医务人员医用防护口罩适合性测试主观感受分析  

Analysis of fit test and subjective feelings of respirators for health care workers

作　　者：贾会学[1] 姚希[1] 胡美华[1] 孙昕霙[2] 闵鹤葳 邓明卓[3] 卢联合[4] 李杰[5] 宋丽红 路简羽 宋雪梅 高航 李六亿[1] JIA Hui-xue;YAO Xi;HU Mei-hua;SUN Xin-ying;MIN He-wei;DENG Ming-zhuo;LU Lian-he;LI Jie;SONG Li-hong;LU Jian-yu;SONG Xue-mei;GAO Hang;LI Liu-yi(Peking University First Hospital,Beijing 100034,China;不详)

机构地区：[1]北京大学第一医院感染管理-疾病预防控制处,北京100034 [2]北京大学公共卫生学院社会医学与健康教育系,北京100191 [3]首都医科大学附属北京友谊医院,北京100050 [4]北京地坛医院感染管理科,北京100015 [5]首都医科大学附属复兴医院医院感染与疾病预防控制处,北京100038 [6]北京市密云区医院感控科,北京101599 [7]北京市第二医院院感科,北京100031

出　　处：《中华医院感染学杂志》2022年第16期2542-2546,共5页Chinese Journal of Nosocomiology

基　　金：首都卫生发展科研专项公共卫生项目(首发2021-1G-4071)。

摘　　要：目的 通过定量适合性测试及主观感受调查,了解适合性测试与主观感受的区别以及对不同口罩的舒适度。方法 在北京市选取不同级别、性质的医院6所,根据呼吸道传染病暴露风险,选取不同风险级别的工作人员,包括医生、护士、医技、工勤人员,对两个品牌四款口罩(即拱形和折叠形)进行适合性测试,同时调查主观感受密合性以及呼吸情况、面部压迫等舒适性感受。结果 共320人参与了测试,4种口罩经过适合性测试通过534人次,主观感受完全密合的为334人次,符合率为62.55%;适合性测试未通过746人次,主观感受有漏气的536人次,符合率为71.85%。四种口罩主观感受不密合的区域均主要为鼻梁区和下巴区。不同品种口罩舒适度之间存在明显差异,折叠形B的主观感受各项指标较好,整体满意程度较高。结论 进行适合性测试不仅为医务人员找到合适的医用防护口罩,还使医务人员了解正确的口罩佩戴方法,并让佩戴者感受密合情况。另外需综合考虑舒适度,为医务人员选择更加合适的口罩。OBJECTIVE To investigate the differences between fitness test and subjective feelings and the comfort of different respirators by quantitative fitness test and subjective feeling survey. METHODS Six hospitals with different grades and specialized nature in Beijing were included in the study. According to the exposure risk of respiratory infectious diseases, staff with different risk levels, including doctors, nurses, medical technicians and servicers, were selected to conduct fit testing of four kinds of respirators of two brands(i.e. arch and folding). At the same time, the subjective feelings of tightness, breathing, facial compression and other comfort feelings were investigated. RESULTS A total of 320 people participated in the test, and 534 fit tests of the four masks were passed. In 334 tests, people felt the respirators were completely sealed, with the coincidence rate of 62.55%. 746 fit tests were not passed and 536 people felt air leakage of the respirators subjectively, with the coincidence rate of 71.85%. The areas of subjective incompatibility of the four respirators were mainly nose bridge and chin area. There were significant differences in the comfort degree among different varieties of respirators. And folding B had better subjective feelings and higher overall satisfaction degree. CONCLUSION The fitness test not only helps to select the appropriate respirators for the medical staff, but also enables the medical staff to understand the correct usage of the respirators, making the wearer feel the proper seal. In addition, wear comfort should be considered and more suitable respirators should be chosen for medical staff.

关 键 词：医务人员 医用防护口罩 适合性测试 主观感受 

分 类 号：R168[医药卫生—公共卫生与预防医学]