Analysis on the occurrence characteristics of pressure injuries caused by COVID-19 pneumonia protective equipment
10.16571/j.cnki.1008-8199.2020.08.013
- VernacularTitle: 新型冠状病毒肺炎防护装备所致压力性损伤的发生特征分析
- Author:
Qi-xia JIANG
1
;
Dong-mei ZHU
2
;
Gui-lin WANG
3
;
Li LI
4
;
Yu-xiu LIU
5
;
Hai-ying LIU
6
;
Ai-hua CHEN
7
;
Wei WEI
8
;
Jia-yu XUE
3
;
Zhi-qiang WENG
3
Author Information
1. Department of Burns and Plastic Surgery
2. Nursing Department
3. Outpatient Department
4. Surgical Department，Xinyang Central Hospital, Xinyang 464001, Henan, China
5. Teaching and Research Office of Medical Statistics, General Hospital of Easten Theater Command，PLA，Nanjing 210002，Jiangsu，China
6. Nursing Department,The Second People's Hospital of Wuxi, Wuxi 214002, Jiangsu, China
7. Department of Anorectic Surgery, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou 325027, Zhejiang, China
8. Medical College,Nanjing University, Nanjing 210008, Jiangsu, China
- Publication Type:Journal Article
- Keywords:
COVID-19;
personal protective equipment;
pressure injury;
related factors
- From:
Journal of Medical Postgraduates
2020;33(8):850-854
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveWearing protective masks for a long time causes a large number of frontline health care workers to suffer different degrees of pressure injury or facial skin rupture in response to COVID-19. This paper aims to analyze the occurrence characteristics and related factors of pressure injury related to devices, and provide the basis for taking countermeasures. Methods There was online investigation of skin injuries caused by wearing protective equipment in medical staff. Descriptive analysis was carried out on the occurrence characteristics of pressure-induced injury, and influencing factors were analyzed through logistic regression model. ResultsThere were a total of 2901 valid questionnaires. The results showed that the incidence of pressure injury caused by protective equipment was 26.34%, mainly in the bridge of the nose (20.41%), cheek (20.23%), auricle (17.82%) and forehead (8.86%). Multivariate Logistic regression model analysis showed that the major associated factors, which presented increasing risk, were sweating and dampness (OR=12.72, 95%CI 8.36-17.30), wearing level-3 protective equipment (OR=3.55, 95%CI 2.47-5.08), wearing level-2 protective equipment (OR=3.37, 95%CI 2.47-4.60), wearing time (OR=1.29, 95%CI 1.05~1.58) and occupation (OR=1.57, 95%CI 1.00~2.49). Conclusion There is the high incidence of pressure injuries to health care workers caused by protective equipment against COVID-19. The main risk factors for facial stress injury of medical staff are sweating and dampness, wearing level-3 and level-2 protective equipment and wearing time.
