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临床着装的改变能否降低交叉感染的可能性,同时又不影响医患关系?

Can changes in clinical attire reduce likelihood of cross-infection without jeopardising the doctor-patient relationship?

机构信息

Emergency Department, Tameside General Hospital, Ashton Under Lyne, UK.

出版信息

J Hosp Infect. 2010 Jan;74(1):22-9. doi: 10.1016/j.jhin.2009.07.031. Epub 2009 Nov 14.

DOI:10.1016/j.jhin.2009.07.031
PMID:19914736
Abstract

Research has shown that healthcare workers' clothes can become contaminated with pathogens. This study aimed to determine whether hospital doctors can change their attire to reduce the possibility of cross-infection without jeopardising the doctor-patient relationship. In this experimental repeated-measures study, 55 male and 45 female inpatients (mean age: 52.89 years) were randomly selected. Participants were shown photographs of medical dresscodes and asked to rate their appropriateness on a 5-point Likert scale. They were then read a standardised statement regarding the significance of attire to cross-infection and the exercise was repeated. Pre statement, there was no significant difference between the majority of dress options, though casual dress (male and female) and short-sleeved top (female) were considered significantly less appropriate. Post statement, surgical 'scrubs' and short-sleeved top/shirt were deemed most appropriate (P<0.0001). There was no significant difference between short-sleeved shirt and scrubs for males. For females, scrubs were preferred (P=0.0005). Participants expressed no significant preference for medical attire, with the exception of a dislike of casual dress. However, once informed of the significance of attire to cross-infection, preference changes to favour dresscodes which may minimise infection risk.

摘要

研究表明,医务人员的衣物可能会被病原体污染。本研究旨在确定医院医生是否可以改变着装,以降低交叉感染的可能性,同时又不影响医患关系。在这项实验性重复测量研究中,随机选择了 55 名男性和 45 名女性住院患者(平均年龄:52.89 岁)。参与者被展示了医疗着装规范的照片,并被要求在 5 点李克特量表上对其适宜性进行评分。然后,他们阅读了一份关于着装对交叉感染重要性的标准化说明,并重复了该过程。在陈述之前,大多数着装选择之间没有显著差异,但休闲装(男性和女性)和短袖上衣(女性)被认为明显不合适。陈述后,手术“刷手服”和短袖上衣/衬衫被认为最合适(P<0.0001)。对于男性来说,短袖衬衫和刷手服之间没有显著差异。对于女性,刷手服更受欢迎(P=0.0005)。除了不喜欢休闲装外,参与者对医疗着装没有明显的偏好。然而,一旦了解到着装对交叉感染的重要性,他们的偏好就会改变,倾向于选择可能降低感染风险的着装规范。

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