Roohafza Hamidreza, Pirnia Afsaneh, Sadeghi Masoumeh, Toghianifar Nafiseh, Talaei Mohammad, Ashrafi Mahmood
Behavioral Sciences Research Center, Isfahan University of Medical Sciences, PO Box 81465-993, Isfahan, Iran.
J Clin Nurs. 2009 Jul;18(13):1953-9. doi: 10.1111/j.1365-2702.2008.02745.x.
To investigate anxiety levels in two groups of children exposed to nurses with white vs. coloured clothing in a university hospital in Iran.
Hospitalisation causes anxiety in children and it is documented that nurses have an important role in alleviating children's distress and anxiety. Nurses characteristics, including their clothing is a factor that affects quality of care through child-nurse relationship.
Clinical trial.
Children (n = 92) aged 7-15 years old hospitalised for 3-5 days in paediatric surgery ward were exposed to nurses in white or coloured clothing. Children's anxiety was assessed on admission and at discharge using Revised Children's Manifest Anxiety Scale.
Children exposed to white nursing uniforms showed higher anxiety levels compared with children exposed to coloured nursing clothing (p < or = 0.05). Besides coloured nursing clothing, female sex, age >11 years old (guidance school) and living in families with more than four members were predictors of lower global anxiety scores.
Providing a child-friendly environment through colourful nursing clothing can promote nurses' relationship with hospitalised children. This can satisfy children's expectations of the nursing care and alleviates the need for meeting ideals of nursing care through wearing a white nursing uniform provided that standards of nursing care are favoured.
Using colourful nursing clothing in paediatric wards reduces anxiety as a psychological parameter which delays improvement and provides a child-friendly environment that helps promotion of quality of nursing care.
调查在伊朗一家大学医院中，两组接触穿白色与彩色服装护士的儿童的焦虑水平。
住院会导致儿童焦虑，且有文献记载护士在减轻儿童痛苦和焦虑方面发挥着重要作用。护士的特征，包括其着装，是通过儿童与护士的关系影响护理质量的一个因素。
临床试验。
92名年龄在7至15岁之间、在小儿外科病房住院3至5天的儿童接触穿白色或彩色服装的护士。使用修订版儿童显性焦虑量表在入院时和出院时评估儿童的焦虑情况。
与接触彩色护理服装的儿童相比，接触白色护士服的儿童焦虑水平更高（p≤0.05）。除了彩色护理服装外，女性、年龄大于11岁（指导学校）以及生活在家庭成员超过四人的家庭是全球焦虑得分较低的预测因素。
通过色彩丰富的护理服装营造儿童友好型环境，可以促进护士与住院儿童的关系。这能够满足儿童对护理的期望，并在保证护理标准的前提下，减轻通过穿着白色护士服来满足护理理想的需求。
在儿科病房使用色彩丰富的护理服装可降低焦虑这一延迟康复的心理参数，并提供有助于提高护理质量的儿童友好型环境。
