Background: 

The standard of care for patients undergoing a surgical procedure is to have patients remove all clothing and don a hospital-provided gown. A growing number of patients have anxiety when exposing their bodies in a medical setting, which increases stress for those patients.

Methods: 

This study prospectively enrolled patients at a single orthopaedic specialty hospital into 1 of 2 garment groups in a block-randomized design. Patients were asked to remove all clothing; 100 patients received the standard-of-care gown only, and 100 patients received the standard-of-care gown plus a single-use undergarment designed with retractable panels and a releasable waistband. Patients completed surveys evaluating their levels of anxiety with regard to exposing their bodies in a medical setting.

Results: 

There were 181 subjects (91%) who completed the preoperative surveys and 166 subjects (83%) who completed the post-discharge surveys. Fifty-seven subjects (31%) reported being uncomfortable exposing their private, intimate parts in a medical setting, and 39 subjects (22%) reported experiencing stress and/or anxiety related to body exposure. Ninety-seven patients (54%) agreed or strongly agreed that protecting their personal modesty is important when undergoing a medical procedure. More patients in the undergarment group agreed or strongly agreed that the garments provided by the hospital met their expectation for privacy (80 patients [87%]), compared with the standard-of-care group (65 patients [73%]) (p = 0.025). Patients in the undergarment group (36 patients [39%]) were more likely than those in the standard-of-care group (16 patients [18%]) to strongly agree that they were satisfied with the hospital-provided garments (p = 0.028). When asked if the hospital-provided garments would influence their choice of hospital, patients in the undergarment group agreed or strongly agreed 3 times as often (19%) as the standard-of-care group (6.6%) (p = 0.06).

Conclusions: 

Exposure-related stress and/or anxiety are experienced by a substantial percentage of surgical patients, and the majority consider protection of their personal modesty in a medical setting to be important. The use of medical undergarments to protect modesty significantly increased levels of patient satisfaction.

Level of Evidence: 

Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.

中文翻译：

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手术期间暴露相关的焦虑和提高患者对医用内衣的满意度：一项随机对照试验

背景： 

接受外科手术的患者的护理标准是让患者脱掉所有衣服并穿上医院提供的长袍。越来越多的患者在医疗环境中暴露自己的身体时会感到焦虑，这增加了这些患者的压力。

方法： 

本研究前瞻性地将一家骨科专科医院的患者纳入 2 个服装组中的 1 个，采用区组随机设计。要求患者脱掉所有衣服；100 名患者仅收到标准护理袍，100 名患者收到标准护理袍以及设计有可伸缩面板和可释放腰带的一次性内衣。患者完成了调查，评估他们在医疗环境中暴露身体时的焦虑程度。

结果： 

181名受试者（91%）完成了术前调查，166名受试者（83%）完成了出院后调查。57 名受试者 (31%) 报告说在医疗环境中暴露他们的私人私密部位感到不舒服，39 名受试者 (22%) 报告说经历了与身体暴露相关的压力和/或焦虑。97 名患者 (54%) 同意或强烈同意在接受医疗程序时保护他们的个人谦虚是很重要的。与护理标准组（65 名患者 [73%]）相比，内衣组更多的患者同意或强烈同意医院提供的服装符合他们对隐私的期望（80 名患者 [87%]）（p = 0.025)。内衣组的患者（36 名患者 [39%]）比标准护理组的患者（16 名患者 [18%]）更可能强烈同意他们对医院提供的服装感到满意（p = 0.028)。当被问及医院提供的服装是否会影响他们对医院的选择时，内衣组的患者同意或强烈同意的频率是标准护理组 (6.6%) 的 3 倍 (19%) (p = 0.06)。

结论： 

相当大比例的手术患者经历与暴露相关的压力和/或焦虑，并且大多数人认为在医疗环境中保护他们的个人谦虚是很重要的。使用医用内衣来保护谦虚显着提高了患者的满意度。

证据等级： 

治疗一级。有关证据级别的完整描述，请参见作者说明。