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| 2种不同材质防护贴对防护用具导致的面部损伤/不适的防护效果观察 |
| 李玲玲1,李智2,乔安花3,陈静3,李文放4,徐正梅5* |
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(1. 海军军医大学(第二军医大学)长征医院妇产科, 上海 200003;
2. 海军军医大学(第二军医大学)护理系, 上海 200433;
3. 海军军医大学(第二军医大学)长征医院护理部, 上海 200003;
4. 海军军医大学(第二军医大学)长征医院重症医学中心, 上海 200003;
5. 海军军医大学(第二军医大学)长征医院院办, 上海 200003
*通信作者) |
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| 摘要: |
| 目的 观察2种不同材质的防护贴对军队支援湖北医疗队员因佩戴防护用具导致的面部损伤/不适的防护作用，为寻找便捷有效的防护措施提供借鉴。方法 选择147名军队支援湖北医疗队队员，采用自行设计的医护人员佩戴防护用具后面部损伤/不适情况调查表对佩戴防护用具时使用海军军医大学（第二军医大学）药学系研发的防护凝胶贴片（海神贴）和3M亲水性敷料前后面部损伤/不适情况进行横断面现况调查，比较2种材质的防护贴对面部损伤/不适的防护效果。结果 共调查医护人员78名，其中使用海神贴的62人，使用3M亲水性敷料的16人。使用防护贴后，海神贴组和3M亲水敷料组医护人员面部损伤/不适各条目得分均明显降低，与使用前相比差异均有统计学意义（P均<0.05）；但无论是使用前还是使用后，两组间医护人员面部损伤/不适各条目得分差异均无统计学意义（P均>0.05）。使用防护贴前，面部中重度损伤/不适比例占前4位的依次为眼镜/面罩起雾（85.9%，67/78）、皮肤压痕（80.8%，63/78）、接触处疼痛（74.4%，58/78）、闷热（71.8%，56/78），总体中重度损伤/不适的比例为80.8%（63/78）；使用防护贴后，面部中重度损伤/不适比例占前4位的依次为眼镜/面罩起雾（53.8%，42/78）、闷热（41.0%，32/78）、呼吸阻力（41.0%，32/78）、皮肤压痕（38.5%，30/78），总体中重度损伤/不适的比例为43.6%（34/78）；使用防护贴后面部损伤/不适改善率占前4位的依次为皮肤糜烂（76.5%）、皮肤红肿（67.3%）、接触处疼痛（63.8%）和接触处瘙痒（52.9%）。结论 2种不同材质的防护贴对防护用具导致的面部损伤/不适均有改善作用，值得推广使用。 |
| 关键词: 新型冠状病毒肺炎 医务人员 个人防护装备 皮肤损伤 防护贴 |
| DOI：10.16781/j.0258-879x.2021.12.1444 |
| 投稿时间：2021-04-27 |
| 基金项目:上海市科学技术委员会临床研究重点项目（18411951400），上海市科学技术委员会长三角联合创新重点项目（19495810200），上海市公共卫生体系建设三年行动计划学科建设项目（GWV-10.1-XK24） |
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| Observation on the protective effects of 2 different protective stickers on facial injury/discomfort caused by protective appliances |
| LI Ling-ling1,LI Zhi2,QIAO An-hua3,CHEN Jing3,LI Wen-fang4,XU Zheng-mei5* |
(1. Department of Obstetrics and Gynecology, Changzheng Hospital, Naval Medical University (Second Military Medical University), Shanghai 200003, China;
2. Faculty of Nursing, Naval Medical University (Second Military Medical University), Shanghai 200433, China;
3. Department of Nursing, Changzheng Hospital, Naval Medical University (Second Military Medical University), Shanghai 200003, China;
4. Critical Care Medical Center, Changzheng Hospital, Naval Medical University (Second Military Medical University), Shanghai 200003, China;
5. Department of Hospital Service, Changzheng Hospital, Naval Medical University (Second Military Medical University), Shanghai 200003, China
*Corresponding author) |
| Abstract: |
| Objective To observe the protective effects of 2 kinds of protective stickers made from different materials on facial injury/discomfort caused by wearing protective appliances of military medical members in the medical team supporting Hubei, so as to provide reference for developing convenient and effective protective measures.Methods Totally 147 military medical members in the medical team supporting Hubei were surveyed by the self-designed questionnaire of facial injury/discomfort caused by wearing protective appliances. Cross-sectional survey of the facial injury/discomfort before and after using the protective gel stickers (Haishen stickers, developed by the Faculty of Pharmacy, Naval Medical University[Second Military Medical University]) or 3M hydrophilic dressing was conducted, and the protective effects of the 2 kinds of protective stickers on facial injury/discomfort were compared.Results A total of 78 medical members finished the questionnaires (62 cases with Haishen stickers and 16 cases with 3M hydrophilic dressings). The scores of facial injury/discomfort were significantly reduced in both groups after using the protective stickers (both P < 0.05); however, there was no significant difference between the 2 groups before or after using the protective stickers (both P > 0.05). The top 4 moderate-to-severe facial injury/discomfort were fogging of protective glasses/masks (85.9%, 67/78), skin indentation (80.8%, 63/78), pain at the contact sites (74.4%, 58/78) and sultry (71.8%, 56/78), and the overall proportion of moderate-to-severe injury/discomfort was 80.8% (63/78); after using the protective stickers, the top 4 moderate-to-severe facial injury/discomfort were fogging of glasses/masks (53.8%, 42/78), sultry (41.0%, 32/78), respiratory resistance (41.0%, 32/78) and skin indentation (38.5%, 30/78), with the overall proportion of moderate to severe injury/discomfort being 43.6% (34/78); and the top 4 improvement rates of facial injury/discomfort after using protective stickers were skin erosion (76.5%), skin redness (67.3%), pain at the contact sites (63.8%), and itching at the contact site (52.9%).Conclusion These 2 kinds of protective stickers made from different materials can improve the facial injury/discomfort caused by protective appliances, which is worth popularizing. |
| Key words: coronavirus disease 2019 medical staff personal protective equipment skin wounds protective stickers |
