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在中国的一家 COVID-19 定点医院中,使用水胶体敷料联合 3M Cavilon No-Sting 屏障膜预防医务人员面部压力性损伤的效果:一项自身对照研究。

Effectiveness of using hydrocolloid dressing combined with 3M Cavilon No-Sting Barrier Film to prevent facial pressure injury on medical staff in a COVID-19 designated hospital in China: a self-controlled study.

机构信息

Department of Pediatric Respiratory, The 2nd Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.

Department of Orthopaedic Trauma, The 2nd Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.

出版信息

Ann Palliat Med. 2021 Jan;10(1):3-9. doi: 10.21037/apm-20-1615. Epub 2021 Jan 18.

Abstract

BACKGROUND

COVID-19 is rapidly transmitted and has aroused enormous concern globally. This study aimed to investigate the effect of hydrocolloid dressing combined with 3M Cavilon No-Sting Barrier Film on the prevention of facial pressure injury in medical staff tasked with preventing and controlling COVID-19.

METHODS

This was a self-controlled study. Medical staff who treated patients with COVID-19 infection in isolation wards from 6 January to 2 February, 2020, were selected to participate. Phase I was defined as the first 2 weeks of medical personnel entering the isolation ward, with phase II being the following 2 weeks. In phase I, medical workers only used hydrocolloid dressing on their faces, and in phase II, they used both hydrocolloid dressing and 3M Cavilon No-Sting Barrier Film.

RESULTS

A total of 116 medical workers were selected as research subjects. The average facial local temperature in phase I was higher than that in phase II from the baseline (day 1) to the end of the study (day 14); however, there was no statistically significant difference (P>0.05). The incidence of facial pressure injury in phase II was lower than that in phase I (P<0.05); the facial skin comfort level among medical staff in phase II was higher than that in phase I (P<0.05).

CONCLUSIONS

Hydrocolloid dressing combined with 3M Cavilon No-Sting Barrier Film for facial skin care can effectively reduce the incidence of facial pressure injury and can improve skin comfort level while ensuring isolation and a protective effect.

摘要

背景

COVID-19 传播迅速,在全球范围内引起了极大关注。本研究旨在探讨水胶体敷料联合 3M Cavilon 无痛保护膜在预防 COVID-19 防控医务人员面部压力损伤中的作用。

方法

这是一项自身对照研究。选取 2020 年 1 月 6 日至 2 月 2 日在隔离病房治疗 COVID-19 感染患者的医务人员参加。第 I 期定义为医务人员进入隔离病房的前 2 周,第 II 期为接下来的 2 周。第 I 期仅在面部使用水胶体敷料,第 II 期同时使用水胶体敷料和 3M Cavilon 无痛保护膜。

结果

共选择 116 名医务人员作为研究对象。第 I 期从基线(第 1 天)到研究结束(第 14 天),面部局部温度平均值均高于第 II 期,但差异无统计学意义(P>0.05)。第 II 期面部压力损伤发生率低于第 I 期(P<0.05);第 II 期医务人员面部皮肤舒适度高于第 I 期(P<0.05)。

结论

水胶体敷料联合 3M Cavilon 无痛保护膜进行面部皮肤护理,可有效降低面部压力损伤的发生率,提高皮肤舒适度,同时保证隔离和防护效果。

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