Practice and attitudes regarding double gloving among staff surgeons and surgical trainees
Practice and attitudes regarding double gloving among staff surgeons and surgical trainees
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DOI：
10.1503/cjs.013616
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发表时间：
2018-08-01
影响因子：
2.5
通讯作者：
Grondin, Sean C.
中科院分区：
文献类型：
--
作者：
Lipson, Mark E.;Deardon, Rob;Grondin, Sean C.
背景：尽管有证据支持，但许多外科医生和外科实习生并不经常戴双层手套。我们进行了一项研究，以评估率和态度对双手套和眼睛保护的使用在手术室。方法：我们进行了一项电子调查，所有工作人员的外科医生和外科实习生在2个三级保健中心在阿尔伯塔2015年9月至11月。我们使用对数二项回归分析了二元结果的数据，以解释多个自变量和相互作用。对于2组比较，我们使用了2组检验的proportions.Results：响应率为34.3%（361/1051），205/698的工作人员外科医生（29.4%）和156/353的外科实习生（44.2%）回应。受训者比外科医生更有可能在手术室戴双手套（p = 0.01），并且经常这样做（p = 0.01）。外科医生比受训者更有可能从不戴双手套= 0.01）。共有300/353名受访者（85.0%）报告在手术室常规使用护目镜。针刺伤很常见（184名外科医生[92.5%]，115名实习医生[74.7%]）。减少触觉反馈，减少手动灵活性和不适/不适合被认为是障碍double gloving.Conclusion：率双手套留下改进的空间。外科实习生比外科医生更有可能戴双手套。外科医生和实习生之间的常规双重手套仍然存在障碍。加强关于戴双层手套的好处的教育和尽早采用这种做法可能会增加吸收。
Background: Despite supporting evidence, many staff surgeons and surgical trainees do not routinely double glove. We performed a study to assess rates of and attitudes toward double gloving and the use of eye protection in the operating room.Methods: We conducted an electronic survey among all staff surgeons and surgical trainees at 2 tertiary care centres in Alberta between September and November 2015. We analyzed the data using log-binomial regression for binary outcomes to account for multiple independent variables and interactions. For 2-group comparisons, we used a 2-group test of proportions.Results: The response rate was 34.3% (361/1051); 205/698 staff surgeons (29.4%) and 156/353 surgical trainees (44.2%) responded. Trainees were more likely than staff surgeons to ever double glove in the operating room (p = 0.01) and to do so routinely (p = 0.01). Staff surgeons were more likely than trainees to never double glove = 0.01). A total of 300/353 respondents (85.0%) reported using eye protection routinely in the operating room. Needle-stick injury was common (184 staff surgeons [92.5%], 115 trainees [74.7%]). Reduced tactile feedback, decreased manual dexterity and discomfort/poor fit were perceived barriers to double gloving.Conclusion: Rates of double gloving leave room for improvement. Surgical trainees were more likely than staff surgeons to double glove. Barriers remain to routine double gloving among staff surgeons and trainees. Increased education on the benefits of double gloving and early introduction of this practice may increase uptake.