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新冠疫情期间医护人员穿戴个人防护装备的心理和生理影响

Psychological and physical impact of wearing personal protective equipment among health care workers during the COVID-19 pandemic.

作者信息

Chavan Madhavrao, Sharma Sushil, Chenchula Santenna, Rangari Gaurav, Misra Arup Kumar, Saggurthi Pavani

机构信息

Department of Pharmacology, All India Institute of Medical Sciences, Mangalagiri, Andhra Pradesh, India.

出版信息

Bioinformation. 2024 Aug 31;20(8):822-828. doi: 10.6026/973206300200822. eCollection 2024.

Abstract

Healthcare workers (HCWs) are front-line warriors in the battle against the COVID-19 pandemic. Therefore, it is of interest to assess the psychological and physical effects of personal protective equipment (PPE) among HCWs caring for COVID-19 patients. This cross-sectional study utilized a validated, well-structured questionnaire consisting of 24 questions to collect information on the psychological and physical effects experienced by HCWs. The study adhered to relevant EQUATOR guidelines for reporting. The study collected online data from 114 HCWs working in COVID-19 settings while using PPE. Among the respondents, 33% reported anxiety, 23.1% experienced apprehension after donning PPE, and 68.1% felt discomfort. Additionally, 46.2% required up to 12 hours for psychological restoration after a COVID-19 duty shift, 17.6% were worried about the risk of infection, and 28.6% were extremely worried about infecting family members while on duty. The findings highlight significant discomfort, anxiety, and apprehension among HCWs due to prolonged PPE use, reflecting the immense psychological burden of working in high-risk environments during the pandemic. These results emphasize the need for comprehensive support systems and interventions to address the multifaceted needs of HCWs, including psychological support, adequate breaks, and measures to mitigate physical discomfort.

摘要

医护人员是抗击新冠疫情的一线战士。因此,评估个人防护装备(PPE)对护理新冠患者的医护人员心理和身体的影响很有意义。这项横断面研究使用了一份经过验证且结构良好的包含24个问题的问卷,以收集医护人员所经历的心理和身体影响方面的信息。该研究遵循了相关的EQUATOR报告指南。该研究从114名在新冠疫情环境中工作且使用个人防护装备的医护人员那里收集了在线数据。在受访者中,33%报告有焦虑情绪,23.1%在穿戴个人防护装备后感到担忧,68.1%感觉不适。此外,46.2%的人在新冠值班轮班后需要长达12小时才能恢复心理状态,17.6%的人担心感染风险,28.6%的人在值班时极度担心会感染家人。研究结果凸显了由于长期使用个人防护装备,医护人员存在明显的不适、焦虑和担忧,这反映出在疫情期间在高风险环境中工作所带来的巨大心理负担。这些结果强调需要有全面的支持系统和干预措施来满足医护人员多方面的需求,包括心理支持、足够的休息以及减轻身体不适的措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e8d/11471408/ed8e357ed378/973206300200822F1.jpg

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