Valk Brittany, Ivanov Nedyalko N, Nahhas Amanda, Corwin Katie, Hansen Katrina, Globerson Jeff, LaCasse Annette, Corser William, Sikorski Lynn
Beaumont Health Systems - Department of Dermatology, Farmington Hills Campus, Farmington Hills, MI, USA.
Michigan State University Statewide Campus System, East Lansing, MI, USA.
J Osteopath Med. 2022 Aug 29;122(12):609-615. doi: 10.1515/jom-2022-0097. eCollection 2022 Dec 1.
During the COVID-19 pandemic, dermatologists within the Beaumont Farmington Hills' Dermatology program noticed an increase in conditions associated with mask wearing, such as "maskne" (acne in a mask distribution, thought to be caused by mask wearing), as well as worsening of previously diagnosed dermatologic conditions.
The goal of our study was to explore various factors that impacted mask-related skin changes and how these skin changes affected quality of life.
A cross-sectional study was performed. The primary 10-item survey instrument administered was the Dermatology Life Quality Index (DLQI). Respondents were asked a series of 10 additional questions concerning the degree to which abnormal mask-related skin conditions affect their skin symptoms, possible embarrassment/self-consciousness, and perceived impact of mask-related skin changes. A series of descriptive statistics, cross-tabulation charts, and graphical examinations of data was utilized to evaluate sample subgroup and outcome distributional patterns. Pearson r bivariate correlation coefficients between possible collinear predictive measures on the primary study outcome were calculated. A series of simple inferential chi-squared (Χ) tests of independence were also conducted.
A total of 370 out of 430 (86.0%) Beaumont Health employees noticed some degree of skin changes since the work-hours face mask requirement was instituted, while 378 out of 430 (87.9%) felt that their skin was better when not wearing a mask. The majority of respondents, 283 (65.8%), reported having at least a little symptomatic skin (i.e., itchy, painful, sore, stinging) during the prior week. Furthermore, 72.3% reported that they were at least a little embarrassed or self-conscious of their skin. Chi-squared analysis of composite DLQI score categories by the number of types of masks utilized (Pearson X=19.0, df=8, p=0.015), and some degree of symptomatic skin (Pearson X=156.4, df=4, p<0.001) were found to be statistically significant.
A large number of healthcare workers are affected by mask-related skin changes. Further research should be directed at better understanding how skin changes associated with mask wearing impact one's quality of life and mental health.
在新冠疫情期间，博蒙特法明顿希尔斯皮肤科项目的皮肤科医生注意到与佩戴口罩相关的病症有所增加，比如“口罩痘”（口罩覆盖部位出现痤疮，被认为是由佩戴口罩所致），以及先前诊断的皮肤病病情恶化。
我们研究的目的是探究影响与口罩相关皮肤变化的各种因素，以及这些皮肤变化如何影响生活质量。
开展了一项横断面研究。所使用的主要的10项调查问卷工具是皮肤病生活质量指数（DLQI）。还向受访者询问了另外一系列10个问题，涉及与口罩相关的异常皮肤状况在多大程度上影响他们的皮肤症状、可能出现的尴尬/自觉意识，以及与口罩相关的皮肤变化的感知影响。运用了一系列描述性统计、交叉列表图表和数据图形检查来评估样本亚组和结果分布模式。计算了主要研究结果的可能共线预测指标之间的皮尔逊积矩相关系数。还进行了一系列简单的独立性卡方（Χ）检验。
在430名博蒙特健康系统员工中，共有370人（86.0%）自实行工作时佩戴口罩要求以来注意到了一定程度的皮肤变化，而430人中有378人（87.9%）觉得不戴口罩时皮肤状况更好。大多数受访者，即283人（65.8%），报告在前一周至少有一点皮肤症状（如瘙痒、疼痛、酸痛、刺痛）。此外，72.3%的人报告他们至少有点因自己的皮肤而感到尴尬或自觉意识增强。通过所使用口罩类型数量对综合DLQI评分类别进行的卡方分析（皮尔逊X=19.0，自由度=8，p=0.015），以及一定程度的皮肤症状（皮尔逊X=156.4，自由度=4，p<0.001）被发现具有统计学意义。
大量医护人员受到与口罩相关的皮肤变化的影响。应进一步开展研究，以更好地了解与佩戴口罩相关的皮肤变化如何影响一个人的生活质量和心理健康。
