调查在三级防护 PPE 中工作的医护人员治疗 COVID-19 时的不良反应。
Investigation of adverse reactions in healthcare personnel working in Level 3 barrier protection PPE to treat COVID-19.
机构信息
Department of Respiratory Medicine, The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Department of Respiratory and Gastroenterology, The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
出版信息
Postgrad Med J. 2021 Jun;97(1148):351-354. doi: 10.1136/postgradmedj-2020-137854. Epub 2020 Jun 18.
PURPOSE OF THE STUDY
The aim of our study was to investigate potential adverse reactions in healthcare professionals working in Level 3 barrier protection personal protective equipment (L3PPE) to treat patients with COVID-19.
STUDY DESIGN
By using a convenience sampling approach, 129 out of 205 randomly selected healthcare professionals from the First Affiliated Hospital of Zhejiang University School of Medicine were invited to take part in a WeChat messaging app survey, Questionnaire Star, via a survey link. Healthcare personnel details were collected, including profession, years of professional experience and adverse reactions while wearing L3PPE. Survey results were divided by profession and years of professional experience; differences in adverse reactions were compared.
RESULTS
Among the 129 healthcare professionals surveyed, 21 (16.28%) were doctors and 108 (83.72%) were nurses. A total of 122 (94.57%) healthcare professionals experienced discomfort while wearing L3PPE to treat patients with COVID-19. The main reasons for adverse reactions and discomfort include varying degrees of adverse skin reactions, respiratory difficulties, heat stress, dizziness and nausea. Doctors had a lower incidence of rashes (χ=4.519, p=0.034) and dizziness (χ=4.123, p=0.042) when compared with nurses. Junior (8.5 years of experience or fewer) healthcare personnel also experienced a higher rate of heat stress when compared with senior personnel (more than 8.5 years greater) (χ=5.228, p=0.022).
CONCLUSION
More attention should be offered to healthcare personnel wearing L3PPE to treat patients with COVID-19 because they are susceptible to developing adverse reactions.
研究目的
本研究旨在调查在三级防护个人防护装备（L3PPE）下治疗 COVID-19 患者的医护人员中潜在的不良反应。
研究设计
通过便利抽样方法，从浙江大学医学院第一附属医院随机抽取的 205 名医护人员中邀请了 129 名参加微信消息应用程序调查，通过调查链接使用 Questionnaire Star 进行调查。收集了医护人员的详细信息，包括职业、专业经验年限以及在佩戴 L3PPE 时的不良反应。根据职业和专业经验年限对调查结果进行了划分，并比较了不良反应的差异。
结果
在接受调查的 129 名医护人员中，21 名（16.28%）为医生，108 名（83.72%）为护士。共有 122 名（94.57%）医护人员在佩戴 L3PPE 治疗 COVID-19 患者时感到不适。不良反应和不适的主要原因包括不同程度的皮肤不良反应、呼吸困难、热应激、头晕和恶心。与护士相比，医生皮疹（χ=4.519，p=0.034）和头晕（χ=4.123，p=0.042）的发生率较低。与资深人员（超过 8.5 年）相比，初级（8.5 年或以下）医护人员也经历了更高的热应激发生率（χ=5.228，p=0.022）。
结论
应更加关注佩戴 L3PPE 治疗 COVID-19 患者的医护人员，因为他们容易出现不良反应。
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