Analysis and countermeasures of current situation of moist-associated skin damage of medical staff caused by the second and third levels of personal protection equipment
10.3760/cma.j.cn115682-20200603-03734
- VernacularTitle:二、三级防护装备所致医护人员潮湿相关性皮肤损伤的现况分析及对策
- Author:
Qixia JIANG
1
;
Yinghua CAI
;
Juan XU
;
Ying ZHANG
;
Yuxuan BAI
;
Wei WEI
Author Information
1. 东部战区总医院烧伤整形科，南京 210002
- Keywords:
Moist-associated skin damage;
Personal protection equipment;
Related factors;
Prevention and control
- From:
Chinese Journal of Modern Nursing
2021;27(2):183-187
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze characteristics, related factors and prevention status of moist-associated skin damage of medical staff caused by the second and third levels of personal protection equipment, and provide basis for formulating prevention and treatment countermeasures.Methods:From February 8 to 22, 2020, the convenient sampling method was adopted to select 1 814 medical staff from 161 hospitals in China as the research objects.The questionnaire was uploaded to Questionnaire Star website, and the questionnaire link was sent to the WeChat working group of medical staff. Medical staff voluntarily used mobile phones to fill in and submit demographic data, moist-associated skin damage data, preventive measures data and other data online.Data were exported from the website and the database was established after double check. SPSS software was used to analyze the occurrence characteristics, related factors and prevention status of moist-associated skin damage and put forward countermeasures.Results:A total of 1 761 medical staff from 161 hospitals in China submitted the questionnaire, including 290 males (16.47%) and 1 471 females (83.53%) .The overall prevalence rate of moisture-related skin damage was 18.85% (332/1 761) . The prevalence rate of third-level personal protective equipment was higher than that of second-level personal protective equipment, and the difference was statistically significant ( P=0.001) .The incidence of wearing time greater than 4 hours group was higher than that of less than or equal to 4 hours group, and the difference was statistically significant ( P<0.05) .The prevalence rate of multiple sites was higher than that of single site ( P< 0.001) . Binary Logistic regression analysis showed that the main associated factors that increased the risk were sweating and dampness ( OR=168.52, P<0.001) and wearing third-level personal protective equipment ( OR=1.65, P<0.05) , and only 12.72% (224/1 761) of them took preventive measures before damage. Conclusions:The incidence of moist-associated skin damage of medical staff caused by the second and third levels of personal protective equipment is relatively high. Among them, sweating and wetness and the third level equipment are the main risk factors, and the prevention is insufficient. It is necessary to strengthen assessment, cleansing, moisturizing, skin care, moisture absorption and other preventive strategies. After damage, local anti-inflammatory and protective treatments should be done on the basis of prevention.
