Department of Urology, Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China.
Department of Nursing, Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China.
PLoS One. 2021 Apr 29;16(4):e0250869. doi: 10.1371/journal.pone.0250869. eCollection 2021.
With the spread of Coronavirus Disease 2019 globally, more than 40,000 healthcare staff rushed to Wuhan, Hubei Province to fight against this threatening disease. All staff had to wear personal protective equipment (PPE) for several hours when caring for patients, which resulted in adverse skin reactions and injuries. In this study, we used an online questionnaire to collect the self-reported skin damages among the first-line medical staff in the epidemic. The questionnaire was designed by four front-line wound care nurses and then revised through Delphi consultants. Items mainly focused on the adverse skin reactions and preventive strategies. The survey was distributed through phone application from March 15th to March 20th and received 275 responses in total. The prevalence of skin reactions (212, 77.09%) was high in both head and hands. The common clinical symptoms of skin reactions were redness, device-like mark, and burning pain in face; and dryness, dermatitis, and itch/irritation in hands. Three risk factors included gender, level of protection, and daily wearing time of PPE were identified that caused skin reactions among medical staff. 150 of 275 (54.55%) participants took preventive strategies like prophylactic dressings, however, more than 75% users had little knowledge about dressings. We suggest the frontline staff strengthened the protection of skin integrity and reduced the prevalence of adverse skin reactions after professional education.
随着 2019 年冠状病毒病在全球的传播，超过 4 万名医护人员赶赴湖北省武汉市抗击这种威胁生命的疾病。所有医护人员在照顾患者时都必须穿着个人防护装备（PPE）数小时，这导致了不良的皮肤反应和损伤。在这项研究中，我们使用在线问卷收集了疫情一线医护人员自我报告的皮肤损伤情况。问卷由四名一线伤口护理护士设计，然后通过德尔菲顾问进行修订。项目主要集中在不良皮肤反应和预防策略上。调查于 3 月 15 日至 3 月 20 日通过手机应用程序进行，共收到 275 份回复。皮肤反应（212 例，77.09%）在头部和手部均高发。皮肤反应的常见临床症状包括面部发红、器械样痕迹和灼痛；手部干燥、皮炎和瘙痒/刺激。确定了三个导致医护人员皮肤反应的风险因素：性别、防护水平和 PPE 的日常佩戴时间。275 名参与者中有 150 名（54.55%）采取了预防性敷料等预防措施，但超过 75%的使用者对敷料的了解甚少。我们建议一线工作人员加强皮肤完整性保护，并在进行专业教育后降低不良皮肤反应的发生率。
