与巴西医生在 COVID-19 大流行期间使用个人防护设备相关的因素。

Factors associated with the use of personal protective equipment among Brazilian physicians during the COVID-19 pandemic.

机构信息

University of São Paulo, Ribeirão Preto College of Nursing, WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, São Paulo, Brazil.

Federal University of Pará, Department of Nursing, Belém, Pará, Brazil.

出版信息

J Infect Dev Ctries. 2022 Jun 30;16(6):1001-1008. doi: 10.3855/jidc.15505.

DOI:10.3855/jidc.15505

PMID:35797294

Abstract

INTRODUCTION

The objective was to analyze the factors associated with use of Personal Protective Equipment (PPE) among Brazilian physicians during the COVID-19 pandemic.

METHODOLOGY

An analytical cross-sectional study was conducted from October to December 2020 with 1298 Brazilian physicians. The respondent driven sampling technique was used by sharing the survey through social media.

RESULTS

Factors associated with the use of PPE while caring for COVID-19 patients were: being female (AOR = 1.57; 95% CI: 1.24-1.98; p ≤ 0.001); working in Intensive Care Unit (ICU) (AOR = 2.78; 95% CI: 2.06-3.75; p ≤ 0.001); training (AOR = 1.62; 95% CI: 1.25-2.09; p ≤ 0.001); access to sufficient PPE (AOR = 2.22; 95% CI: 1.27-3.90; p = 0.0050), and PPE of good quality (AOR = 1.84; 95% CI: 1.16-2.92; p = 0.009). The following factors were associated with the use of recommended PPE during procedures that generate aerosols in the context of COVID-19: working in the ICU (ORA=2.73; 95% CI: 2.06-3.62; p < 0.01); working in a field hospital (AOR = 1.37; 95% CI: 1.06-1.79; p = 0.018;) training (AOR = 1.72 95% CI: 1.32-2.24; p < 0.01); access to sufficient PPE (AOR = 1.63; 95% CI: 0.91-2.92; p < 0.01), PPE of good quality (AOR = 2.07; 95% CI: 1.28-3.35; p = 0.003).

CONCLUSIONS

The factors associated with the use of necessary PPE with COVID-19 patients and for procedures that generate aerosols were identified. Educational interventions for professionals and managers must be implemented to direct them towards protecting themselves and others.

摘要

简介

本研究旨在分析巴西医生在 COVID-19 大流行期间使用个人防护设备（PPE）的相关因素。

方法

本研究为 2020 年 10 月至 12 月期间进行的一项分析性横断面研究，共纳入 1298 名巴西医生。通过社交媒体分享调查，采用应答驱动抽样技术。

结果

与照顾 COVID-19 患者时使用 PPE 相关的因素包括：女性（AOR=1.57；95%CI：1.24-1.98；p≤0.001）；在重症监护病房（ICU）工作（AOR=2.78；95%CI：2.06-3.75；p≤0.001）；接受过培训（AOR=1.62；95%CI：1.25-2.09；p≤0.001）；获得足够的 PPE（AOR=2.22；95%CI：1.27-3.90；p=0.0050），以及 PPE 质量良好（AOR=1.84；95%CI：1.16-2.92；p=0.009）。与 COVID-19 环境下产生气溶胶的操作中使用推荐 PPE 相关的因素包括：在 ICU 工作（ORA=2.73；95%CI：2.06-3.62；p<0.01）；在野战医院工作（AOR=1.37；95%CI：1.06-1.79；p=0.018）；接受过培训（AOR=1.72 95%CI：1.32-2.24；p<0.01）；获得足够的 PPE（AOR=1.63；95%CI：0.91-2.92；p<0.01），PPE 质量良好（AOR=2.07；95%CI：1.28-3.35；p=0.003）。