Influence of Double-Gloving on Manual Dexterity and Tactile Sensation of Surgeons
Influence of Double-Gloving on Manual Dexterity and Tactile Sensation of Surgeons
复制标题
DOI：
10.1016/j.jamcollsurg.2009.11.001
复制
发表时间：
2010-03-01
影响因子：
5.2
通讯作者：
Twomey, Carolyn L.
中科院分区：
文献类型：
--
作者：
Fry, Donald E.;Harris, W. Edwin;Twomey, Carolyn L.
背景技术背景：已证明在外科手术中戴双手套可减少手术团队成员手部血液接触的频率。研究设计：53名外科医生和外科医生在培训志愿者在美国外科医生学院的临床大会，并进行了研究，使用普渡钉板测试和标准的2点辨别力测试，比较没有手套，一双手套，双手套的手的灵活性和触觉灵敏度。确定了分类变量和连续变量，计算了一般线性预测模型，并将手套状态的影响作为自变量进行了分析。结果：性别、专业、利手对预测模型无影响。考虑到年龄对评分变异的影响（p < 0.001），手套状态不影响灵巧性表现评分（p = 0.57）。比较食指的尺侧和桡侧表面的2点辨别，在试验之间没有检测到差异（p < 0.66），也没有检测到与手套状态的相互作用效应（p = 0.40）。Monte Carlo模拟验证了明显缺乏的differences.CONCLUSIONS：双手套不具有实质性的影响，手动灵巧性或触觉灵敏度相比，没有手套或单手套在这项研究中。（美国科尔外科杂志2010;210：325-330。(C)2010年美国外科医生学会）
BACKGROUND: Double-gloving in the performance of surgical procedures has been demonstrated to reduce the frequency of blood contact with the hands of members of the surgical team. Concerns persist that double-gloving can compromise the dexterity and tactile sensitivity of the surgeon.STUDY DESIGN: Fifty-three surgeons and surgeons-in-training volunteered at the Clinical Congress of the American College of Surgeons and were studied using the Purdue Pegboard test and a standard 2-point discrimination test to compare no gloves, a single pair of gloves, and double-gloving on manual dexterity and tactile sensitivity. Categorical and continuous variables were identified, general linear prediction models were computed, and the influence of glove status was analyzed as an independent variable. Monte Carlo simulation was employed to validate conclusions.RESULTS: Gender, specialty, and handedness did not affect prediction models. Glove status did not affect dexterity performance scores (p = 0.57) after accounting for the influence of age on score variation (p < 0.001). Comparing ulnar and radial surfaces of the index finger for 2-point discrimination, no difference was detected between trials (p < 0.66), nor was an interaction effect detected with glove status (p = 0.40). Monte Carlo simulations validated the apparent absence of differences.CONCLUSIONS: Double-gloving does not have a substantial impact on manual dexterity or tactile sensitivity when compared with no gloves or single-gloving in this study. (J Am Coll Surg 2010;210:325-330. (C) 2010 by the American College of Surgeons)