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“倘若它不只是一件衣物呢?”——老年护理背景下白大褂的叙事性综述与综合分析

"What if It's not Just an Item of Clothing?" - A Narrative Review and Synthesis of the White Coat in the Context of Aged Care.

作者信息

Crutzen Coline, Adam Stéphane

机构信息

Psychology of Aging Unit, University of Liège (B63C), Liège, Belgium.

出版信息

Psychol Belg. 2022 Feb 23;62(1):62-74. doi: 10.5334/pb.1138. eCollection 2022.

Abstract

Although increasingly disputed, the white coat uniform is ubiquitous in geriatric care, which may reflect a phenomenon called medicalisation of ageing. This narrative review is the first attempt at integrating several theoretical approaches, such as the "white coat effect" and "enclothed cognition", in order to gain a comprehensive understanding of the use of this clothing item. Based on extensive empirical evidence, we will examine the consequences of wearing a uniform, not only on patients (in this case, older patients) and healthcare professionals, but also on their relationship. The white coat has powerful symbolic functions for healthcare professionals and is still preferred by older adults. However, the negative repercussions of wearing a uniform require us to question its use, particularly in environments where older persons live, such as nursing homes.

摘要

尽管存在越来越多的争议,但白大褂在老年护理中无处不在,这可能反映了一种被称为衰老医学化的现象。这篇叙述性综述首次尝试整合多种理论方法,如“白大褂效应”和“着装认知”,以便全面理解这种服装的使用情况。基于大量的实证证据,我们将研究穿着制服的后果,不仅对患者(在这种情况下是老年患者)和医护人员的影响,还包括对他们之间关系的影响。白大褂对医护人员具有强大的象征功能,并且仍然受到老年人的青睐。然而,穿着制服的负面影响要求我们对其使用提出质疑,尤其是在老年人居住的环境中,如养老院。

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