Qixia Jiang, MSN, RN, ET, is Head Nurse, Department of Burns and Plastic Surgery, Jinling Hospital, Medical School of Nanjing University, Jiangsu, China. Yuxiu Liu, MM, is Director, Data and Statistics Unit, Department of Critical Care Medicine, Jinling Hospital and the Department of Biostatistics, School of Public Health, Southern Medical University, Guangzhou, China. Siping Song, BSN, and Wei Wei, BSN, are master's students, Medical School of Nanjing University. Yuxuan Bai, BS, is Manager, Clinical Academic Department, Zhejiang Top-medical Dressing Co Ltd, Wenzhou. Acknowledgments: The authors thank the coordinators and medical staff of the participating hospitals and the technical writers at American Journal Experts who edited this manuscript. The research was supported by Wang Zhengguo Foundation for Traumatic Medicine (WZGF20200101) and Military Medical Service Special Project (20WQ027). The authors have disclosed no other financial relationships related to this article. Submitted July 28, 2020; accepted in revised form October 16, 2020; published online ahead of print April 16, 2021.
Adv Skin Wound Care. 2021 Jul 1;34(7):356-363. doi: 10.1097/01.ASW.0000744352.80758.96.
To explore the relationship between wearing protective masks and goggles and skin injuries in medical staff during the COVID-19 pandemic.
Researchers conducted a cross-sectional, multicenter online survey. Respondents voluntarily completed the questionnaire on their smartphones. Ordinal and multinomial logistic regressions were used to identify factors related to skin injuries.
In total, 1,611 respondents wore protective masks combined with goggles in 145 hospitals in China; 1,281 skin injuries were reported (overall prevalence, 79.5%). Multiple concomitant skin injuries (68.5%) and injuries in four anatomic locations (24.0%) were the most common, followed by injuries in three (22.8%), two (21.7%), and one location (11.0%). Multinomial logistic regression indicated that sweating increased the risk of injuries in one to four anatomic locations (95% confidence interval for odds ratio 16.23-60.02 for one location and 38.22-239.04 for four locations), and wearing an N95 mask combined with goggles and a daily use longer than 4 hours increased the risk of injuries in four locations (95% confidence interval for odds ratio 1.18-5.31 and 1.14-3.93, respectively).
The prevalence of skin injuries among medical staff wearing protective masks combined with goggles was very high. These were mainly device-related pressure injuries, moisture-associated skin damage, and skin tears. The combination of various factors resulted in skin injuries at multiple sites. Preventing and managing sweating should be a focus for medical staff who wear protective masks combined with goggles for more than 4 hours.
探讨 COVID-19 大流行期间医务人员佩戴防护口罩和护目镜与皮肤损伤的关系。
研究人员进行了一项横断面、多中心的在线调查。调查对象在智能手机上自愿完成问卷。使用有序和多项逻辑回归来确定与皮肤损伤相关的因素。
在中国 145 家医院的 1611 名受访者共佩戴防护口罩和护目镜；报告了 1281 例皮肤损伤（总体患病率为 79.5%）。最常见的是多种并发皮肤损伤（68.5%）和四个解剖部位的损伤（24.0%），其次是三个（22.8%）、两个（21.7%）和一个部位（11.0%）的损伤。多项逻辑回归表明，出汗会增加一个至四个解剖部位损伤的风险（优势比 16.23-60.02 为一个部位，38.22-239.04 为四个部位），佩戴 N95 口罩和护目镜且每天使用时间超过 4 小时会增加四个部位损伤的风险（优势比 1.18-5.31 和 1.14-3.93）。
佩戴防护口罩和护目镜的医务人员皮肤损伤发生率非常高。这些损伤主要是器械相关的压力性损伤、与潮湿相关的皮肤损伤和皮肤撕裂伤。多种因素的组合导致多个部位的皮肤损伤。对于佩戴防护口罩和护目镜超过 4 小时的医务人员，预防和管理出汗应是重点。
