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. 2023 Dec 27:16:4255-4264.
doi: 10.2147/JMDH.S435570. eCollection 2023.

A Randomized Controlled Comparative Study of the Three Over-Bed Techniques for Positioning and Repositioning the Lithotomy Position While Using Stirrups

Ling-Ling Zhang  1   2 , Zhi-Fang Luo  2 , Guang-Jing Yang  1   3
Affiliations

A Randomized Controlled Comparative Study of the Three Over-Bed Techniques for Positioning and Repositioning the Lithotomy Position While Using Stirrups

Ling-Ling Zhang et al. J Multidiscip Healthc. .

Abstract

Objective: In this study, the clinical application and efficacy of three different methods for placing and repositioning patients in the lithotomy position over the bed using stirrups were evaluated.

Methods: A total of 240 surgical patients who underwent surgery in Chongqing Traditional Chinese Medicine Hospital between July and November 2022 were selected as study participants. Using envelopes, they were randomly divided into three groups of 80 cases each using a randomization method. The groups included the traditional over-bed method, the postural trolley-assisted over-bed method, and the direct over-bed method. Using the Kruskal-Wallis rank-sum test, analysis of variance, and multiple linear regression equations, the placement time, over-bed repositioning time, and total time of the three methods for placing and repositioning in the lithotomy position supported by stirrups were analyzed statistically. In addition, we investigated and examined the satisfaction of nurses and doctors with the aforementioned techniques.

Results: The placement time, repositioning time, and total time were significantly higher for the traditional over-bed method than for the postural trolley-assisted over-bed method and the direct over-bed method (both P < 0.01). However, there was no statistically significant difference between the postural trolley-assisted over-bed method and the direct over-bed method (P > 0.05). Nurses and doctors reported significantly higher satisfaction with the postural trolley-assisted over-bed method and the direct over-bed method compared to the traditional over-bed method (both P < 0.01). In addition, nurses were more satisfied with the direct over-bed method than the postural trolley-assisted over-bed method (P < 0.05).

Conclusion: The results of this study demonstrate that the direct over-bed method is preferred for positioning and repositioning patients in the lithotomy position with the support of stirrups.

Keywords: lithotomy position; position placement; postural trolley; repositioning over bed; stirrup.

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Conflict of interest statement

None of the authors have any financial disclosure or conflict of interest.

Figures

Figure 1
Figure 1
Traditional over-bed method. Placement—(A): Install stirrup legs and positioning; (B): Remove the foot plate. Repositioning—(C): Install the foot plate; (D): Flat one’s legs and repositioning; (E): Remove stirrup leg. Transition to the bed—(F): Transition to the bed.
Figure 2
Figure 2
Postural trolley-assisted over-bed method. Placement—(A): Place the postural trolley; (B): Positioning the patients in the lithotomy position; (C): Remove the postural trolley. Repositioning—(D): Place the postural trolley and repositioning; (E): Flat one’s legs. Transition to the bed—(F): Transition to the bed.
Figure 3
Figure 3
Direct over-bed method. Placement—(A): Leg supports of the stirrup variety were utilized at the end of the surgical bed; (B): Positioning. Repositioning—(C): Adjusting handle directly to Reposition; Transition to the bed—(D): Transition to the bed.
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