Neuro-Surgical Ward, Kyung Hee University Hospital, Seoul 02447, Korea.
Department of Nursing, Gangneung-Wonju National University, Wonju-si 26403, Korea.
Int J Environ Res Public Health. 2021 Mar 3;18(5):2480. doi: 10.3390/ijerph18052480.
The purpose of this study is to develop and apply a type of perineal underwear that protects the patient's physical privacy and to examine its effects on perineal discomfort and shame. This study collected primary data from 44 patients who visited Kyung Hee University hospital in Seoul city and were admitted to the neurosurgery ward to undergo angiography between 7 August 2017, and 30 April 2018. In this quasi-experimental study with a nonequivalent control group posttest-only design, participants were divided into an experimental group ( = 22) and a control group ( = 22). The control group used conventional protection, which involved wearing padding around the perineum, while the experimental group wore the perineal underwear developed in this study. The underwear group showed a significantly lower degree of shame (Z = -5.39, < 0.001) and perineal discomfort (Z = -5.88, < 0.001) than the padding group. In the padding group, women felt significantly more shame than men did (Z = -2.48, = 0.013). The use of the perineal underwear developed in this study significantly reduced the degree of shame and perineal discomfort in patients undergoing angiography. Such perineal underwear could also be useful for protecting patients' privacy during perineal examinations.
本研究旨在开发和应用一种保护患者身体隐私的会阴内衣，并检验其对会阴不适和羞耻感的影响。本研究于 2017 年 8 月 7 日至 2018 年 4 月 30 日期间，从首尔市庆熙大学医院神经外科病房接受血管造影的 44 名患者收集了原始数据。在这项采用非等效对照组后测设计的准实验研究中，参与者被分为实验组（n=22）和对照组（n=22）。对照组采用传统的保护措施，即使用会阴垫，而实验组则穿着本研究开发的会阴内衣。与使用会阴垫的对照组相比，穿着会阴内衣的实验组的羞耻感（Z=-5.39， < 0.001）和会阴不适（Z=-5.88， < 0.001）程度明显较低。在使用会阴垫的对照组中，女性的羞耻感明显高于男性（Z=-2.48， = 0.013）。本研究开发的会阴内衣显著降低了接受血管造影检查的患者的羞耻感和会阴不适程度。这种会阴内衣在进行会阴检查时也可以有效保护患者的隐私。
