National Center for Occupational Health and Infection Control, Office of Public Health and Environmental Hazards, Veterans Health Administration, US Department of Veterans Affairs, Gainesville, FL 23608, USA.
Am J Infect Control. 2010 Feb;38(1):18-25. doi: 10.1016/j.ajic.2009.09.005. Epub 2009 Dec 29.
Numerous studies have demonstrated that health care workers are, in general, poorly compliant with respiratory protection guidelines, especially when a N95 respirator is recommended. The purpose of this study was to assess health care workers' views about respirator use and the features they prefer to be included in the next generation of respirators.
A 63-item survey was distributed to health care workers in 27 units of 2 tertiary care medical centers.
From a total of 559 surveys distributed at both hospitals, 159 responses were returned (response rate, 28%). Survey results indicated that health care workers seek respirators that are more comfortable, interfere less with breathing, diminish heat buildup, are disposable, and permit the user to have facial hair. Multivariate analyses suggest that emergency department staff had 12.3 greater odds of wanting a new respirator (P = .031) as compared with their referent group. Males were more likely to indicate that the N95 respirator was comfortable to wear versus females (P = .003).
To increase substantially the acceptance of respiratory protective equipment and improve compliance rates, respirators should be modified to meet the specific needs of health care workers.
大量研究表明,医护人员总体上对呼吸防护指南的遵守情况较差,尤其是当推荐使用 N95 呼吸器时。本研究旨在评估医护人员对呼吸器使用的看法,以及他们希望在下一代呼吸器中包含的功能。
向 2 家 3 级护理医疗中心的 27 个单位的医护人员分发了一份 63 项的调查问卷。
在这两家医院共发放了 559 份调查问卷,共收到 159 份回复(回复率为 28%)。调查结果表明,医护人员希望呼吸器更舒适、呼吸干扰更小、热量积聚减少、一次性使用且允许使用者留胡须。多变量分析表明,与参照组相比,急诊科工作人员对新呼吸器的需求增加了 12.3 倍(P =.031)。与女性相比,男性更倾向于表示 N95 呼吸器佩戴舒适(P =.003)。
为了大幅提高呼吸防护设备的接受程度并提高合规率,应根据医护人员的具体需求对呼吸器进行改进。