The effect on puncture of the USE of DOUBLE gloves in orthopedic surgery

Aim: Research was carried out to determine the effect of using double gloves on puncture in orthopedic surgery. Materials and Method: The randomized controlled experimental study was conducted between 30.11.2021 and 31.03.2022 in the Orthopedics and Traumatology operating room of a university hospital in western Turkey. The gloves used in the surgery were randomly divided into two groups (intervention: double glove group = 780 gloves, control: single glove group = 390). The presence of holes was checked by performing a water tightness test with the EN455-1 method on all gloves collected after the surgery by the researcher. Data were evaluated with descriptive statistics, Chi-square Test, Fisher Exact Test, Fisher Freeman Halton Test and linear model regression analysis (GLM for the Binomial Family Regression). Statistical significance was accepted as 0.05. Findings: It was detected in 6.7% holes in the inner glove of the intervention group and 30.8% in the control group glove. There was a statistically significant difference between the groups in terms of glove puncture of the intervention group's inner glove and the control group. A statistically significant difference was determined between the groups in terms of the puncture status of the inner gloves (2=37,229, p<0,001). It was observed that there were 0.22 (0.12-0.38) times less holes in the gloves in the intervention group compared to the ones in the control group. When the nurse is referenced, the probability of having a hole in the non-dominant outer glove was found more 3.88 (1.89-7.97) times in surgeons, 4.39 (2.15-8.96) times in the first assistant, and 4.91 (2.35-10,26) times more in the second assistant. In surgeons, the probability of finding a hole in the nondominant inner glove was higher 6.51 (2.04-20.76) times, 7.74 (2.45-24.45) times in the first assistant and 10.66 (3.36-33,82) times in the second assistant. In the outer glove, the most common puncture was detected in the index finger (16.7%) of the nondominant glove. This was followed respectively by the dominant index finger (6.2%), nondominant middle finger (5.6%), nondominant thumb (4.6%), dominant thumb (4.1%) and nondominant palm (4.1%). It was found that the operating time and the use of plates, screws and rods during the operation affected the probability of perforation. Conclusion: It was determined that the use of double gloves during surgery reduced puncture. It is recommended that team members use double gloves and change gloves at regular intervals during the surgery.