医务人员对不同品牌医用防护口罩的主观感受与适合性测试结果  

Medical staff’s subjective feelings and fit test results of different brands of medical protective masks

作　　者：贾会学[1] 姚希[1] 钱晶京[1] 张璐璐[2] 谭艳芬[2] 李六亿[1] JIA Hui-xue;YAO Xi;QIAN Jing-jing;ZHANG Lu-lu;TAN Yan-fen;LI Liu-yi(Department of Infection Management-Disease Control and Prevention;Medical Equipment Division,Peking University First Hospital,Beijing 100034,China)

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]北京大学第一医院医学装备处,北京100034

出　　处：《中国感染控制杂志》2023年第1期96-101,共6页Chinese Journal of Infection Control

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：目的了解医务人员对不同品牌医用防护口罩密合性感受和舒适度感受的差异。方法选取发热门诊的工作人员,包括医生、护士、医技、工勤人员,对四个品牌的折叠形医用防护口罩进行定量适合性测试,调查不同动作时医务人员主观感受密合性情况,并调查测试时和佩戴4 h后医务人员鼻梁区压迫感、皮肤痒、颜面部皮肤损伤、内表面磨嘴、勒耳廓、面部压迫感等不适感受,以及佩戴4 h后口罩变形等特殊情况。结果共对发热门诊98名工作人员进行了医用防护口罩佩戴适合性测试和舒适度调查,与定量适合性测试结果相比,主观感受真正密合的符合率为77.42%;主观感受真正非密合的符合率为56.86%。不同测试动作中,除大声说话动作之外,其他动作主观感受真正密合性符合率均在90%以上,而真正非密合符合率各项动作均较低,均在30%以下。口罩佩戴主观感受反映的主要问题为大小不合适、头带拉力不舒适、鼻梁区压迫感,整体不适感受人员比率在40%左右。佩戴4 h后,头带拉力不舒适、鼻梁区压迫感人员比例所有增加。结论选择医用防护口罩时,除考虑适合性测试数据外,还需综合考虑舒适度等主观感受,可提高医用防护口罩佩戴的依从性和正确性,并提高医务人员满意度。Objective To understand medical staff’s feeling of fitness and comfort when wearing different brands of medical protective masks.Methods Fever clinic staff including doctors,nurses,medical technicians and hospital service workers were selected.Quantitative fit test of four brands of folding medical protective masks were conducted.Staff’s subjective feeling on mask fitness during different body movements was investigated.Discomfort fee-lings of medical staff at the beginning and 4 hours after wearing masks were tested,including pressure sense of nose bridge,skin itching,facial skin damage,mouth abrasion,tightening of ears and facial compression of masks.Mask deformation after 4 hours usage was also investigated.Results A total of 98 staff in fever clinic were investigated on the wearing fitness and comfort of medical protective masks.Compared with quantitative fit test results,the conformity rates of actual fit of subjective feeling was 77.42%,and non-actual fit was 56.86%.In different tested movements except loud speaking,conformity rates of the actual fit of subjective feeling were higher than 90%,however,conformity rates of actual non-fit movement were low,all below 30%.The main problems reflected by the subjective feeling of wearing masks were inappropriate size,uncomfortable headband tension,and pressure on nose bridge.Overall proportion of person with discomfort feeling was about 40%.After wearing masks for 4 hours,proportion of persons with discomfort feeling from headband tension and pressure on nose bridge increased.Conclusion When choosing medical protective masks,it is necessary to consider not only the fit test data,but also subjective feelings like comfort level,so as to improve the compliance and correctness in wearing medical protective masks as well as the satisfaction level of medical personnel.

关 键 词：医用防护口罩 适合性测试 主观感受 正确佩戴 

分 类 号：R197.323.4[医药卫生—卫生事业管理]