新型冠状病毒肺炎病区医务人员个人防护用品使用情况调查  

A survey of personal protective equipment used by medical staffs in the ward of coronavirus disease 2019

作　　者：黄晶[1] 崔璨[1] 王桂芳[1] 赵兰香[1] 潘娜[1] 周树丽[1] 蔡超 金荣华[1] Huang Jing;Cui Can;Wang Guifang;Zhao Lanxiang;Pan Na;Zhou Shuli;Cai Chao;Jin Ronghua(Infection Management Department of Beijing You An Hospital,Capital Medical University,Beijing 100069,China)

机构地区：[1]首都医科大学附属北京佑安医院感染管理处,100069

出　　处：《国际病毒学杂志》2020年第3期191-194,共4页International Journal of Virology

摘　　要：目的了解新型冠状病毒肺炎(coronavirus disease 2019,COVID-19)病区医务人员防护用品(personal protective equipment,PPE)使用时存在的问题,为优化防护用品穿脱流程,加快防护用品的技术革新和标准制定提供依据。方法制定统一的调查表,通过问卷星系统进行问卷设计,采用"网络调研+现场调研"法对222名新型冠状病毒病区工作的医务人员防护用品使用情况进行调查。结果61.26%(136/222)的医务人员对防护用品穿着流程没有疑义,问题最多的三个防护用品分别为医用防护口罩(48人,21.62%)、护目镜或面屏(29人,13.06%)、鞋套/靴套(26人,11.71%)。不同性别、工龄和职业对防护用品认知存在疑问的差异没有统计学意义(P>0.05)。穿脱流程问题主要集中于戴医用防护口罩做闭合性检测漏气(102人,45.95%)、脱防护服边卷边脱,肩部较难脱下(81人,36.49%)、脱隔离衣及外层手套不易一同脱下(76人,34.23%)、摘防护口罩污染面部(34人,15.32%)等。结论应科学选择和使用防护用品,在明确防护用品穿脱流程关键环节的基础上进一步加强培训,加快防护用品的技术革新和标准制定,从而有效降低医务人员感染风险。Objective To understand the problems in using the personal protective equipment(PPE)by medical staffs working in the ward of coronavirus disease 2019(COVID-19),so as to provide the reference on optimizing PPE wearing and taking-off process and accelerating technical innovations and standard formulations.Methods A unified questionnaire was designed by Wenjuanxing Platform.The survey applied"web-based survey+on-site survey"method to investigate PPE usage by 222 health care workers working in the ward of COVID-19.Results Among the medical staffs,61.26%(136/222)had no doubt about PPE wearing process.Three most problematic protective equipments were medical respirator(48,21.62%),goggles or face shield(29,13.06%)and shoe/boot covers(26,11.71%).There were no statistically significant differences in gender,time of service or occupation on the doubts of protective equipments(P>0.05).The problems in PPE wearing and taking-off process were mainly leakage checking in wearing medical respirator(102,45.95%),taking off integrated protective clothing while rolling,difficulties in taking off the clothing from shoulders(81,36.49%),difficulties in taking off both the clothing and outer gloves together(76,34.23%)and contamination of face while taking off medical respirator(34,15.32%),and so on.Conclusions PPE should be chosen and used scientifically.Training on PPE wearing and taking-off process should be strengthened on the basis of identifying the key elements in the processes.Technical innovation and standards for PPE should be accelerated to reduce the risk of infection effectively for the medical workers.

关 键 词：医务人员 个人防护用品 新型冠状病毒 

分 类 号：R168[医药卫生—公共卫生与预防医学]