Jose Sinu, Cyriac Maneesha C, Dhandapani Manju
Department of Nursing, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Department of Nursing, Bel-Air College of Nursing, Panchgani, Maharashtra, India.
Indian J Crit Care Med. 2021 Feb;25(2):134-139. doi: 10.5005/jp-journals-10071-23713.
In the event of coronavirus disease-2019 (COVID-19) spread worldwide, frontline healthcare workers play a key role in the containment of this devastating pandemic, and to prevent the cross-transmission and gain confidence in battle with the pandemic, they are wearing personal protective equipment (PPE).
To explore the adverse health problems and skin reactions caused by the use of PPEs among the frontline nurses in the ICUs of COVID hospital.
A cross-sectional study was conducted using an online-based questionnaire assessing the physical problems, and adverse skin reactions of PPEs were sent among the 150 frontline nurses in ICUs of COVID hospital. The collected data were analyzed using descriptive statistics.
We got 137 valid responses from frontline nurses, and the most common adverse health effects expressed by them were headache (73.4%), extreme sweating (59.6%), and difficulty in breathing (36.7%); 91.7% complained about the fogging of the goggle. Majority of frontline nurses expressed nasal bridge scarring (76.64%) and indentation and pain on the back of the ears (66.42%) as the adverse skin reactions after wearing N95 masks. The common skin problems identified due to double gloving of latex gloves were excessive skin soakage with sweat (70.07%) and skin chapping (19%). The protective clothing caused minimal adverse reactions, and excessive sweating (71.53%) was the most reported.
The healthcare workers wearing PPE for a prolonged period show significant adverse effects, so appropriate strategies should be taken to prevent the adverse effects by designing effective PPEs and education of preventive measures among healthcare workers.
Jose S, Cyriac MC, Dhandapani M. Health Problems and Skin Damages Caused by Personal Protective Equipment: Experience of Frontline Nurses Caring for Critical COVID-19 Patients in Intensive Care Units. Health Problems and Skin Damages Caused by Personal Protective Equipment: Experience of Frontline Nurses Caring for Critical COVID-19 Patients in Intensive Care Units. Indian J Crit Care Med 2021;25(2):134-139.
在2019冠状病毒病（COVID-19）全球传播的情况下，一线医护人员在遏制这场毁灭性大流行中发挥着关键作用，为防止交叉传播并在与大流行的斗争中增强信心，他们会穿戴个人防护装备（PPE）。
探讨COVID医院重症监护病房一线护士使用个人防护装备所引起的不良健康问题和皮肤反应。
采用在线问卷进行横断面研究，评估COVID医院重症监护病房150名一线护士使用个人防护装备的身体问题和不良皮肤反应。收集的数据采用描述性统计进行分析。
我们收到了137名一线护士的有效回复，他们表示最常见的不良健康影响是头痛（73.4%）、大量出汗（59.6%）和呼吸困难（36.7%）；91.7%的人抱怨护目镜起雾。大多数一线护士表示戴N95口罩后的不良皮肤反应为鼻梁处有疤痕（76.64%）以及耳后有压痕和疼痛（66.42%）。由于戴双层乳胶手套导致的常见皮肤问题是手部过度出汗（70.07%）和皮肤皲裂（19%）。防护服引起的不良反应最小，最常报告的是大量出汗（71.53%）。
长时间穿戴个人防护装备的医护人员会出现明显的不良影响，因此应采取适当策略，通过设计有效的个人防护装备以及对医护人员进行预防措施教育来预防这些不良影响。
Jose S, Cyriac MC, Dhandapani M. 个人防护装备导致的健康问题和皮肤损伤：重症监护病房护理COVID-19重症患者的一线护士的经验。个人防护装备导致的健康问题和皮肤损伤：重症监护病房护理COVID-19重症患者的一线护士的经验。《印度重症监护医学杂志》2021；25(2):134 - 139。
