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手术团队成员个人防护装备的应用:一项观察性研究。

Surgical team member's application of personal protective equipment: an observational study.

作者信息

Diress Fikadu Tadesse, Fentie Demeke Yilkal, Endalew Nigussie Simeneh, Admass Biruk Adie

机构信息

Department of Anesthesia, College of Medicine & Health Sciences, Bahir Dar University, Bahir Dar.

Department of Anesthesia, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

出版信息

Ann Med Surg (Lond). 2024 Jan 24;86(3):1341-1345. doi: 10.1097/MS9.0000000000001765. eCollection 2024 Mar.

DOI:10.1097/MS9.0000000000001765
PMID:38463072
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10923328/
Abstract

BACKGROUND

Personal protective equipment (PPE) is a term used to refer to clothing or equipment that creates a barrier to protect an individual from work-place hazards, thereby protecting the worker against work-related injuries and illnesses. This study was aimed at determining the compliance of application of personal protective equipment against the standards.

METHODS

One hundred surgical personnel were included in this study from 21 March 2023 to 23 April 2023. Data were collected through direct observation. The standards were directly changed into question forms with two integral checking components, "Yes", and "No". Data were entered and analyzed by statistical package of social sciences (SPSS) version 25.

RESULT

A total of 100 surgical personnel involved in surgical procedures were assessed for how they applied PPE. Majority of healthcare workers, 61.2%, were compliant with the communicable disease control standard on the application of PPE. The highest compliance rate was observed for the put-on gloves over the gown, while the lowest compliance rate was observed for wearing eye protection.

CONCLUSION AND RECOMMENDATION

The practice of PPE usage by surgical personnel was suboptimal. Healthcare facilities can better protect their staff and patients from the spread of infections and other hazards through PPE use protocols. Donning and doffing must always be methodical and supervised by another staff member, especially during surgical emergencies. PPE should be used in accordance with infection prevention and control guidelines and the level of risk involved in the specific procedure.

摘要

背景

个人防护装备(PPE)是一个术语,用于指代能够形成屏障以保护个人免受工作场所危害的衣物或装备,从而保护工人免受与工作相关的伤害和疾病。本研究旨在确定个人防护装备的应用是否符合标准。

方法

2023年3月21日至2023年4月23日,本研究纳入了100名外科手术人员。通过直接观察收集数据。标准直接转化为带有“是”和“否”两个完整检查部分的问题形式。数据使用社会科学统计软件包(SPSS)25版进行录入和分析。

结果

对总共100名参与手术过程的外科手术人员的个人防护装备应用情况进行了评估。大多数医护人员(61.2%)在个人防护装备应用方面符合传染病控制标准。在穿手术衣时戴手套的合规率最高,而佩戴眼部防护的合规率最低。

结论与建议

外科手术人员使用个人防护装备的情况并不理想。医疗机构可以通过个人防护装备使用规程更好地保护其工作人员和患者免受感染传播及其他危害。穿戴和脱卸个人防护装备时必须有条不紊,并由另一名工作人员监督,尤其是在手术紧急情况下。应根据感染预防和控制指南以及特定手术所涉及的风险水平使用个人防护装备。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dabd/10923328/d8e6fa5ecfa4/ms9-86-1341-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dabd/10923328/d8e6fa5ecfa4/ms9-86-1341-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dabd/10923328/d8e6fa5ecfa4/ms9-86-1341-g001.jpg

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本文引用的文献

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Int J Surg. 2021 Dec;96:106165. doi: 10.1016/j.ijsu.2021.106165. Epub 2021 Nov 11.
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Personal protective equipment usage, recycling and disposal among spine surgeons: An Asia Pacific Spine Society survey.脊柱外科医生个人防护装备的使用、回收与处置:亚太脊柱协会调查
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Impact of Personal Protective Equipment on Surgical Performance During the COVID-19 Pandemic.
新冠疫情期间个人防护装备对手术操作的影响。
World J Surg. 2020 Sep;44(9):2842-2847. doi: 10.1007/s00268-020-05648-2.
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Impact of Personal Protective Equipment on the Performance of Emergency Pediatric Tasks.个人防护装备对紧急儿科任务执行情况的影响。
Pediatr Emerg Care. 2021 Dec 1;37(12):e1326-e1330. doi: 10.1097/PEC.0000000000002028.
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When to wear personal protective equipment to prevent infection.何时佩戴个人防护装备以预防感染。
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Bull World Health Organ. 2017 Dec 1;95(12):831-841F. doi: 10.2471/BLT.17.195735. Epub 2017 Oct 13.
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