RESUMO
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.
Assuntos
Luvas Cirúrgicas , Mãos/fisiologia , Destreza Motora , Procedimentos Cirúrgicos Operatórios , Tato , Patógenos Transmitidos pelo Sangue , Infecção Hospitalar/prevenção & controle , Feminino , Humanos , Modelos Lineares , Masculino , Método de Monte Carlo , Análise e Desempenho de TarefasAssuntos
Hipersensibilidade ao Látex , Efeitos Psicossociais da Doença , Reações Cruzadas , Serviços Médicos de Emergência , Hipersensibilidade Alimentar , Luvas Protetoras , Humanos , Hipersensibilidade ao Látex/induzido quimicamente , Hipersensibilidade ao Látex/classificação , Hipersensibilidade ao Látex/diagnóstico , Hipersensibilidade ao Látex/economia , Hipersensibilidade ao Látex/epidemiologia , Saúde Ocupacional , Pós , Prevalência , Estados Unidos/epidemiologiaRESUMO
Perioperative nurses are empowered to act as patient advocates. As such, it is their responsibility to critically evaluate all products used in the surgical environment, including gloves. A basic understanding of the history of surgical gloves, health issues associated with their use, glove materials, and the essential properties of hand scrubs can help perioperative nurses choose appropriate products. This article explores these issues so that nurses and other health care workers can develop a framework for making informed decisions based on clinical reasoning.