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A Randomized Controlled Comparative Study of the Three Over-Bed Techniques for Positioning and Repositioning the
Ling-Ling Zhang1,2, Zhi-Fang Luo2, Guang-Jing Yang1,3
1Hunan University of Chinese Medicine, Hunan, People's Republic of China.
Journal of Multidisciplinary Healthcare
|January 2, 2024
Summary
The direct over-bed method is the most efficient and preferred technique for positioning patients in the lithotomy position. This method saves time and improves clinician satisfaction compared to traditional approaches.
Area of Science:
- Surgical Patient Positioning
- Clinical Efficacy Studies
- Medical Device Evaluation
Background:
- The lithotomy position is crucial for various surgical procedures.
- Efficient and safe patient positioning is essential for optimal surgical outcomes.
- Evaluating different methods for patient transfer and repositioning is vital for clinical practice.
Purpose of the Study:
- To compare the clinical application and efficacy of three distinct methods for patient positioning and repositioning in the lithotomy position.
- To assess the time efficiency and clinician satisfaction associated with each positioning technique.
- To identify the preferred method for over-bed lithotomy positioning using stirrups.
Main Methods:
- A randomized study involving 240 surgical patients.
- Comparison of three methods: traditional over-bed, postural trolley-assisted, and direct over-bed positioning.
- Statistical analysis using Kruskal-Wallis test, ANOVA, and regression to evaluate placement and repositioning times.
- Assessment of nurse and doctor satisfaction with each method.
Main Results:
- The traditional over-bed method showed significantly longer placement, repositioning, and total times compared to the other two methods (P < 0.01).
- No significant time difference was found between the postural trolley-assisted and direct over-bed methods (P > 0.05).
- Both nurses and doctors reported higher satisfaction with the direct and postural trolley-assisted methods over the traditional method (P < 0.01).
- Nurses expressed greater satisfaction with the direct over-bed method compared to the postural trolley-assisted method (P < 0.05).
Conclusions:
- The direct over-bed method is the most preferred technique for positioning and repositioning patients in the lithotomy position.
- This method offers significant advantages in terms of time efficiency and clinician satisfaction.
- The findings support the adoption of the direct over-bed method in clinical settings for improved patient care and workflow.
