Peoples Contemplating and Attitude About the White Coat of Physicians

Yıl 2010, Cilt: 17 Sayı: 1, 1 - 6, 01.02.2010

H. Meltem Sönmez Bilgehan Yollu Levent Sevinçok

Öz

Objective: Clothes are very functional on the effectiveness of the persons. It is not well investigated that the effect of the physician's white coat to their patient. Our aim was to find out the contemplating and attitude of peoples about the physician's white coat in Aydın City of Turkey. Method: We reached 443 people by a categorized and randomized sampling method at the hospitals and drugstores in Aydın City and around. We offered them to fill out a specific questioner. They would not be written their name on this questioner but all of them signed that form. Results: All people we reached are participated in our study. Their age were between the 15-87 (mean 37, 27±13, 17) years and they was 250 women (56,4%) and 193 (43,6%) men. While the 67,1% of them declared that they not effected by the white coat of their physicians, 49,2% of them declared that the white coat of their physicians were not important. In spite of this findings 65,4% of participants said “yes”, 25% of participants said “it's not matter” and 9,6% of them said “not” as an answer to our last question “must your physician wear white coat or not”. These findings were not different between the sex groups but we saw that the psychological effects of the white coat were increasing parallel with the educational level of the person. Conclusion: According to our results and the related literature, it is concluded that to conduct more detailed studies on this topic are needed. Kew Words: White Coat, Patient, Clinic, Hypertension, Physician

Anahtar Kelimeler

-

Hekimlerin Beyaz Önlük Giymesi Hakkında Halkın Düşünce ve Tutumları

Öz

Giriş: Giysi insanların birbirini etkilemesinde önemli bir işleve sahiptir. Hekimlerin beyaz önlük giymelerinin hastalarını nasıl etkilediği ülkemizde pek araştırılmamış bir konudur. Bu araştırmamızda, Aydın İli'ndeki hasta ve yakınlarının hekimlerin beyaz önlük giymesi konusundaki tutum ve davranışlarını ortaya çıkarmak amaçlanmıştır. Yöntem: Aydın İli'nde merkez ve çevre yerleşim birimlerindeki hastanelerle eczanelere gelen 443 kişiye tabakalanmış rastlantısal yöntemle ulaşıldı. Kendilerinden araştırmamızla ilgili tarafımızdan hazırlanmış bir sormaca belgesini doldurup imzalamaları istendi. İsim yazma zorunlu tutulmadı. Bulgular: Ulaşılan herkes araştırmaya katıldı. Bu 443 kişi 15-87 yaş arası, yaş ortalaması 37,27±13,17 olan, 250 bayan (%56,4) ve 193 erkekten (%43,6) oluşmuştur. Katılımcıların %67,1'i hekimlerinin beyaz önlük giymesinin ilişkilerini etkilemediğini söylerken %49,2'si hekimin beyaz önlük giymesinin bir şey farkettirmeyeceğini bildirdi. Buna rağmen “Doktorunuz beyaz önlük giymeli mi?” sorusuna, katılımcıların %65,4'ü giymeli diye yanıt verirken %25.0 farketmez ve %9,6'sının giymemeli diye yanıt verdiği görüldü. Bu konularda cinsler arasında bir düşünce farkı saptanmazken eğitim-öğretim düzeyi arttıkça beyaz önlükten etkilenirliğin arttığı gözlendi. Sonuç: Sonuçlarımız ve tıbbi yazıncadaki diğer bulgular uyarınca klinisyenlerin beyaz önlük giymelerinin etkileri konusunda daha ileri araştırmaların yapılması gerektiği kanısındayız. . Anahtar Kelimler: Beyaz Önlük, Hasta, Klinik, Hipertansiyon, Hekim

Anahtar Kelimeler

-

Kaynakça

• Blumhagen DW. The doctors’s white coat. Ann Intern Med 1979;91: 111-6.
• Gjerdingen DK, Simpson DE, Titus Sl. Patients’ and physicians’ attitudes regarding the physicians’ professional appearance. Arc Inter. Med 1987; 147: 1209-12.
• Cousin N. “A better Rx for patients”. Syndicated editorial column. Los Angels Times Syndicate April 1978.
• Anvik T. Doctors in a white coat - what do patients think and what do doctors do? Scand J Health Care, 1990; 8: 91-4.
• Menahem S, Shvartzman P. Is our dress important to our patients? Family Practice 1998; 15: 391-7.
• Verdecchia P. Prognostic value of ambulatory blood pressure: current evidence and clinical implications. Hypertension 2000; 35:844–51.
• Myers MG, Reeves RA. White coat phenomenon in patients receiving antihypertensive therapy. Am J Hypertens 1991; 4: 844– 9.
• Myers MG. The white coat effect in treated hypertension. Blood Press Monit 1996; 1: 247–9.
• MacDonald MB, Laing GP, Wilson MP, Wilson TW. Prevalence and predictors of white-coat response in patients with treated hypertension. CMAJ 1999; 161: 265–9.
• Little P, Barnett J, Barnsley L, Marjoram J, Fitzgerald-Berron A, Mant D. Comparison of agreement between different measures of blood pressure in primary care and daytime ambulatory blood pressure. BMJ 2002; 325: 254–9.
• Lardinois CK. 'White coat' hyperglycemia. Arch Fam Med 1994 3(5):461-4.
• Loh W, Ng V V, Holton J. Bacterial flora on the white coats of medical students. J Hosp Infecti, 2000; 45: 65–8.
• Balakrishnan RN, John RA, Stephen RM, Karen IH. Evidence- based physicians' dressing: a crossover trial. MJA 2002; 177 (11/12): 681-2.
• Keenum AJ, Wallace LS, Stevens AR. Patients' attitudes regarding physical characteristics of family practice physicians. South Med J 2003;96(12):1190-4.
• Harnett PR. Should doctors wear white coats ? Med J Aust 2001; 174: 343-344.
• Wong D, Nye K, Hollis P. Microbial flora on doctors' white coats. BMJ 1991; 303: 1602-4.
• Varghese D, Patel H. Hand washing: stethoscopes and white coats are sources of nosocomial infection. BMJ 1999; 319: 519.
• Dixon M. Neck ties as vectors for nosocomial infection. Intensive Care Med 2000; 26: 250.
• Biljan MM, Hart CA, Sunderland D, et al. Multicentre randomised double blind crossover trial on contamination of conventional ties and bow ties in routine obstetric and gynaecological practice. BMJ 1993; 307: 1582-4.
• Cha A, Hecht BR, Nelson K, Hopkins MP. Resident physician attire: does it make a difference to our patients? Am J Obstet Gynecol 2004;190(5):1484-8.
• Nair BR, Attia JR, Mears SR, Hitchcock KI. Evidence-based physicians' dressing: a crossover trial. Med J Aust 2002;177(11- 12):681-2.
• Gooden BR, Smith MJ, Tattersall SJ, Stockler MR. Hospitalised patients' views on doctors and white coats. Med J Aust 2001;175(4):219-22.
• Raichur DV, Deshpande RV, Chandragouda DK, Savitha D. Attire and appearance of pediatrician: parents'/guardians' opinion. Indian J Pediatr 2001;68(5):413-6.
• Ikusaka M, Kamegai M, Sunaga T, Narita N, Kobayashi H, Yonenami K, Watanabe M. Patients' attitude toward consultations by a physician without a white coat in Japan. Intern Med 1999;38:(7):533-6.
• Matsui D, Cho M, Rieder MJ. Physicians' attire as perceived by young children and their parents: the myth of the white coat syndrome. Pediatr Emerg Care 1998;14(3):198-201.