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一项关于个人防护装备穿脱知识、态度和实践的横断面研究:COVID-19大流行期间对医护人员的机构调查。

A Cross-Sectional Study on Knowledge, Attitude, and Practices of Donning and Doffing of Personal Protective Equipment: An Institutional Survey of Health-Care Staff during the COVID-19 Pandemic.

作者信息

Garg Kamakshi, Grewal Anju, Mahajan Rajesh, Kumari Samriti, Mahajan Aashita

机构信息

Department of Anesthesiology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.

Department of Medicine, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.

出版信息

Anesth Essays Res. 2020 Jul-Sep;14(3):370-375. doi: 10.4103/aer.AER_53_20. Epub 2020 Oct 21.

Abstract

BACKGROUND

Personal protective equipment (PPE) is used to protect the health-care professional from bacterial, viral, or other hazards during this COVID-19 pandemic, and they should be made aware of proper usage of this equipment.

AIMS

The aim was to evaluate how adequate knowledge, attitude, and practices (KAP) of health-care worker toward the appropriate use of PPE, which can prevent them and the community from virus contamination.

METHODOLOGY

This study was conducted in a tertiary care hospital during the COVID-19 pandemic in a span of approximately 50 days. This cross-sectional questionnaire-based survey was done in 155 health-care providers posted in the COVID-19 area.

STATISTICAL ANALYSIS

Data were described in terms of range; mean ± standard deviation, frequencies (number of cases) and relative frequencies (percentages) as appropriate.

RESULTS

Health-care workers (HCWs) were aware of the importance and criticality of donning and doffing procedure, but they lack the knowledge about dispersion of virus as 62% responded that virus dispersion occurs more during donning than doffing. Gaps were found in attitude as 51% of HCWs found it inconvenient to don PPE that they sometimes think of compromising their own safety. Nearly 33.5% of HCWs move out of the doffing area without removing gloves and N-95, which needs serious correction in their practice.

CONCLUSION

There were major gaps in KAP at institutional level among the health-care providers with regard to donning and doffing of PPE during the beginning of this pandemic.

摘要

背景

在此次新冠疫情期间,个人防护装备(PPE)用于保护医护人员免受细菌、病毒或其他危害,且应让他们了解该装备的正确使用方法。

目的

旨在评估医护人员对正确使用PPE的知识、态度和实践(KAP)情况,这有助于预防他们自身及社区免受病毒污染。

方法

本研究在新冠疫情期间于一家三级医院开展,为期约50天。对在新冠病区工作的155名医护人员进行了基于问卷调查的横断面研究。

统计分析

数据以范围、均值±标准差、频数(病例数)和相对频数(百分比)等形式进行描述。

结果

医护人员知晓穿脱程序的重要性和关键性,但他们缺乏关于病毒传播的知识,62%的人认为穿脱过程中病毒传播更多发生在穿的阶段。态度方面存在差距,51%的医护人员觉得穿PPE不方便,有时甚至会考虑牺牲自身安全。近33.5%的医护人员在未摘除手套和N95口罩的情况下就离开脱卸区,这在实践中需要严肃纠正。

结论

在疫情初期,医疗机构层面的医护人员在PPE穿脱的KAP方面存在重大差距。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a23/8159046/842f5865eebb/AER-14-370-g001.jpg

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