Shuangshuang Hu1, Weihua Lu1, Yinglian Di2, Fan Geng1, Wenling Cheng1, Yongmei Jin2. 1. Department of Operating Room, Seventh People's Hospital of Shanghai University of Traditional Chinese Medicine Shanghai 200137, China. 2. Department of Nursing, Seventh People's Hospital of Shanghai University of Traditional Chinese Medicine Shanghai 200137, China.
Abstract
OBJECTIVE: To compare the disinfection effect of iodophor at two different temperatures on the skin of surgical field and its influence on blood pressure and heart rate of patients. METHODS: The clinical data of 150 patients who underwent surgery in the Seventh People's Hospital of Shanghai University of TCM were collected and divided into two groups based on different disinfection temperatures; the observation group (constant 36°C) and the control group ((24±2)°C), with 75 patients in each. The postoperative disinfection effects of the two groups were evaluated including the disinfection effect, blood pressure, heart rate, body temperature, cold sensation, gastrointestinal reactions, stress response, incidence of complications in the perioperative period, incision healing and satisfaction rate. RESULTS: The disinfection efficacy of the observation group was 96.00%, which was higher than that of the control group (81.33%, P<0.01); the blood pressure and heart rate of patients in the observation group after disinfection were lower than those in the control group (P<0.001); the body temperature was higher than that of the control group (P<0.001); the cold sensation was weaker and gastrointestinal adverse reactions were less than those of the control group (P<0.05); the MDA, GSH-PX and SOD levels after disinfection in the observation group were lower than those of the control group (P<0.001); the incidence rate of complications in the observation group was lower than that of the control group (P<0.05) and the incision healing rate was higher than that of the control group (P<0.05). Patients in observation group were more satisfied with disinfection method, disinfection effect, prevention of complications, postoperative recovery and disinfection times than patients in the control group (P<0.01). CONCLUSION: Iodophor at constant temperature is more effective in skin disinfection of the surgical field, with little influence on blood pressure, heart rate and body temperature. This helps to reduce the cold sensation of skin, the incidence rate of gastrointestinal adverse reactions and complications, promote incision healing and improve the satisfaction rate of the surgery. It is worthy of wide application and promotion. AJTR
OBJECTIVE: To compare the disinfection effect of iodophor at two different temperatures on the skin of surgical field and its influence on blood pressure and heart rate of patients. METHODS: The clinical data of 150 patients who underwent surgery in the Seventh People's Hospital of Shanghai University of TCM were collected and divided into two groups based on different disinfection temperatures; the observation group (constant 36°C) and the control group ((24±2)°C), with 75 patients in each. The postoperative disinfection effects of the two groups were evaluated including the disinfection effect, blood pressure, heart rate, body temperature, cold sensation, gastrointestinal reactions, stress response, incidence of complications in the perioperative period, incision healing and satisfaction rate. RESULTS: The disinfection efficacy of the observation group was 96.00%, which was higher than that of the control group (81.33%, P<0.01); the blood pressure and heart rate of patients in the observation group after disinfection were lower than those in the control group (P<0.001); the body temperature was higher than that of the control group (P<0.001); the cold sensation was weaker and gastrointestinal adverse reactions were less than those of the control group (P<0.05); the MDA, GSH-PX and SOD levels after disinfection in the observation group were lower than those of the control group (P<0.001); the incidence rate of complications in the observation group was lower than that of the control group (P<0.05) and the incision healing rate was higher than that of the control group (P<0.05). Patients in observation group were more satisfied with disinfection method, disinfection effect, prevention of complications, postoperative recovery and disinfection times than patients in the control group (P<0.01). CONCLUSION: Iodophor at constant temperature is more effective in skin disinfection of the surgical field, with little influence on blood pressure, heart rate and body temperature. This helps to reduce the cold sensation of skin, the incidence rate of gastrointestinal adverse reactions and complications, promote incision healing and improve the satisfaction rate of the surgery. It is worthy of wide application and promotion. AJTR
Authors: Albrecht Steinkopff; Cesar Jauregui; Fabian Stutzki; Johannes Nold; Christian Hupel; Nicoletta Haarlammert; Jörg Bierlich; Andreas Tünnermann; Jens Limpert Journal: Opt Lett Date: 2019-02-01 Impact factor: 3.776
Authors: Gerard P Slobogean; Sheila Sprague; Jeffrey Wells; Mohit Bhandari; Alejandra Rojas; Alisha Garibaldi; Amber Wood; Andrea Howe; Anthony D Harris; Bradley A Petrisor; Daniel C Mullins; David Pogorzelski; Debra Marvel; Diane Heels-Ansdell; Franca Mossuto; Frances Grissom; Gina Del Fabbro; Gordon H Guyatt; Gregory J Della Rocca; Haley K Demyanovich; I Leah Gitajn; Jana Palmer; Jean-Claude D'Alleyrand; Jeff Friedrich; Jessica Rivera; Joan Hebden; Joshua Rudnicki; Justin Fowler; Kyle J Jeray; Lehana Thabane; Lucas Marchand; Lyndsay M O'Hara; Manjari G Joshi; Max Talbot; Megan Camara; Olivia Paige Szasz; Nathan N O'Hara; Paula McKay; P J Devereaux; Robert V O'Toole; Robert Zura; Saam Morshed; Shannon Dodds; Silvia Li; Stephanie L Tanner; Taryn Scott; Uyen Nguyen Journal: JAMA Netw Open Date: 2020-04-01