Volume 20 Issue 7
Jul.  2022
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(7): 1240-1243
ZHU Rong-rong, CHEN Rong-zhu, PENG Cheng, WANG Gui-hong, WANG Wen-ji, JIANG Qin-qin. Design of surgical drapes for bladder lithotomy position and its application value[J]. Chinese Journal of General Practice, 2022, 20(7): 1240-1243. doi: 10.16766/j.cnki.issn.1674-4152.002567
Citation: ZHU Rong-rong, CHEN Rong-zhu, PENG Cheng, WANG Gui-hong, WANG Wen-ji, JIANG Qin-qin. Design of surgical drapes for bladder lithotomy position and its application value[J]. Chinese Journal of General Practice, 2022, 20(7): 1240-1243. doi: 10.16766/j.cnki.issn.1674-4152.002567
shu

Design of surgical drapes for bladder lithotomy position and its application value

doi: 10.16766/j.cnki.issn.1674-4152.002567

  • Operating Room, the First Affiliated Hospital of USTC, Hefei, Anhui 230001, China

Funds:

 202004j07020016

  • Received Date: 2021-09-02
    Available Online: 2022-09-23
    Abstract
  •   Objective  The surgical drapes for bladder lithotomy position are designed to meet the needs of precise operation support, save cost and reduce draping time.  Methods  A surgical drape for bladder lithotomy position was designed, created and compared with traditional surgical drapes. A total of 100 cases of patients requiring bladder lithotomy in the Department of Gynaecology, The First Affiliated Hospital of USTC from May 2020 to December 2020 were selected as the research objects. Fifty cases were randomly chosen as the control group and another 50 cases as the observation group. The two groups of surgical kits were compared in terms of time spent on the draping, cost of consumables used, number of shifts of the dressing during operation and time of added draping and number of tool drops in the two groups.  Results  The total laying time of the observation group was 5 339 s (no added draping required), shorter than that of the control group, which was 8 683 s (total of 9 106 s with additional 423 s for the added draping due to intraoperative overlays). The difference was statistically significant (P < 0.001). The number of intraoperative overlays in the observation group was 0, significantly less than that in the control group, which was 11, and the difference was statistically significant (P < 0.001). The number of tool drops in the observation group was only 2, less than 5 in the control group, with no statistical difference (P>0.05).  Conclusion  The proposed surgical drape design for bladder lithotomy position exhibits an integrated configuration with separate areas for clean and dirty tools during surgical operation. It is flat and beautiful in appearance, easy to operate, hassle free and cost saving. The special bagging design makes it possible to separate clean and dirty areas, thus reducing the chances of tool dropping and avoiding infection on surgery. In addition, the unique "time out" design enhances strict inspections from all three parties involved, which contributes to ensuring patient safety. Therefore, the proposed design is worthy of promotion and application.

     

    • FullText(HTML)
  • loading
    • References(22)
  • [1]
    张天骄, 吴大保, 张爱君, 等. 腹腔镜和经腹手术治疗妊娠合并卵巢囊肿患者的临床比较[J]. 中华全科医学, 2018, 16(9): 1483-1486. doi: 10.16766/j.cnki.issn.1674-4152.000405

    ZHANG T J, WU D B, ZHANG A J, et al. Clinical comparison of laparoscopic and abdominal surgery in the treatment of pregnant patients with ovarian cysts[J]. Chinese Journal of General Medicine, 2018, 16(9): 1483-1486. doi: 10.16766/j.cnki.issn.1674-4152.000405
    [2]
    郭爱军, 鲁明典, 周波. 手助腹腔镜在胃癌根治术中的应用[J]. 中华全科医学, 2021, 19(7): 1099-1102. doi: 10.16766/j.cnki.issn.1674-4152.001994

    GUO A J, LU M D, ZHOU B. The application of hand-assisted laparoscopic D2 radical gastrectomy[J]. Chinese Journal of General Practice, 2021, 19(7): 1099-1102 doi: 10.16766/j.cnki.issn.1674-4152.001994
    [3]
    刘新莲, 常后婵, 别逢桂, 等. 腔镜下分腿式手术洞巾的设计与应用[J]. 护理学杂志, 2018, 33(4): 40-41. doi: 10.3870/j.issn.1001-4152.2018.04.040

    LIU X L, CHANG H C, BIE F G, et al. Designing and application of a tail-slitted surgical drape[J]. Journal of Nursing Science, 2018, 33(4): 40-41. doi: 10.3870/j.issn.1001-4152.2018.04.040
    [4]
    高江美, 谢珠红, 钟爱英. 改良型截石位应用在接台妇科腔镜手术中的效果评价[J]. 浙江临床医学, 2018, 20(5): 951-952.

    GAO J M, XIE Z H, ZHONG A Y. Effect evaluation of modified lithotomy position in gynecological laparoscopic surgery[J]. Zhejiang Clinical Medical Journal, 2018, 20(5): 951-952.
    [5]
    李乐之, 路潜. 外科护理学[M]. 6版. 北京: 人民卫生出版社, 2017: 78-80.

    LI L Z, LU Q. Surgical Nursing[M]. 6th edition. Beijing: People' s Health Publishing House, 2017: 78-80.
    [6]
    黄倩, 王宏梗, 张小路, 等. 长纤聚酯布与棉织布手术铺巾术中细菌阻隔性能[J]. 中华医院感染学杂志, 2020, 30(22): 3512-3515. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHYY202022034.htm

    HUANG Q, WANG H G, ZHANG X L, et al. Analysis of antibacterial performance of long fiber polyester cloth and cotton cloth during operation[J]. Chinese Journal of Nosocomiology, 2020, 30(22): 3512-3515. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHYY202022034.htm
    [7]
    钟弦弦, 金盈盈, 冯冬梅. 你知道吗?一款专业的手术洞巾, 在手术中有多重要[J]. 东方养生, 2021(6): 70-71. https://www.cnki.com.cn/Article/CJFDTOTAL-FSDF202106041.htm

    ZHONG X X, JIN Y Y, FENG D M. Did you know? How important is a professional surgical drape in surgery[J]. Oriental Health, 2021(6): 70-71. https://www.cnki.com.cn/Article/CJFDTOTAL-FSDF202106041.htm
    [8]
    刘舟芸. 基于溯源分析的体位改良管理在妇科腹腔镜患者手术体位并发症预防中的应用分析[J]. 中国药物与临床, 2020, 20(1): 153-156. https://www.cnki.com.cn/Article/CJFDTOTAL-YWLC202001073.htm

    LIU Z Y. Application analysis of postural improvement management based on traceability analysis in the prevention of postoperative postural complications of gynecological laparoscopic patients[J]. Chinese Remedies & Clinics, 2020, 20(1): 153-156. https://www.cnki.com.cn/Article/CJFDTOTAL-YWLC202001073.htm
    [9]
    黄仟英, 骆秀, 李美霞. 供应室超标敷料包对压力蒸汽灭菌效果的影响[J]. 卫生职业教育, 2017, 35(7): 155-156. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDYX201707089.htm

    HUANG Q Y, LUO X, LI M X. Influence of over-standard dressing packs in the supply room on the effect of pressure steam sterilization[J]. Health Vocational Education, 2017, 35(7): 155-156. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDYX201707089.htm
    [10]
    于美华, 郑晓丽, 何丽云, 等. 不同温度碘伏皮表消毒效果的研究[J]. 实用临床护理学电子杂志, 2018, 3(32): 113-114. doi: 10.3969/j.issn.2096-2479.2018.32.091

    YU M H, ZHENG X L, HE L y, et al. The research on different temperatures iodophor onskinsurface disinfection[J]. Journal of Clinic Nursing's Practicality, 2018, 3(32): 113-114. doi: 10.3969/j.issn.2096-2479.2018.32.091
    [11]
    魏渝湘, 黄寨, 蒋松云, 等. 新型手术切口单与传统手术切口单的临床应用效果比较[J]. 中国临床新医学, 2017, 10(8): 809-811. doi: 10.3969/j.issn.1674-3806.2017.08.31

    WEI Y X, HUANG Z, JIANG S Y, et al. Comparison of clinical application effect of new surgical incision drape and traditional surgical incision drape[J]. Chinese Journal of New Clinical Medicine, 2017, 10(8): 809-811. doi: 10.3969/j.issn.1674-3806.2017.08.31
    [12]
    胡国庆, 陆烨, 李晔. 手术室医院感染预防与控制管理要求[J]. 中国消毒学杂志, 2019, 36(2): 142-146. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXD201902021.htm

    HU G Q, LU Y, LI Y. Management requirements for hospital infection prevention and control in operating room[J]. Chinese Journal of Disinfection, 2019, 36(2): 142-146. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXD201902021.htm
    [13]
    吴耀娟, 雷春芳, 黄婉玲, 等. 护理专案在降低关节镜手术冲洗液对术野手术单及病人皮肤的浸湿率中的应用[J]. 全科护理, 2021, 19(10): 1375-1377. doi: 10.12104/j.issn.1674-4748.2021.10.023

    WU Y J, LEI C F, HUANG W L, et al. The application of nursing project in reducing the wetting rate of arthroscopic surgical rinsing solution to surgical field and patient's skin[J]. Chinese General Practice Nursing, 2021, 19(10): 1375-1377. doi: 10.12104/j.issn.1674-4748.2021.10.023
    [14]
    杨越, 熊林平, 朱燕刚. 单病种患者住院及补偿状况分析: 以陕西省某县为例[J]. 中华全科医学, 2018, 16(4): 650-653. doi: 10.16766/j.cnki.issn.1674-4152.000179

    YANG Y, XIONG L P, ZHU Y G. Analysis of hospitalization and medicare payments of monopathy patients: A case study of a county in Shaanxi province[J]. Chinese Journal of General Practice, 2018, 16(4): 650-653. doi: 10.16766/j.cnki.issn.1674-4152.000179
    [15]
    夏菲, 薛满全, 张佳, 等. 某大型三级公立医院在DRGs付费形势下医院管理探索[J]. 现代医院管理, 2021, 19(1): 73-75. https://www.cnki.com.cn/Article/CJFDTOTAL-GLYY202101021.htm

    XIA F, XUE M Q, ZHANG J, et al. Exploration of hospital management in a large-scale public hospital of grade three under DRG payment[J]. Modern Hospital Management, 2021, 19(1): 73-75. https://www.cnki.com.cn/Article/CJFDTOTAL-GLYY202101021.htm
    [16]
    李小瑜, 狄雪平. DRGs付费方式下的公立医院成本管理[J]. 财经界, 2021(15): 185-186. https://www.cnki.com.cn/Article/CJFDTOTAL-CJJI202115092.htm

    LI X Y, DI X P. Cost management of public hospitals under DRGs payment method[J]. Money China, 2021(15): 185-186. https://www.cnki.com.cn/Article/CJFDTOTAL-CJJI202115092.htm
    [17]
    李华, 夏于欣, 王西. 手术室非计价耗材基于价格标识的综合管理[J]. 护理学报, 2018, 25(20): 8-9. https://www.cnki.com.cn/Article/CJFDTOTAL-NFHL201820003.htm

    LI H, XIA Y X, WANG X. Comprehensive management of non-priced consumables in operating room based on price identification[J]. Journal of Nursing, 2018, 25(20): 8-9. https://www.cnki.com.cn/Article/CJFDTOTAL-NFHL201820003.htm
    [18]
    赵洪莹. DRG医保支付改革下的医院精益管理[J]. 经济研究导刊, 2021(20): 137-139. https://www.cnki.com.cn/Article/CJFDTOTAL-JJYD202120041.htm

    ZHAO H Y. Hospital lean management under the reform of DRG medical insurance payment[J]. Economig Rfsearch Cuide, 2021(20): 137-139. https://www.cnki.com.cn/Article/CJFDTOTAL-JJYD202120041.htm
    [19]
    LYONS V E, POPEJOY L L. Time-Out and checklists: A survey of rural and urban operating room personnel[J]. J Nurs Care Qual, 2017, 32(1): E3-E10.
    [20]
    瞿佳, 尹志良, 赵勤, 等. 提高手术切皮前Time-out正确执行率[J]. 中国卫生质量管理, 2018, 25(5): 89-91, 110. https://www.cnki.com.cn/Article/CJFDTOTAL-WSJG201805034.htm

    QU J, YIN Z L, ZHAO Q, et al. Improving the correct execution rate of time-out before surgical incision[J]. Chinese Health Quality Management, 2018, 25(5): 89-91, 110. https://www.cnki.com.cn/Article/CJFDTOTAL-WSJG201805034.htm
    [21]
    戚小霞, 吕树卿. 宫腔镜刨削系统治疗育龄妇女子宫内膜息肉临床观察[J]. 山东医药, 2020, 60(22): 82-84. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYY202022022.htm

    QI X X, LV S Q. Clinical observation of hysteroscopic planing system in treatment of endometrial polyps in women of childbearing age[J]. Shandong Medical Journal, 2020, 60(22): 82-84. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYY202022022.htm
    [22]
    熊中雨, 易凤琼, 曾彦超. 手术铺巾系统的现状研究进展[J]. 中国实用护理杂志, 2019, 35(32): 2552-2556.

    XIONG Z Y, YI F Q, ZENG Y C. Analysis of the current situation of surgical drape system[J]. Chinese Journal of Practical Nursing, 2019, 35(32): 2552-2556.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(4)  / Tables(2)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (270) PDF downloads(3) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return