Jain M Karthik, Baskaran Deepa, Jagannath Sathyanarayan, Kothari Apoorwa N, Arumugam Ramesh, Selvam Sumithra
Department of Anaesthesiology, St John's Medical College, Bangalore, Karnataka, India.
Department of Anaesthesiology, Vydehi Institute of Medical Science, Bangalore, Karnataka, India.
Indian J Anaesth. 2022 Dec;66(12):854-860. doi: 10.4103/ija.ija_454_22. Epub 2022 Dec 20.
The COVID-19 pandemic led to significant infections among healthcare workers and deaths warranting the need for personal protective equipment. This study aimed to estimate the proportion of anaesthesiologists adhering to safety precautions and to evaluate their adherence patterns, difficulties faced and coping mechanisms in the operation theatre during the pandemic.
This was a multicentric mixed methods study conducted among anaesthesiologists from two tertiary care hospitals. A paper-based questionnaire was given to all participants. The first part consisted of 21 questions regarding safety measures and extent of adherence. The second part was a response sheet regarding the various difficulties faced and coping mechanisms adopted. Following this, an in-depth interview was conducted to understand the same. The proportion of anaesthesiologists in different categories of adherence, patterns of adherence, difficulties faced, and coping mechanisms were computed and compared. Thematic framework analysis was done for in-depth interview.
Sixty participants were included. The adherence levels for N95 masks and face shields were higher. Most participants practised frequent handwashing and took showers after work. Fogging, difficulty in communication, marks on the face were the commonly faced difficulties. Self reassurance, adjusting the fit of masks/face shields, or taking breaks were the coping mechanisms mostly followed. Themes generated from in-depth interview include waning of caution, adaptation through innovative methods and stress due to uncertainty.
The N95 mask was the most preferred safety precaution. Ease of use and safety were important considerations for adherence. Physical and mental acclimatisation and improved knowledge of disease played a vital role.
新冠疫情导致医护人员大量感染和死亡，这使得个人防护装备成为必需。本研究旨在估算麻醉医生遵守安全预防措施的比例，并评估他们在疫情期间手术室中的遵守模式、面临的困难及应对机制。
这是一项在两家三级医院的麻醉医生中开展的多中心混合方法研究。向所有参与者发放纸质问卷。第一部分包含21个关于安全措施及遵守程度的问题。第二部分是关于所面临的各种困难及所采用应对机制的答卷。在此之后，进行了深入访谈以了解相关情况。计算并比较不同遵守类别中的麻醉医生比例、遵守模式、面临的困难及应对机制。对深入访谈进行了主题框架分析。
纳入了60名参与者。N95口罩和面罩的遵守水平较高。大多数参与者经常洗手并在下班后洗澡。面罩起雾、沟通困难、脸上有勒痕是常见的困难。自我安慰、调整口罩/面罩的佩戴或休息是最常采用的应对机制。深入访谈产生的主题包括警惕性下降、通过创新方法进行适应以及因不确定性产生的压力。
N95口罩是最受青睐的安全预防措施。使用便利性和安全性是遵守的重要考虑因素。身体和心理适应以及对疾病的了解增加发挥了至关重要的作用。
