ABSTRACT
Objective To investigate the evaluation of the doctor-patient trust by family members based on the general interpersonal trust scale, and explore the influencing factors of the evaluation of doctor-patient trust by patient family members, and to provide references for improving the doctor-patient trust and the doctor-patient relationship. Methods A survey of 3010 patient family members in 10 hospitals from 5 provinces in China was conducted using a self-made questionnaire and a general interpersonal trust scale. Results Only 47.2% of the family members agreed that the doctor-patient trust degree was good, and the interpersonal trust score was (70.52±7.07) points. The age, monthly income level, life satisfaction of family members are the important factors affecting the evaluation of doctor-patient trust (P < 0.05). Conclusion The patient family members have low recognition of doctor-patient trust, and some targeted measures should be taken to improve the interpersonal trust level and life satisfaction of the family members, so as to further enhance the doctor-patient trust.
ABSTRACT
<p><b>OBJECTIVE</b>To study the prognosis and the factors affecting the prognosis in children with acute respiratory distress syndrome (ARDS).</p><p><b>METHODS</b>Seventy-eight children with ARDS were enrolled. The states of their survival within 30 days were followed-up.</p><p><b>RESULTS</b>Of the 78 children with ARDS, 51 cases demised, 27 cases survived, with a 30-days survival rate of 35%. The average survival time was 14.4 days (median: 8 days). The peak of death appeared within 3 days after ARDS. There were significant differences in aspects of age, primary disease, percentage of neonatal hyaline membrane disease, pediatric critical illness score (PCIS), duration of mechanical ventilation, oxygenation index (PaO(2)/FiO(2)), white blood cell count and number of involved organs between the died and survived children (P<0.05 or 0.01). The Cox multiple factors analysis showed that the age (HR 3.924~3.938), primary disease (HR=1.817) and PCIS (HR=0.469) were the risk factors of death.</p><p><b>CONCLUSIONS</b>The peak of death usually appears within 3 days after ARDS. Age, primary disease and PCIS are the independent factors of prognosis in children with ARDS.</p>