Ejigu Endalamaw Fentie, Haile Abiy Worku, Bayable Samuel Debas
Department of Orthopedics and Traumatology, St. Paul Millennium Medical College, Addis Ababa, Ethiopia.
Department of Anesthesia School of Medicine and Health Science Debre Markos University, Debre Markos, Ethiopia.
Patient Prefer Adherence. 2022 Mar 4;16:605-614. doi: 10.2147/PPA.S353609. eCollection 2022.
In Ethiopia, physicians commonly wear formal attire, surgical scrubs, casual attire, or business attire during patient care, but there is no evidence to show which attire is preferred within the patients. So this study aims to assess the influence of physicians' attire on patients' perceptions.
After ethical approval, a cross-sectional study was conducted with written informed consent; data were collected and checked for its completeness, later entered into SPSS version 25 for statistical analysis. Descriptive statistics was presented with frequency, percentage, tables, graphs, and texts based on the nature of the data. All the four attires were compared using the Friedman test and pair wise comparisons were conducted with Bonferroni correction for multiple comparisons, and Mann-Whitney -test was used to know the preferred attire on patients' perception about physicians' skill, with 95% confidence and a p-value of less than 0.05 were considered as statistically significant.
In this study, out of the total respondents 66.7% are males and 71.9%, 50.3% of the respondents were degree or diploma holders, and aged 18-34 years respectively. Among participants' 77.1% and 55.9% preferred formal attire and surgical scrub respectively. For male surgeons, formal attire and surgical scrub have an equal preference in surgical patients (p<0.001), but business and casual attire have no statistically significant difference. The patients' preference in male formal physician attire in surgeon's confidence, willingness to discuss confidential information and safeties of the surgeon were 76.2%, 75.7%, and 70.5% respectively, and for female surgeons, formal attire on surgical patients' confidence in the surgeon, safety, and willingness to discuss confidential information were 74.9%, 73.8%, and 71.8% respectively.
Physician attire is one of the important factors that inspire surgical patient confidence, smartness, surgical skill, discussion of confidential information, and caring ability in physicians. Formal attire and surgical scrub were the most preferred physician's outfits.
在埃塞俄比亚，医生在为患者提供护理时通常穿着正装、手术服、便服或商务装，但没有证据表明患者更喜欢哪种着装。因此，本研究旨在评估医生着装对患者认知的影响。
在获得伦理批准后，进行了一项横断面研究，并获得书面知情同意；收集数据并检查其完整性，随后录入SPSS 25版本进行统计分析。根据数据的性质，用频率、百分比、表格、图表和文本呈现描述性统计数据。使用弗里德曼检验对所有四种着装进行比较，并采用邦费罗尼校正进行多重比较的两两比较，使用曼-惠特尼检验了解患者对医生技能认知方面的首选着装，95%置信区间且p值小于0.05被认为具有统计学意义。
在本研究中，总受访者中66.7%为男性，71.9%、50.3%的受访者分别为学位或文凭持有者，年龄分别在18 - 34岁。在参与者中，分别有77.1%和55.9%的人更喜欢正装和手术服。对于男性外科医生，在手术患者中，正装和手术服的偏好相同（p<0.001），但商务装和便服没有统计学上的显著差异。患者对男性正式着装医生在外科医生的信心、讨论机密信息的意愿和安全性方面的偏好分别为76.2%、75.7%和70.5%，对于女性外科医生，手术服在手术患者对外科医生的信心、安全性和讨论机密信息的意愿方面分别为74.9%、73.8%和71.8%。
医生着装是激发手术患者对医生的信心、干练、手术技能、讨论机密信息和关怀能力的重要因素之一。正装和手术服是医生最受欢迎的着装。
