the incidence and epidemic characteristics of medical staff apos s skin injuries caused CORD-Papers-2021-10-25 (Version 1)

Title: The Incidence and Epidemic Characteristics of Medical Staff's Skin Injuries Caused by Personal Protective Equipment for Fighting against 2019-nCoV Infection
Abstract: Background: The medical device-related pressure injury(DRPI), which mainly occurs in critical patients and orthopedic patients, has been a research hotspot for the safety management and specialized care of inpatients worldwide, but there have been few reports on DRPI of medical staff During the prevention and control of COVID-19, a large number of medical staff are fighting at the front However, wearing protective equipment for a long time can easily cause skin injury, which seriously harms the medical staff and increases their risk of infection Therefore, how to protect medical personnel from skin damage is an urgent problem Objective: To investigate the incidence and epidemic characteristics of medical staff's skin injuries caused by personal protective equipment in fighting against the COVID-19 in order to provide a basis for the formulation of effective protection countermeasures Methods: A research questionnaire was developed by our research group, including the basic information of medical staff, the wearing situation of protective equipment, the skin damage situation, preventive measures against skin damage, and the post-injury treatment The questionnaire was released through the Questionnaire Star website to front-line medical staff fighting against the COVID-19 through Wechat app from February 8 to 15 in 2020 The survey was completed by voluntary participation and online filling The survey data were collected in one week and a database was established Statistical analysis was made on the incidence of skin injuries, the types of injuries, and epidemic characteristics Results: A total of 2 901 effective questionnaires were collected from 145 hospitals in 19 provinces, 3 autonomous regions and 4 municipalities in China Among them, there were 214(7 38%) males and 2 687(92 62%) females, and 147(5 07%) doctors and 2 754(94 93%) nurses And 825(28 44 %) cases of the medical staff suffered skin injuries due to wearing protective equipment, and the total number of skin damage sites was 2 794 The main types of skin injuries were pressure injury771(26 58%)cases, 2 53 per capita, moisture-associated skin damage256(8 83%)cases, 2 77 per capita, and skin tear42(1 45%)cases, 3 12 per capita Of the 825 medical staff who had skin injuries, 221(26 79%) cases had skin injuries2 types Univariate analysis showed that the incidence of skin injuries caused by protective equipment was higher in men than in women(P 0 05), in those aged 31-45 than in those 30(P 0 016 7), in those who worked 10 years than in those who worked 5 years(P 0 016 7), in doctors than in nurses(P 0 05), in designated epidemic prevention hospitals in Wuhan than in other hospitals(P 0 003 3)and among other hospitals, in Infectious Disease Department than in other departments(P 0 003 3), and in tertiary protection than in secondary protection followed by primary protection(P 0 016 7) However, there was no significant difference in the incidence of skin injuries among medical staff with different continuous wearing time of protective equipment(P 0 05) Conclusion The incidence of skin injuries caused by personal protective equipment in fighting against COVID-19 is high among medical staff Multiple types and multiple sites of skin injuries are coexisted It is recommended to take comprehensive preventive measures of pressure relief, friction reduction, moisture absorption, and skin care to reduce skin damage of medical staff Meanwhile, it is suggested to pay attention to human resource management factors such as gender, age, and job position Copyright 2020 by the Chinese General Practice
Published: 2020
Journal: Chinese General Practice
Author Name: Jiang, Q
Author link: https://covid19-data.nist.gov/pid/rest/local/author/jiang_q
Author Name: Liu, Y
Author link: https://covid19-data.nist.gov/pid/rest/local/author/liu_y
Author Name: Wei, W
Author link: https://covid19-data.nist.gov/pid/rest/local/author/wei_w
Author Name: Chen, A
Author link: https://covid19-data.nist.gov/pid/rest/local/author/chen_a
Author Name: Bai, Y
Author link: https://covid19-data.nist.gov/pid/rest/local/author/bai_y
Author Name: Cai, Y
Author link: https://covid19-data.nist.gov/pid/rest/local/author/cai_y
Author Name: Tao, L
Author link: https://covid19-data.nist.gov/pid/rest/local/author/tao_l
Author Name: Tang, Y
Author link: https://covid19-data.nist.gov/pid/rest/local/author/tang_y
Author Name: Jiang, Z
Author link: https://covid19-data.nist.gov/pid/rest/local/author/jiang_z
Author Name: Xu, G
Author link: https://covid19-data.nist.gov/pid/rest/local/author/xu_g
Author Name: Li, L
Author link: https://covid19-data.nist.gov/pid/rest/local/author/li_l
Author Name: Xue, J
Author link: https://covid19-data.nist.gov/pid/rest/local/author/xue_j
Author Name: Xiao, J
Author link: https://covid19-data.nist.gov/pid/rest/local/author/xiao_j
Author Name: Li, X
Author link: https://covid19-data.nist.gov/pid/rest/local/author/li_x
license: unk
license_url: [unknown license]
source_x: WHO
source_x_url: https://www.who.int/
who_covidence_id: #826665
has_full_text: FALSE
G_ID: the_incidence_and_epidemic_characteristics_of_medical_staff_apos_s_skin_injuries_caused
S2 ID: 225982609