J Emerg Nurs. 2020 Nov;46(6):791-801.e7. doi: 10.1016/j.jen.2020.08.004. Epub 2020 Sep 29.
The purpose of this study was to rapidly quantify the safety measures regarding donning and doffing personal protective equipment, complaints of discomfort caused by wearing personal protective equipment, and the psychological perceptions of health care workers in hospitals in Wuhan, China, responding to the outbreak.
A cross-sectional online questionnaire design was used Data were collected from March 14, 2020, to March 16, 2020, in Wuhan, China. Descriptive statistics and χ analyses testing were used.
Standard nosocomial infection training could significantly decrease the occurrence of infection (3.6% vs 13.0%, χ = 4.47, P < 0.05). Discomfort can be classified into 7 categories. Female sex (66.0% vs 50.5%, χ = 6.37), occupation (62.7% vs 30.8%, χ = 5.33), working at designated hospitals (44.8% vs 26.7%, χ = 5.17) or in intensive care units (70.4% vs 57.9%, χ = 3.88), and working in personal protective equipment for > 4 hours (62.2% vs 39.2%, χ = 9.17) led to more complaints about physical discomfort or increased occurrence of pressure sores (all P < 0.05). Psychologically, health care workers at designated hospitals (60.0% vs 42.1%, χ = 4.97) or intensive care units (55.9% vs 41.5%, χ = 4.40) (all P < 0.05) expressed different rates of pride.
Active training on infection and protective equipment could reduce the infection risk. Working for long hours increased the occurrence of discomfort and skin erosion. Reducing the working hours and having adequate protective products and proper psychological interventions may be beneficial to relieve discomfort.
本研究的目的是快速量化中国武汉医院应对疫情期间医护人员穿戴个人防护设备的安全措施、因佩戴个人防护设备而产生的不适抱怨以及医护人员的心理认知。
采用横断面在线问卷调查设计。数据收集于 2020 年 3 月 14 日至 2020 年 3 月 16 日在中国武汉进行。采用描述性统计和 χ 检验进行分析。
标准的医院感染培训可显著降低感染发生率（3.6%比 13.0%，χ²=4.47，P<0.05）。不适可分为 7 类。女性（66.0%比 50.5%，χ²=6.37）、职业（62.7%比 30.8%，χ²=5.33）、在指定医院（44.8%比 26.7%，χ²=5.17）或重症监护病房（70.4%比 57.9%，χ²=3.88）工作以及穿戴个人防护装备超过 4 小时（62.2%比 39.2%，χ²=9.17）会导致更多身体不适或压疮的抱怨（均 P<0.05）。在心理方面，指定医院（60.0%比 42.1%，χ²=4.97）或重症监护病房（55.9%比 41.5%，χ²=4.40）的医护人员（均 P<0.05）表现出不同程度的自豪感。
积极的感染和防护设备培训可降低感染风险。长时间工作会增加不适和皮肤损伤的发生率。减少工作时间，提供充足的防护用品和适当的心理干预可能有助于缓解不适。
