个人防护设备(PPE)的正确使用必须优先为卫生保健工作者(HCW),个人防护设备的短缺和长期使用可能威胁到基本卫生服务的安全。目的评估个人防护装备对医护人员健康和福祉的影响,医师,护士,和COVID-19轮岗值班技术人员。设置和设计这项横断面研究是通过简单随机抽样完成的。方法和材料这项研究是在印度南部的一家三级护理中心进行的,目的是评估第二波COVID-19期间个人防护设备(PPE)的使用情况。向总共266名医护人员发放了一份体检问卷,20至50岁,在2021年5月至8月期间至少连续工作三天。该研究的目的是评估第二波COVID-19大流行期间医护人员使用个人防护装备的有效性。统计分析本研究中的数据分析是使用IBM社会科学统计软件包(SPSS)第19版(IBMCorp.,Armonk,纽约)。平均值和标准偏差,或中位数,用于显示连续变量,而频率和百分比用于显示分类变量。此外,本研究所需的最小样本量为246名参与者.结果调查对象为266名医护人员。年龄的平均+/-SD为28.18+/-5.64,由女性(54.51%)和男性(45.48%)组成。帖子是紧急的(13.15%),重症监护病房(30.82%),和病房(56.01%),分别。使用PPE4到7天的HCWs报告的症状比使用PPE1到3天的HCWs更多。佩戴PPE时的不适是胸部窒息(49.62%),插管困难(36.09%),看清楚困难(68.79%),头晕(49.62%),出汗过多(75.56%),排尿欲望(52.63%),恶心(42.48%),耳后痛(56.76%),胃烧伤(27.44%),口渴或喉咙干燥(78.57%)。落药后出现的症状为疲倦(69.17%),口干(67.29%),头晕(43.60%),头痛(55.63%),胸部窒息(36.46%),皮肤干燥(57.14%),集中能力降低(48.12%),深色尿液(55.63%),警觉性降低(42.48%),和胃烧伤(28.94%)。落水后的第一个想法是喝水(68.42%),吃东西(36.09%),清洁自己(61.27%),排尿量(33.08%),休息一下(29.32%),分别。81(30.45%)。HCW戴手套时皮肤受伤。轮班后恢复时间为12小时(37.59%),24小时(34.21%),36小时(11.65%),和48小时(16.59%)。53名(19.92%)参与者在额头上报告了压疮,鼻子由54(20.30%),脸颊减少31(11.65%),77名(65.71%)参与者耳后。只有76名(28.57%)参与者经历了PPE的最佳大小,其中73人(27.44%)感到紧,117人(43.98%)感到松。结论在控制传染病时尽量减少不适,HCWs可以采用几种做法,例如定期休息,确保人性化的工作时间,使用高质量的PPE,并穿着合适的装备。通过实施这些措施,HCW可以提高他们有效处理传染病的能力,同时优先考虑他们的舒适和福祉。
Context The proper usage of personal protective equipment (PPE) must be prioritised for health care workers (HCWs), where shortages and prolonged use of personal protective equipment can threaten safety in essential health services. Aims To evaluate the effect of personal protective equipment on the health and well-being of HCWs, physicians, nurses, and technicians on duty for COVID-19 rotational postings. Settings and design This cross-sectional study was done by simple random sampling. Methods and materials This study was conducted at a tertiary care centre in South India to assess the utilisation of personal protective equipment (PPE) during the second wave of COVID-19. A physical questionnaire was distributed to a total of 266 healthcare workers, aged 20 to 50, who had worked for a minimum of three consecutive days between May and August 2021. The objective of the study was to evaluate the effectiveness of PPE use among healthcare workers during the second wave of the COVID-19 pandemic. Statistical analysis The data analysis in this study was conducted using IBM Statistical Package for Social Sciences (SPSS) version 19 (IBM Corp., Armonk, New York). The mean and standard deviation, or median, were used to present continuous variables, while frequency and percentage were used to present categorical variables. Furthermore, the minimum sample size required for this study was calculated to be 246 participants. Results The survey included 266 healthcare workers. The mean+/-SD of age was 28.18+/-5.64 and consisted of females (54.51%) and males (45.48%). The postings were in emergency (13.15%), intensive care unit (30.82%), and ward (56.01%), respectively. The HCWs who used PPE for four to seven days reported more symptoms than those who used it for one to three days. Discomforts experienced while wearing PPE were chest suffocation (49.62%), difficulty in performing intubation (36.09%), difficulty in seeing clearly (68.79%), dizziness (49.62%), excessive sweating (75.56%), micturition desire (52.63%), nausea (42.48%), retro-auricular pain (56.76%), stomach burns (27.44%), and thirst or dry throat (78.57%). The symptoms suffered after doffing were tiredness (69.17%), dry mouth (67.29%), dizziness (43.60%), headache (55.63%), chest suffocation (36.46%), dry skin (57.14%), reduced ability to concentrate (48.12%), dark-coloured urine (55.63%), reduced alertness (42.48%), and stomach burns (28.94%). The first thoughts after doffing were to drink water (68.42%), eat something (36.09%), clean yourself (61.27%), urinate (33.08%), and have some rest (29.32%), respectively. 81 (30.45%). The HCWs suffered skin injuries while wearing gloves. The time for restoring after a shift was 12 hours (37.59%), 24 hours (34.21%), 36 hours (11.65%), and 48 hours (16.59%). Pressure sores were reported on the forehead by 53 (19.92%) participants, the nose by 54 (20.30%), the cheek by 31 (11.65%), and behind the ear by 77 (65.71%) participants. The optimal size of PPE was experienced only by 76 (28.57%) participants, while 73 (27.44%) of them felt tight and 117 (43.98%) felt loose. Conclusions To minimise discomfort while managing infectious diseases, HCWs can adopt several practices like taking regular breaks, ensuring humane working hours, utilising high-quality PPE, and wearing properly fitting gear. By implementing these measures, HCWs can enhance their ability to handle infectious diseases effectively while prioritising their comfort and well-being.