﺮﺳﻨﻞ ﭘﺬﯾﺮش ﺑﻌﺪ از ﻓﺮاﯾﻨﺪ درﻣﺎن ﮐﺎﻫﺶ ﯾﺎﻓﺘﻪ اﺳﺖ، ﺑﻨﺎﺑﺮاين اﻧﺘﻈﺎر ﻣﯽرود در اﯾﻦ راﺳﺘﺎ اﻗﺪاﻣﺎﺗﯽ در ﺟﻬﺖ اﻓﺰاﯾﺶ و ارﺗﻘﺎي اﻋﺘﻤﺎد ﺑﯿﻤﺎران ﺑﻪ اﯾﻦ ﻗﺸﺮ از ﮐﺎدر درﻣﺎن ﻟﺤﺎظ ﺷﻮد.

Background and Aim: Nowadays, social trust, which has a great role in the development and health of societies, is considered one of the most important aspects of social capital and human communications. Therefore, this study aims to compare the patientschr('39') social trust (before and after hospitalization) toward the medical staff of Kohgiluyeh and Boyer-Ahmad hospitals. Methods: A total of 400 patients admitted to Kohgiluyeh and Boyer-Ahmad hospitals were selected by multi-stage cluster sampling and evaluated by a researcher-made questionnaire of social trust. The study includes patients who were (according to the decision of the treatment staff) hospitalized for at least one day and then were discharged. Results: The patientschr('39') trust toward nurses and operating room personnel is not significantly different before and after hospitalization (P> 0.05). However, patientschr('39') trust toward physicians before and after hospitalization is significantly different (P <0.05), with an increase of 0.27 percent in patientschr('39') trust toward physicians after hospitalization. It was also shown that patientschr('39') trust toward admission personnel has a significant difference before and after hospitalization (P <0.05), with a decrease of about 0.24 percent in patientschr('39') trust toward admission personnel after hospitalization. Conclusion: Considering the decrease in patientschr('39') trust toward the operating room personnel and admission staff after the treatment process, it is expected that some measures be taken to increase the patientschr('39') trust toward this group.