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医院精神病学中的着装和称呼问题:一个问题?

Dress and address in hospital psychiatry: an issue?

机构信息

OLVG West, Amsterdam, The Netherlands.

OLVG East, Amsterdam, The Netherlands.

出版信息

J Ment Health. 2020 Dec;29(6):642-648. doi: 10.1080/09638237.2019.1581336. Epub 2019 Mar 16.

DOI:10.1080/09638237.2019.1581336
PMID:30879362
Abstract

To assess the preferences of Dutch psychiatric patients in three general hospital psychiatric settings for the dress of psychiatrists and patients preference to be addressed by psychiatrists. To assess the associations concerning different clothing styles and the attributes of the patient-doctor relationship. One hundred and seventy-three adults, in and outpatients (aged 18-89 years) attending the psychiatry departments of three general hospitals, were included during the period June 2015 to May 2016. In these hospitals, the psychiatrist staff has different clothing policies. Data were analyzed with SPSS21. Divided over the three hospitals, 173 patients were included, 96 inpatients and 77 outpatients. The patients' opinions on the psychiatrists' dress differed significantly between the hospitals in line with the local hospital clothing policy ( = 0.002 for the male psychiatrists,  = 0.000 for the female psychiatrists). The patients' ethnicity significantly influenced their preferences for dress and address, as a majority of the patients with a non-Dutch ethnic background expressed a preference for white coats, and address by surname (RR = 2.0,  = 0.003 for male and RR = 2.1  = 0.002 for female psychiatrists). A significant difference in preference for being addressed by their first names by the psychiatrist was found between Dutch and non-native Dutch patients (RR = 2.6,  = 0.005). According to patients, the male psychiatrist in trousers and a long sleeve shirt and female psychiatrist in casual clothing were most often associated as being the friendliest, a white coat as being the most competent, and wearing smart attire as being the most accessible. Patients' preferences are in line with current local clothing habits. Ethnicity, setting and country influence a patient's preferences. Casual clothing for psychiatrists is assessed as being the friendliest but as the least competent, and white coats are assessed as being the most competent but as being less friendly and less accessible.

摘要

评估荷兰精神病患者在三家综合医院精神科环境中对精神科医生着装的偏好,以及患者希望精神科医生如何称呼自己。评估不同着装风格与医患关系属性之间的关联。在 2015 年 6 月至 2016 年 5 月期间,共纳入了来自三家综合医院精神科门诊和住院患者的 173 名成年人(年龄 18-89 岁)。在这些医院,精神科医生的着装政策不同。使用 SPSS21 分析数据。这三家医院共纳入了 173 名患者,包括 96 名住院患者和 77 名门诊患者。根据当地医院的着装政策,患者对精神科医生着装的看法在三家医院之间存在显著差异(男性精神科医生 = 0.002,女性精神科医生 = 0.000)。患者的种族显著影响他们对着装和称呼的偏好,因为大多数非荷兰裔背景的患者更喜欢白大褂和姓氏称呼(男性精神科医生 RR = 2.0, = 0.003;女性精神科医生 RR = 2.1, = 0.002)。荷兰患者和非荷兰裔患者对精神科医生直呼其名的偏好存在显著差异(RR = 2.6, = 0.005)。根据患者的说法,穿长裤和长袖衬衫的男精神科医生和穿休闲装的女精神科医生最被认为是友好的,穿白大褂被认为是最有能力的,而穿着得体被认为是最容易接近的。患者的偏好符合当前当地的着装习惯。种族、环境和国家影响患者的偏好。精神科医生的休闲装被认为是最友好的,但也是最不称职的,而白大褂被认为是最称职的,但也是最不友好和最不容易接近的。

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