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影响 COVID-19 患者治疗期间医护人员佩戴一次性个人防护设备时间的因素:一项流行病学研究。

Factors that affect the duration of wearing disposable personal protective equipment by healthcare professionals in Wuhan during treatment of COVID-19 patients: An epidemiological study.

机构信息

Department of Nursing, The First Affiliated Hospital of Dalian Medical University, Dalian, P. R. China.

Graduate School of Nursing, Chiba University, Chiba, Japan.

出版信息

Nurs Health Sci. 2021 Mar;23(1):245-254. doi: 10.1111/nhs.12814. Epub 2021 Feb 13.

Abstract

The purpose of this study of healthcare workers who cared for COVID-19 patients was to identify factors that affected the duration of wearing personal protective equipment (PPE). The results of this study will provide initial guidance to practicing clinicians and a foundation for further research on this topic. This cross-sectional study examined 139 frontline healthcare professionals who worked at a single hospital in Wuhan, China, from March 16 to April 1, 2020. General and demographic data, physical and mental status, use of personal protective equipment, type of hospital work, and duration of wearing personal protective equipment were recorded. The mean duration of wearing personal protective equipment was 194.17 min (standard deviation: 3.71). Multiple linear regression analysis indicated that the duration of wearing personal protective equipment was significantly associated with the presence of a chronic disease, working hours when feeling discomfort, lack of patient cooperation and subsequent psychological pressure, prolonged continuous wearing of personal protective equipment, feeling anxious about physical strength, and the presence of fatigue when wearing personal protective equipment. These factors should be considered by practicing healthcare professionals and in future studies that examine the optimal duration of wearing personal protective equipment.

摘要

本研究旨在调查照顾 COVID-19 患者的医护人员,以确定影响个人防护装备(PPE)佩戴时间的因素。该研究结果将为临床医生提供初步指导,并为该主题的进一步研究奠定基础。本横断面研究纳入了 2020 年 3 月 16 日至 4 月 1 日期间在武汉一家医院工作的 139 名一线医护人员。记录了一般和人口统计学数据、身心状况、个人防护设备的使用、医院工作类型以及佩戴个人防护设备的时间。佩戴个人防护设备的平均时间为 194.17 分钟(标准差:3.71)。多元线性回归分析表明,佩戴个人防护设备的时间与慢性病、感到不适时的工作时间、缺乏患者合作和随之而来的心理压力、长时间连续佩戴个人防护设备、对体力的焦虑以及佩戴个人防护设备时感到疲劳显著相关。这些因素应引起临床医生的重视,并在未来研究个人防护设备最佳佩戴时间时予以考虑。

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