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医护人员佩戴过滤式防护口罩的不适感报告。

Health care workers' reported discomfort while wearing filtering face-piece respirators.

出版信息

Workplace Health Saf. 2014 Sep;62(9):362-8. doi: 10.3928/21650799-20140804-03.

DOI:10.3928/21650799-20140804-03
PMID:25102476
Abstract

Filtering face-piece respirators (FFRs) are one method of protecting health care workers from airborne particles; however,research suggests adherence is poor, perhaps due to worker discomfort. Three separate focus groups were conducted at two Veterans Affairs health care facilities. Seventeen health care workers who reported using FFRs as part of their job duties were in the focus groups. Focus group transcripts were coded using qualitative descriptive coding techniques. Participants described experiences of discomfort and physical mask features they believed ,contributed to discomfort. Participants believed FFRs influenced patient care because some patients felt uneasy and changed healthcare workers' behaviors (e.g., doffing procedures, loss of concentration, rushed patient care, and avoidance of patients in isolation resulting from FFR discomfort). Assessment of comfort and tolerability should occur during fit-testing. These factors should also be taken into account by management when training employees on the proper use of FFRs, as well as in future research to improve comfort and tolerability.

摘要

过滤式面罩(FFR)是保护医护人员免受空气中颗粒侵害的一种方法;然而,研究表明,医护人员的佩戴依从性很差,这可能是由于佩戴者感到不适。在两家退伍军人事务医疗保健机构进行了三个独立的焦点小组。参与焦点小组的有 17 名报告在工作中使用 FFR 的医护人员。使用定性描述性编码技术对焦点小组的转录本进行编码。参与者描述了不适的体验以及他们认为导致不适的口罩物理特性。参与者认为 FFR 会影响患者护理,因为一些患者感到不安,并改变了医护人员的行为(例如,脱卸程序、注意力不集中、匆忙护理患者以及由于 FFR 不适而避免隔离患者)。在适配测试期间应评估舒适度和耐受性。在培训员工正确使用 FFR 时,管理层也应考虑这些因素,同时在未来的研究中也应考虑这些因素,以提高舒适度和耐受性。

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