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2020 年巴西卫生专业人员使用 N95 呼吸器引起的皮肤损伤。

Skin lesions associated with the use of N95 respirators among health professionals in Brazil in 2020.

机构信息

Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Centro Colaborador da OPAS/OMS para o Desenvolvimento da Pesquisa em Enfermagem, Ribeirão Preto, SP, Brasil.

Universidade Federal da Paraíba, Departamento de Enfermagem Clínica, João Pessoa, PB, Brasil.

出版信息

Rev Lat Am Enfermagem. 2023 Mar 27;31:e3761. doi: 10.1590/1518-8345.5937.3761.

DOI:10.1590/1518-8345.5937.3761
PMID:36995848
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10077836/
Abstract

OBJECTIVE

to investigate the prevalence of skin lesions and factors associated with the use of N95 respirators among health professionals in Brazil.

METHOD

cross-sectional study conducted with 11,368 health professionals using a respondent-driven sampling method adapted for online environments. Univariate and multivariate analyses were performed to investigate the association between the "skin lesions with the use of N95 respirators" variable and gender, professional category, workplace, training, COVID-19 diagnosis, and availability of sufficient and high-quality Personal Protective Equipment.

RESULTS

the prevalence of skin lesions was 61.8%. Women were 1.203 times (95% CI: 1.154-1.255) more likely to develop a lesion than men. The chances of skin lesions in psychologists (PR=0.805; 95% CI: 0.678-0.956) and dentists (PR=0.884; 95% CI: 0.788-0.992), were lower when compared to Nursing professionals. Professionals with a positive COVID-19 diagnosis and working in the Intensive Care Unit have an increased chance of presenting skin lesions (PR=1.074; 95% CI: 1.042-1.107); (PR=1.203; 95% CI: 1.168-1.241), respectively.

CONCLUSION

the prevalence of skin lesions caused by the use of N95 respirators was 61.8% and was associated with female gender, professional category, workplace, training, COVID-19 diagnosis, and availability of sufficient and highquality Personal Protective Equipment. (1) The overall prevalence of skin lesions was 61.8%. (2) The most affected professional category was Nursing. (3) Women were more likely to develop skin lesions than men.

摘要

目的

调查巴西卫生专业人员中与使用 N95 口罩相关的皮肤损伤发生率和相关因素。

方法

采用适应于在线环境的应答驱动抽样方法,对 11368 名卫生专业人员进行了横断面研究。对“使用 N95 口罩与皮肤损伤”变量与性别、专业类别、工作场所、培训、COVID-19 诊断以及是否有足够和高质量的个人防护设备之间的关联进行了单变量和多变量分析。

结果

皮肤损伤的发生率为 61.8%。女性比男性发生皮肤损伤的可能性高 1.203 倍(95%CI:1.154-1.255)。与护理专业人员相比,心理学家(PR=0.805;95%CI:0.678-0.956)和牙医(PR=0.884;95%CI:0.788-0.992)发生皮肤损伤的几率较低。COVID-19 诊断阳性和在重症监护病房工作的专业人员发生皮肤损伤的几率增加(PR=1.074;95%CI:1.042-1.107);(PR=1.203;95%CI:1.168-1.241)。

结论

使用 N95 口罩引起的皮肤损伤发生率为 61.8%,与女性性别、专业类别、工作场所、培训、COVID-19 诊断以及是否有足够和高质量的个人防护设备有关。(1)皮肤损伤的总体发生率为 61.8%。(2)受影响最严重的专业类别是护理。(3)女性比男性更容易发生皮肤损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2de8/10077836/644966d8d86d/1518-8345-rlae-31-e3761-en-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2de8/10077836/644966d8d86d/1518-8345-rlae-31-e3761-en-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2de8/10077836/644966d8d86d/1518-8345-rlae-31-e3761-en-f1.jpg

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