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在 COVID-19 大流行期间关爱医护人员:整形外科学有作用吗?

Taking care of healthcare workers during COVID-19 pandemic: does plastic surgery have a role?

机构信息

Department of Medicine, Surgery and Neuroscience - Plastic and Reconstructive Surgery Unit - University of Siena - Italy.

Department of Plastic Surgery, Cleveland Clinic Ohio, USA.

出版信息

Acta Biomed. 2020 Nov 10;91(4):e2020160. doi: 10.23750/abm.v91i4.10379.

Abstract

BACKGROUND

The massive use of personal protective equipment is required by the medical and paramedical staff of the COVID-19 dedicated departments. This often causes painful pressure injuries. The aim of this study is to value the use of anesthetic cream and collagen veil masks for the treatment of pain. We also evaluated the possible psychological impact on healthcare workers involved in the emergency, which is currently a hot topic in the worldwide literature.

MATERIALS AND METHODS

We applied lidocaine idrochloride 5% cream and a collagen veil mask respectively  before and after each work shift. We evaluated the improvement of pain symptoms through VAS assessments. We used a modified Maslach burnout inventory as well to evaluate the psychological impact of our treatments on  healthcare workers.

RESULTS

A significant reduction of pain was detected within the first 3 days, but this was not significant over the long period (10 days). Otherwise, we saw a significant improvement of the psychological assessment (p<0,05).

CONCLUSIONS

Parameters such as pain or psychological stress are not objective, but, anyway, our data show a  reduction of pain due to continuative PPE wearing and a significant improvement of psychological wellness of healthcare workers from two different countries, a finding which should not be undervalued by all the health caregivers not directly involved in COVID-19 pandemic.

摘要

背景

COVID-19 专门部门的医护和辅助医护人员大量使用个人防护设备,这往往会导致痛苦的压力性损伤。本研究旨在评估使用麻醉乳膏和胶原蛋白面膜治疗疼痛的效果。我们还评估了参与急救的医护人员可能面临的心理影响,这是目前全球文献中的一个热门话题。

材料与方法

我们在每次轮班前后分别使用利多卡因盐酸 5%乳膏和胶原蛋白面膜。我们通过 VAS 评估来评估疼痛症状的改善情况。我们还使用了改良的马斯拉赫倦怠量表来评估我们的治疗对医护人员心理的影响。

结果

在最初的 3 天内,疼痛明显减轻,但在较长时间(10 天)内没有显著减轻。然而,我们发现心理评估有显著改善(p<0.05)。

结论

疼痛或心理压力等参数不是客观的,但无论如何,我们的数据显示,由于持续穿戴 PPE,医护人员的疼痛减轻,来自两个不同国家的医护人员的心理健康状况显著改善,这一发现不应被未直接参与 COVID-19 大流行的所有医护人员低估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/137b/7927467/ef842449c149/ACTA-91-160-g001.jpg

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