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수술장갑의 천공에 영향을 미치는 특성 분석

Character Analysis that influences to Surgical Gloves Punctures

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주제분류간호학

초록

Purpose: The purpose of this study was to examine the puncture incidence of surgical gloves in an operational setting. Methods: The 277 surgical gloves were used collecting at one general hospital located in Seoul from February 1, 2011 to April 3. The data were analyzed by x2 test, Fisher's exact test, and multiple logistic regression. Results: In the dental and orthopedic department, the puncture incidence were significantly higher than others. The time of wearing gloves demonstrated significant difference: The group 181-240 minutes had a significantly higher than those with under 90, 91-180, or over 240 minutes. The influencing factors were as follows. Compared to that of the 2nd assistants, the puncture incidence rates of the surgeons were 9.91 times, scrub nurses were 8.39 times higher respectively. The participants in work experience under 1 year showed a 4.58times higher than those with over 7 years. In addition, compared to the puncture incidence rate of neurosurgery department, the 17.41 times in cardio-thoracic surgery, 13.89 times in dental surgery, 4.93 times in gynecology,and 4.97 times in orthopedics higher respectively. Conclusion: There is a need for training operational room personnels to occasionally exchange the gloves even during the procedure and to use double surgical gloves.

Abstract

Purpose: The purpose of this study was to examine the puncture incidence of surgical gloves in an operational setting. Methods: The 277 surgical gloves were used collecting at one general hospital located in Seoul from February 1, 2011 to April 3. The data were analyzed by x2 test, Fisher's exact test, and multiple logistic regression. Results: In the dental and orthopedic department, the puncture incidence were significantly higher than others. The time of wearing gloves demonstrated significant difference: The group 181-240 minutes had a significantly higher than those with under 90, 91-180, or over 240 minutes. The influencing factors were as follows. Compared to that of the 2nd assistants, the puncture incidence rates of the surgeons were 9.91 times, scrub nurses were 8.39 times higher respectively. The participants in work experience under 1 year showed a 4.58times higher than those with over 7 years. In addition, compared to the puncture incidence rate of neurosurgery department, the 17.41 times in cardio-thoracic surgery, 13.89 times in dental surgery, 4.93 times in gynecology,and 4.97 times in orthopedics higher respectively. Conclusion: There is a need for training operational room personnels to occasionally exchange the gloves even during the procedure and to use double surgical gloves.

참고문헌 (25)

  1. 안유진, "일반외과 환자의 수술부위 감염 관련 요인 분석", 기본간호학회지, 12(1), pp.113~120 (2005), 기본간호학회
  2. 유선주, "수술용 장갑의 천공률에 대한 연구", 임상간호연구, 16(3), pp.63~71 (2010), 병원간호사회
  3. 윤혜상, "외과적 손씻기 및 외과용 장갑의 천공율에 대한 연구", 대한간호학회지, 25(4), pp.653~667 (1995)
  4. 정영일, "복부 수술 후 수술부위 감염 발생의 위험인자", 대한외과학회지, 75(3), pp.177~183 (2008), 대한외과학회
  5. Ballard R. M., "Get a grip on navigating surgical glove choices", Materials Management in Health Care, 18(11), pp.18~21 (2009)
  6. Bennett, B., "The effect of double gloving on frequency of glove perforations", Obstetrics & Gynecology, 78(6), pp.1019~1022 (1991)
  7. Demircay, E., "Glove perforation in hip and knee arthroplasty", Journal of Orthopaedic Science, 15(6), pp.790~794 (2010)
  8. European Committee for Standardization, "Medical gloves for single use. Part 1: Requirements and testing for freedom from holes", EN 455-1, ~ (2000)
  9. Hansen, M. E., "Occult glove perforations: Frequency during interventional radiologic procedures", American Journal of Roentgenology, 159(1), pp.131~135 (1992)
  10. Harnoβ, J. C., "Concentration of bacteria passing through puncture holes in surgical gloves", American Journal of Infection Control, 38(2), pp.154~158 (2010)
  11. Hopper, W. R., "Common breaks in sterile technique: Clinical perspectives and perioperative implications", Association of periOperative Registerd Nurses Journal, 91(3), pp.350~364 (2010)
  12. Hübner N. O., "Bacterial migration through punctured surgical gloves under real surgical conditions", BMC Infections Diseases, 10, pp.192~ (2010)
  13. Kao, L. S., "Reliability of superficial surgical site infections as a hospital quality measure", Journal of the American College of Surgeons, 213(2), pp.231~235 (2011)
  14. Laine, T., "How often does glove perforation occur in surgery? Comparison between single gloves and a double-gloving system", The American Journal of Surgery, 181(6), pp.564~566 (2001)
  15. Laine, T., "Glove perforations in open and laparoscopic abdominal surgery: The feasibility of double gloving", Scandinavian Journal of Surgery, 93(1), pp.73~76 (2004)
  16. Lancaster, C., "Single versus double- gloving for obstetric and gynecologic procedures", American Journal of Obstetrics & Gynecology, 196(5), pp.e36~e37 (2007)
  17. Misteli, H., "Surgical glove perforation and the risk of surgical site infection", Archives of Surgery, 144(6), pp.553~558 (2009)
  18. Partecke, L. I., "Incidence of microperforation for surgical gloves depends on duration of wear", Infection Control and Hospital Epidemiology, 30(5), pp.409~414 (2009)
  19. Tanner, J., "Choosing the right surgical glove: An overview and update", British Journal of Nursing, 17(12), pp.740~744 (2008)
  20. Tanner, J., "Double gloving to reduce surgical cross-infection (Review)", Cochrane Database of Systematic Reviews, 3, pp.1~40 (2006)
  21. Thomas, S., "Intraoperative glove perforation-single versus double gloving in protection against skin contamination", Postgraduate Medical Journal, 77(909), pp.458~460 (2001)
  22. Thomas, S., "Unsuitability and highperforation rate of late-free gloves in arthroplasty: Acause for concern", Archives of Orthopaedic and TraumaSurgery, 131(4), pp.455~458 (2011)
  23. Thomas-Copeland, J., "Do surgical personnel really need to double-glove?", Association of periOperative Registerd Nurses Journal, 89(2), pp.322~328 (2009)
  24. Yinusa, W., "Glove punctures in orthopaedic surgery", International Orthopaedics, 28(1), pp.36~39 (2004)
  25. Kojima, Y., "Unnoticed glove perforation during thoracoscopic and open thoracic surgery", The Annals of Thoracic Surgery, 80(3), pp.1078~1080 (2005)

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