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The Effect of Glove Changing during Surgery for Colon Cancer

대장암수술 시 장갑교환의 효과

  • Park, Eunji (Konkuk University Hospital Operating Room) ;
  • Ham, Eunmi (Department of Nursing, Konkuk University)
  • Received : 2013.08.20
  • Accepted : 2014.02.24
  • Published : 2014.02.28

Abstract

Purpose: The purpose of this study was to explore the effect of glove changing during surgery for colon cancer on reducing the degree of contamination of surgical gloves. Methods: The randomized posttest control group design was used. Total 72 surgeries of colon cancer in the K University Hospital in Seoul performed by the team of A-Surgeon and B-Scrub nurse were randomly assigned to one of the three groups. Glove changing with single-gloved state was implemented in the Experimental Group I and outer glove changing with double-gloved state was executed in the Experimental Group II. Single-gloved state was carried in the Control Group. Following the surgical procedure, specimens for bacterial culture were collected the from scrub nurse's gloves to compare the degree of contamination among the three groups. Data were analyzed with One-way ANOVA and the Scheff$\acute{e}$'s multiple comparison test. Results: The degrees of contamination of the Experimental Group I and II were significantly lower than that of the Control Group. There was no significant difference between Experimental Group I and II. Conclusion: Glove changing during surgery with either single or double-gloved state is effective in reducing the degree of contamination of surgical gloves, therefore these methods should be utilized in clinical practice.

Keywords

References

  1. Al-Maiyah, M., Bajwa, A., Finn, P., Mackenney, P., Hill, D., & Port, A. (2005). Glove perforation and contamination in primary total hip arthroplasty. Journal of Bone & Joint Surgery, 87(4), 556-559. http://dx.doi.org/10.1302/0301-620X.87B4.15744
  2. ASTM, West Conshohocken (2009, February). ASTM D3577-09e1: Standard specification for rubber surgical gloves. Retrieved January 10, 2011, from ASTM International Web site: http://www.astm.org/Standards/D3577.htm
  3. Beldame, J., Lagrave, B., Lievain, L., Lefebvre, B., Frebourg, N., & Dujardin, F. (2012). Surgical glove bacterial contamination and perforation during total hip arthroplasty implantation: When gloves should be changed. Orthopaedics & Traumatology: Surgery & Research, 98(4), 432-440. http://dx.doi.org/10.1016/j.otsr.2011.10.015
  4. Chapin, D. W. (2007). Surgical gloves: Make the right choice. OR Nurse, 1(6), 13-14.
  5. Cho, O. Y., & Yoon, H. S. (2004). Effect of the exchange of saline used in surgical procedures on surgical site infection. Journal of Korean Academy of Nursing, 34(3), 467-476.
  6. Cohen, J. (1988). Statistical power analysis for the behavioral sciences(2nd ed.). New Jersey: Lawrence Erlbaum Associates.
  7. Daeschlein, G., Kramer, A., Arnold, A., Ladwig, A., Seabrook, G. R., & Edmiston, C. E. Jr. (2011). Evaluation of an innovative antimicrobial surgical glove technology to reduce the risk of microbial passage following intraoperative perforation. American Journal of Infection Control, 39(2), 98-103. http://dx.doi.org/10.1016/j.ajic.2010.05.026
  8. Daniels, R., & Nicoll, L. H. (2011). Contemporary medical-Surgical nursing (8th ed.). Philadelphia: W. B. Saunders.
  9. Dawson-Bowling, S., Smith, J., Butt, D., Cottam, H., Umasankar, S., & Armitage, A. (2011). Should outer surgical gloves be changed intraoperatively before orthopaedic prosthesis implantation? Journal of Hospital Infection, 78(2), 156-157. http://dx.doi.org/10.1016/j.jhin.2011.02.014
  10. Ellis, H. (2010). Surgical gloves. Journal of Perioperative Practice, 29(6), 219-220.
  11. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). $G^*Power$ 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175-191. https://doi.org/10.3758/BF03193146
  12. Guo, Y. P., Wong, P. M., Li, Y., & Or, P. P. (2012). Is double-gloving really protective? A comparison between the glove perforation rate among perioperative nurses with single and double gloves during surgery. American Journal of Surgery, 204(2), 210-215. http://dx.doi.org/10.1016/j.amjsurg.2011.08.017
  13. Harnoss, J. C., Parteck, L. I., Heidecke, C. D., Jubner, N. O., Kramer, A., & Assadian, O. (2010). Concentration of bacteria passing through puncture holes in surgical gloves. American Journal of Infection Control, 38(2), 154-158. http://dx.doi.org/10.1016/j.ajic.2009.06.013
  14. Hubner, N. O., Goerdt, A. M., Stanislawski, N., Assadian, O., Heldecke, C. D., Kramer, A., et al. (2010). Bacterial migration through punctured surgical gloves under real surgical conditions. BMC Infectious Diseases, 1(10), 192. http://dx.doi.org/10.1186/1471-2334-10-192
  15. Kaya, I., Ugras, A., Sungur, I., Yilmaz, M., Korkmaz, M., & Cetinus, E. (2012). Glove perforation time and frequency in total hip arthroplasty procedures. Acta Orthopaedic et Traumatolotica Turcica, 46(1), 57-60. http://dx.doi.org/10.3944/AOTT.2012.2660
  16. Kim, E. J., & Koh, M. S. (2012). Character analysis that influences to surgical gloves punctures. Journal of Korean Clinical Nursing Research, 18(1), 99-110.
  17. Kim, J. B., Lee, H. Y., Kim, Y. K., Ryu, J. G., Eom, Y. B., Lee, D. S., et al. (2012). Pathogenic microbiology. Seoul: Life Science.
  18. Lancaster, C., & Duff, P. (2007). Single versus double-gloving for obstetric and gynecologic procedures. American Journal of Obstetrics & Gynecology, 196(5), 36-37. http://dx.doi.org/10.1016/j.ajog.2006.08.045
  19. McCue, S. F., Berg, E. W., & Saunders, E. A. (1981). Efficacy of double-gloving as a barrier to microbial contamination during total joint arthroplasty. Journal of Bone and Joint Surgery, 63(5), 811-813.
  20. Misteli, H., Weber, W. P., Reck, S., Rosenthal, R., Zwahlen, M., Fueglistaler, P., et al. (2009). Surgical glove perforation and the risk of surgical site infection. Archives of Surgery, 144(6), 553-558. http://dx.doi.org/10.1001/archsurg.2009.60
  21. Punyatanasakchai, P., Chittacharoen, A., & Ayudhya, N. I. (2004). Randomized controlled trial of glove perforation in single- and double-gloving in episiotomy repair after vaginal delivery. Journal of Obstetrics and Gynaecology Research, 30(5), 354-357. http://dx.doi.org/10.1111/j.1447-0756.2004.00208.x
  22. Thomas, S., Agarwal, M., & Mehta, G. (2001). Intraoperative glove perforation - Single versus double gloving in protection against skin contamination. Postgraduate Medical Journal, 77(909), 458-460. http://dx.doi.org/10.1136/pmj.77.909.458
  23. Yoo, S. J., Lim, Y. S., & Kim, M. S. (2010). Incidence and risk factors for surgical glove perforation. Journal of Korean Clinical Nursing Research, 16(3), 63-71.

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