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不止是一道屏障:探索医疗保健中使用个人防护装备对个人和职业的影响

More Than a Barrier: Exploring the Personal and Professional Impact of Personal Protective Equipment Use in Healthcare.

作者信息

Bouchoucha Stéphane L, Martin Loïc, Cartron Emmanuelle, Lucas James J, Hoon Lim Siew, McKenna Karen, Hutchinson Ana

机构信息

Centre for Quality and Patient Safety Research in the Institute for Health Transformation, Deakin University, Geelong, Australia.

Centre for Innovation in Infectious Disease and Immunology Research (CIIDIR), Deakin University, Geelong, Australia.

出版信息

Nurs Health Sci. 2025 Sep;27(3):e70231. doi: 10.1111/nhs.70231.

DOI:10.1111/nhs.70231
PMID:40968488
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12446744/
Abstract

Personal protective equipment used to provide protection to healthcare workers during the pandemic was impacted by shortages in supply and side effects from use. The aim of this study was to explore the prevalence of personal protective equipment (PPE) side effects experienced by healthcare workers in France, including access to, use of PPE, and PPE training. A cross-sectional descriptive survey was used. Reporting followed the STROBE statement. Three hundred and forty-six participants completed the survey. Most were female (41.2%), nurses (59.7%) and aged between 31 and 45 years old. Surgical masks were associated with side effects (54.6%), including acne (24.05%), pressure injuries (26.49%) and burning/pain (7.62%). N95 respirator use was associated with side effects (30.43%), of acne (11.88%) and abrasions (11.88%). Side effects were most frequently reported by female participants and those working in COVID-19 areas. The side effects caused by PPE use and the impact this has on healthcare workers cannot be underestimated. Findings in this study identify the need to develop preventative measures to reduce side effects and improve patient interactions.

摘要

在疫情期间用于保护医护人员的个人防护装备受到供应短缺和使用副作用的影响。本研究的目的是探讨法国医护人员经历的个人防护装备(PPE)副作用的患病率,包括PPE的获取、使用和PPE培训情况。采用了横断面描述性调查。报告遵循STROBE声明。346名参与者完成了调查。大多数为女性(41.2%)、护士(59.7%),年龄在31至45岁之间。外科口罩与副作用相关(54.6%),包括痤疮(24.05%)、压伤(26.49%)和灼烧/疼痛(7.62%)。使用N95呼吸器与副作用相关(30.43%),痤疮(11.88%)和擦伤(11.88%)。女性参与者和在新冠疫情区域工作的人员报告的副作用最为频繁。PPE使用引起的副作用及其对医护人员的影响不可低估。本研究的结果表明需要制定预防措施以减少副作用并改善医患互动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e40/12446744/1f8be243bbf6/NHS-27-e70231-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e40/12446744/cdbff3f3c8bf/NHS-27-e70231-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e40/12446744/1f8be243bbf6/NHS-27-e70231-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e40/12446744/cdbff3f3c8bf/NHS-27-e70231-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e40/12446744/1f8be243bbf6/NHS-27-e70231-g001.jpg

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本文引用的文献

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Nurs Health Sci. 2025 Sep;27(3):e70213. doi: 10.1111/nhs.70213.
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Tuberculosis infection prevention and control.结核病感染预防与控制
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Measles Update - United States, January 1-April 17, 2025.2025年1月1日至4月17日美国麻疹疫情最新情况
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Nurses' Experiences and Perceptions of P2/N95 Mask Use During the COVID-19 Pandemic in Australia: A Qualitative Study.澳大利亚新冠疫情期间护士使用P2/N95口罩的经历与认知:一项定性研究
Nurs Health Sci. 2024 Dec;26(4):e70021. doi: 10.1111/nhs.70021.
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The new 2024 French guidelines for respiratory transmission Prevention: Present-day limitations and the need to implement new standard precautions.2024年法国预防呼吸道传播新指南:当前的局限性以及实施新的标准预防措施的必要性。
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Development of COVID-19 Infection Prevention and Control Training Program Based on ADDIE Model for Clinical Nurses: A Pretest-Posttest Study.基于 ADDIE 模型的临床护士 COVID-19 感染防控培训方案的开发:一项预-后测试研究。
Nurs Health Sci. 2024 Dec;26(4):e13194. doi: 10.1111/nhs.13194.
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Psychological and physical impact of wearing personal protective equipment among health care workers during the COVID-19 pandemic.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
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BMJ Open. 2024 May 31;14(5):e074596. doi: 10.1136/bmjopen-2023-074596.
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J Hosp Infect. 2024 Jul;149:201-202. doi: 10.1016/j.jhin.2024.02.004. Epub 2024 Feb 24.
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