Siirt University, Faculty of Health Sciences, Department of Nursing Fundamentals, Siirt, Turkey.
Siirt University, Faculty of Health Sciences, Department of Internal Medicine Nursing, Siirt, Turkey.
J Tissue Viability. 2022 May;31(2):207-212. doi: 10.1016/j.jtv.2022.03.004. Epub 2022 Apr 4.
The aim of this study was to determine the prevalence of device-related pressure injury (DRPI) related to the use of personal protective equipment (PPE) among healthcare professionals during the COVID-19 pandemic and the associated risk factors effective in the development of DRPI.
This descriptive, cross-sectional and correlational study was conducted with 1465 healthcare professionals working in healthcare institutions in Eastern Turkey during the COVID-19 pandemic. The study data were collected by means of an online anonymous survey questioning the prevalence, characteristics, and associated factors of DRPI in the first week of April 2021, using the snowball sampling method. Number, percentage, arithmetic mean, Chi-Square, and regression analysis were used for the evaluation of the study data.
The prevalence of DRPI due to the use of PPE use among healthcare professionals was calculated to be 60.5%. Of the developed DRPIs, 79.5% were stage 1, and the most frequent anatomical locations of DRPI were the bridge of the nose (30.2%), behind the ears (24.6%), and cheeks (20.8%). The logistic regression analysis revealed that male gender, age <35 years, being a physician and nurse, prolonged duration of PPE use (>4 h), working in a high-risk clinic (COVID-19 clinic and COVID-19 intensive care unit), and sweating during the use of PPE were predictive factors for the development of DRPI (p < 0.05).
The prevalence of DRPI due to PPE use among healthcare workers was quite high. Gender, age, occupation, long duration of PPE use, working in a high-risk clinic, and sweating during the use of PPE were found to be risk factors in the development of DRPI.
本研究旨在确定 COVID-19 大流行期间医护人员使用个人防护装备（PPE）相关的设备相关性压力损伤（DRPI）的患病率，以及与 DRPI 发展相关的危险因素。
这是一项在 COVID-19 大流行期间在土耳其东部医疗机构工作的 1465 名医护人员中进行的描述性、横断面和相关性研究。使用滚雪球抽样法，于 2021 年 4 月第一周通过在线匿名调查，询问 DRPI 的流行率、特征和相关因素，收集研究数据。采用数字、百分比、算术平均值、卡方检验和回归分析评估研究数据。
医护人员因使用 PPE 而导致的 DRPI 患病率计算为 60.5%。在发生的 DRPIs 中，79.5%为 1 期，DRPI 最常见的解剖部位是鼻梁（30.2%）、耳后（24.6%）和脸颊（20.8%）。逻辑回归分析显示，男性、年龄<35 岁、医生和护士、PPE 使用时间延长（>4 小时）、在高风险科室（COVID-19 门诊和 COVID-19 重症监护室）工作、使用 PPE 时出汗是 DRPI 发展的预测因素（p<0.05）。
医护人员因使用 PPE 导致的 DRPI 患病率相当高。性别、年龄、职业、PPE 使用时间长、在高风险科室工作以及使用 PPE 时出汗被认为是 DRPI 发展的危险因素。
