新型冠状病毒大流行期间医务人员个人防护装备评估

V. E. Batov, S. Kuznetsov
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摘要

背景:在与新型冠状病毒感染患者接触时使用个人防护用品是确保医务人员安全的基本措施。众所周知,在高环境温度和身体活动下,使用由低吸湿性、空气和蒸气渗透性材料制成的防护装备,会导致身体过热。客观上,在大流行期间,医务人员报告说,由于长期使用防护服,他们的功能状况恶化,甚至昏厥。防护装备使执行日常任务变得困难,并导致工作质量下降。研究目的:评估个人防护装备对医务人员功能状态的影响。材料与方法:采用原调查问卷对156名军队卫生机构医务人员进行调查。评估了防护装备的易用性,同时确定了其使用的负面方面。在实验室条件下,对6名志愿者使用可重复使用和一次性个人防护用品时的热状态进行了研究。结果和讨论:大多数受访者报告了使用个人防护装备对身体功能状态的负面影响。问卷数据显示,88%的病例发生皮肤损伤;安全眼镜起雾81%;视力障碍占70%;61%的人西装尺码不足;工作时主观感觉热的占61%;45%的病例是头痛。对可重复使用和一次性宇航服在温度为25摄氏度和轻度体力劳动下的热状况进行评估表明,志愿者的体温水平在可接受的正常值范围内。结论:个人防护装备的使用对医务工作者身体的功能状态有负面影响,这就要求对防护装备的选择采取合理的方法,提供最佳的工作和休息制度,考虑到在不同条件下使用个人防护装备的可能性,包括环境温度升高(30С以上)和/或剧烈体力消耗,有必要进一步研究它们的影响,以便制定预防措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of personal protective equipment for medical personnel during a new coronavirus pandemic
BACKGROUND: The use of personal protective equipment in contact with patients with new coronavirus infection is the basic measure to ensure the safety of medical personnel. It is known that the use of protective equipment made of materials with low hygroscopicity, air and vapor permeability, under high ambient temperatures and physical activity, can cause overheating of the body. Objectively, during the pandemic, medical personnel reported a deterioration in the functional state up to and even fainting, caused by prolonged use of protective suits. Protective equipment made it difficult to perform routine tasks and led to a reduction in the quality of work performed. PURPOSE OF THE STUDY: Assessment of the effect of personal protective equipment on the functional status of medical personnel. MATERIALS AND METHODS: A survey of 156 medical workers of military medical organizations was carried out using the original questionnaire. The ease of use of protective equipment was assessed, and at the same time the negative aspects of its use were identified. A study of the thermal condition of 6 volunteers during the use of reusable and disposable personal protective equipment sets was carried out under laboratory conditions. RESULTS AND DISCUSSION: The majority of respondents reported a negative impact on the functional state of the body when using personal protective equipment. According to questionnaire data, skin damage occurred in 88% of cases; fogging of safety glasses in 81%; visual impairment in 70%; inadequate suit size in 61%; subjective feeling of heat at work in 61%; headaches in 45% of cases. An assessment of the thermal condition of the reusable and disposable suits at a temperature of 25C and light physical work indicated that the body heat levels of the volunteers were within acceptable normative values. CONCLUSIONS: The use of personal protective equipment has a negative effect on the functional state of the medical workers body, which requires a rational approach to the selection of protective the provision of an optimal regime of work and rest Considering the possibility of using personal protective equipment under different conditions, including increased ambient temperatures (over +30С) and/or intense physical exertion, there is a need for further study of their effects in order to develop preventive measures.
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