[武汉护士针对新型冠状病毒肺炎的防护性暴露风险事件调查]

[Investigation of protective exposure risk events in nurses against corona virus disease 2019 in Wuhan].

作者信息

Wang Q, Guo J Y, Sun H, Wang L, Ying J S, Liu H X

机构信息

Department of Emergency, Peking University People's Hospital, Beijing 100034, China.

Department of Nursing, Peking University People's Hospital, Beijing 100034, China.

出版信息

Beijing Da Xue Xue Bao Yi Xue Ban. 2020 Aug 18;52(4):711-714. doi: 10.19723/j.issn.1671-167X.2020.04.022.

DOI:10.19723/j.issn.1671-167X.2020.04.022

PMID:32773807

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7433638/

Abstract

OBJECTIVE

To investigate the current situation of virus exposure risk incidents of nurses against corona virus disease 2019 (COVID-19) in Wuhan, and to provide reference evidence for nursing managers to protect nursing staff who were working in the isolation ward.

METHODS

In the study, 308 nursing staff against COVID-19 working in the isolation ward in Wuhan were conveniently selected to participate in the investigation. The designed questionnaires including 7 kinds of protective exposure risk events were made by the team of researchers on the basis of literature review and interview with the nurses in Wuhan. All the participants recalled their working experience in the status of dressing in personal protective equipment and filled in the questionnaires online by WeChat according to the same instruction.

RESULTS

The questionnaires were filled in validly by a total of 304 nursing staff, of whom 88.8% received emergency training on the prevention and dealing measurement of exposure risk events. The incidence of shoe cover contamination, falling off or torn was relatively high, about 53.6%. Due to the protection of gloves, the incidence of hand or skin contamination was relatively low, about 14.1%. The most nervousness of protective exposure risk event for nurses was N95 mask contamination, falling off or shifting, with a score of 8.2±2.3, showing a higher psychiatric burden. Single factor analysis found that the number of days in Wuhan was different, the number of the types of protective risk events occurred was different (=14.562, =0.024), orderly multivariate Logistic regression found that men were the independent protective factor for the number of the types of protective exposure risk events that occurred (=0.019).

CONCLUSION

Protective exposure risk events may occur in the work of nursing staff working in the isolation ward in Wuhan. It is necessary to guide nurses to prevent the occurrence of protective exposure risk events and effectively deal with them, so as to prevent virus exposure and reduce psycholo-gical burden.

摘要

目的

调查武汉地区护士在新型冠状病毒肺炎（COVID-19）疫情期间病毒暴露风险事件的发生现状，为护理管理者保护隔离病房一线护士提供参考依据。

方法

本研究采用便利抽样法，选取武汉市隔离病房308名参与COVID-19救治的护士进行调查。研究者团队在查阅文献及访谈武汉地区护士的基础上，自行设计包含7种防护暴露风险事件的问卷。所有研究对象回忆其穿戴个人防护装备工作时的经历，按照统一指导语通过微信在线填写问卷。

结果

共304名护士有效填写问卷，其中88.8%的护士接受过暴露风险事件预防及应对措施的应急培训。鞋套污染、脱落或破损发生率较高，约为53.6%。因手套防护作用，手部或皮肤污染发生率相对较低，约为14.1%。护士防护暴露风险事件中最紧张的是N95口罩污染、脱落或移位，得分为8.2±2.3，心理负担较重。单因素分析发现，在武汉工作天数不同、发生防护风险事件类型数量不同（=14.562，=0.024），有序多因素Logistic回归发现，男性是发生防护暴露风险事件类型数量的独立保护因素（=0.019）。