新型冠状病毒肺炎流行期间169家医院员工护目镜使用情况调查

doi:10.3760/cma.j.cn115909-20201119-00447

摘要
图/表
参考文献(19)
相关文章 (15)

全文: PDF 767KB HTML (1 KB)
输出: BibTeX | EndNote (RIS) 背景资料

文章导读

摘要目的：了解医院员工在新型冠状病毒肺炎期间护目镜佩戴的使用现状，为科学有效的安全防护提供参考依据。方法：横断面研究。采用便利抽样法，选取全国169家医院1 050名职工，其中医师69人（6.6%）、护士945人（90%）、管理人员24人（2.3%）、后勤、护工等辅助人员6人（0.6%）进行问卷调查。采用自行设计的调查问卷，内容设有研究对象的基本资料及护目镜使用现况两部分。结果：疫情期间， 380人（36.2%）在临床工作中未佩戴护目镜，其中临床一线医护人员未佩戴护目镜171人（占未戴人员的45.1%）。在670名佩戴者中，有488人（占佩戴护目镜人员的72.8%）表示佩戴不舒适，其中 375人（占佩戴护目镜不舒适人员的76.8%）反映镜片起雾为主要原因。在所有佩戴护目镜的员工中， 615人出现过起雾现象，占佩戴护目镜人员的91.8%；401人（占起雾人员中的65.2%）认为护目镜起雾对工作有中、重度的影响，会导致视物模糊而降低工作效率，严重者导致无法工作；243人（占起雾人员中的39.5%）认为护目镜起雾的问题需迫切解决，361人（占起雾人员中的58.7%）的员工希望尽快解决。高危人群优先选用镜片涂抹抗菌洗手液，然后是碘伏、肥皂类洗涤剂等预防护目镜起雾；非高危人群优先选用鼻梁上垫纸巾，然后是镜片涂抹碘伏、抗菌洗手液等防雾。结论：所调查的医院工作人员中，护目镜佩戴率相对较低；其原因主要是护目镜佩戴期间的起雾问题，它降低工作效率，增加医疗风险，甚至影响抢救。因此，指导医护人员进行科学的护目镜防雾处理，从而改善护目镜佩戴体验，是增强疫情期间医护人员安全保护的一大措施。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章

关键词 ： , 新型冠状病毒肺炎, 护目镜, 起雾

Abstract： Objective: To investigate the current use of goggles among hospital staff during the COVID-19 outbreak, so as to provide guidelines for protecting staff scientifically and effectively. Methods: This cross-sectional study used a questionnaire and a convenience sampling strategy. Data was collected from 1 050 employees, including 69 doctors (6.6%), 945 nurses (90%), 24 administrative staff (2.3%), and 6 support staff (0.6%) at 169 hospitals by using a self-designed questionnaire, which consisted of questions about basic information and the use of goggles. Results: In this study, it was found that during the COVID-19 outbreak, 380 hospital employees (36.2%) did not wear goggles while in the hospital, of which 171(45.1%) were clinical front-line medical staff. Among 670 employees who wore goggles, 488 people reported discomfort (72.8% of wearers), the major reason for discomfort reported by 375 wearers (76.8% of wearers) was the issue of fogging. This issue was reported by 615 wearers (91.8% of wearers). Its impact on performing their work can be considerably huge. 401 employees (65.2% of those who reported fogging) had experienced moderate or serious impact from fogging, which caused blurred vision and reduced work efficiency. In severe cases, work could not be performed. Moreover, 243 employees (39.5% of those who reported fogging) urgently required the problem of fogging goggles be solved, while 361 people (58.7% of those who reported fogging) were expecting the problem to be solved. In addition, high-risk individuals were more inclined to use hand sanitizers, iodine and soap detergents to prevent the goggles from fogging; nonhigh-risk individuals were more inclined to use paper towels on the bridge of the nose, iodophor, and antibacterial hand sanitizer to prevent fogging. Conclusions: A relatively low rate of investigated hospital staff wear goggles. Fogging is the main issue that hospital staff did not wear goggles during the outbreak. If goggles fog up, it can lead to a reduction in efficiency and an increase in exposure risks and difficulties of providing medical services. Therefore, it is suggested that medical staff be guided to adopt scientific measures to avoid fogging of goggles during clinical work.

Key words： Corona Virus Disease 2019 (2019-nCoV) goggles fogging

收稿日期: 2020-11-19

PACS:

基金资助: 温州市科技局温州市抗击新冠病毒肺炎应急科研基金（ZY2020001）；温州市科技局课题（Y2017115）

通讯作者: 瞿佳（ORCID：0000-0003-1678-966X），Email：13806898805@163.com

引用本文:

黄小琼1 周文哲1 瞿佳1 杨汉喜2 陈燕燕1 谢强丽3. 新型冠状病毒肺炎流行期间169家医院员工护目镜使用情况调查[J]. 中华眼视光学与视觉科学杂志, 2021, 23(1): 59-63. Xiaoqiong Huang1,Wenzhe Zhou1,Jia Qu1,Hanxi Yang2,Yanyan Chen1,Qiangli Xie3. Current Use Condition of Goggles among the Staff of 169 Hospitals during the COVID-19 Outbreak. Chinese Journal of Optometry Ophthalmology and Visual science, 2021, 23(1): 59-63. DOI: 10.3760/cma.j.cn115909-20201119-00447

链接本文:

https://www.cjoovs.com/CN/10.3760/cma.j.cn115909-20201119-00447 或 https://www.cjoovs.com/CN/Y2021/V23/I1/59

[1]	国家卫生健康委员会. 截至3月6日24时新型冠状病毒肺炎疫情最新情况. 2020-03-07[2020-03-07]. http://www.nhc.gov. cn/xcs/yqtb/202003/4cda391851a544279cb36f334944ca6e. shtml.
[2]	Organization WH. WHO Director-General's opening remarks at the media briefing on COVID-19 - 28 February 2020. 2020-02- 28[2020-03-07]. https://www.who.int/dg/speeches/detail/whodirector-general-s-opening-remarks-at-the-media-briefing-oncovid-19---28-february-2020.
[3]	叶娅, 宋艳萍, 闫明, 等. 新型冠状病毒肺炎合并结膜炎三例. 中华实验眼科杂志, 2020, 38(3): 242-244. DOI: 10.3760/ cma.j.issn.2095-0160.2020.0006. http://rs.yiigle.com/yufabiao/ 1182653.htm.
[4]	Lu CW, Liu XF, Jia ZF. 2019-nCoV transmission through the ocular surface must not be ignored. Lancet, 2020, 395(10224): e39. DOI: 10.1016/S0140-6736(20)30313-5.
[5]	李雪杰, 汪明, 陈长征, 等. 伴发或首发病毒性结膜炎的新型冠状病毒感染下眼科医师的防控策略. 中华实验眼科杂志, 2020, 38(3): 276-280. DOI: 10.3760/cma.j.issn.2095-0160.2020.0002.
[6]	医政医管局. 国家卫生健康委办公厅关于印发新型冠状病毒感染的肺炎防控中常见医用防护用品使用范围指引(试行)的通知. 2020-01-17[2020-03-07]. http://www.nhc.gov.cn/yzygj/ s7659/202001/e71c5de925a64eafbe1ce790debab5c6.shtml.
[7]	Honda H, Iwata K. Personal protective equipment and improving compliance among healthcare workers in high-risk settings. Curr Opin Infect Dis, 2016, 29(4): 400-406. DOI: 10.1097/QCO.0000000000000280.
[8]	高玉, 曾葭, 甘辉亮, 等. 某舰艇部队官兵眼及呼吸道防护用品的现状调查. 中华航海医学与高气压医学杂志, 2014, 21(6): 390-393. DOI: 10.3760/cma.j.issn.1009-6906.2014.06. 008.
[9]	崔兵彦, 姚俊, 刘红, 等. 美军单兵用防护眼镜防雾性能的现状及发展. 中国新技术新产品, 2019, 4(7): 60-62. DOI: 10.3969/ j.issn.1673-9957.2019.07.037.
[10]	Dain SJ, Hoskin AK, Winder C, et al. Assessment of fogging resistance of anti-fog personal eye protection. Ophthalmic Physiol Opt, 1999, 19(4): 357-361. DOI: 10.1046/j.1475- 1313.1999.00418.x.
[11]	Crebolder JM, Sloan RB. Determining the effects of eyewear fogging on visual task performance. Appl Ergon, 2004, 35(4): 371-381. DOI: 10.1016/j.apergo.2004.02.005.
[12]	王斌. 表面活性剂在药学中的研究进展. 检验医学与临床, 2017, 14(1): 415-417. DOI: 10.3969/j.issn.1672-9455.2017.25. 216.
[13]	Mohammadhosseini B. Povidone-iodine surgical scrub solution prevents fogging of the scope's lens during laparoscopic surgery. Surg Endosc, 2010, 24(6): 1498-1499. DOI: 10.1007/s00464- 009-0773-z.
[14]	黄小红. 碘伏在腹腔镜手术中镜头防雾的应用分析. 中国医药指南, 2014, 12(17): 217-218. DOI: 10.3969/j.issn.1671-8801. 2013.06.085.
[15]	刘瑶, 李茜茜, 刘晓晔. 腹腔镜镜头防雾效果的Meta分析. 护理学杂志, 2015, 30(12): 110-112. DOI: 10.3870/hlxzz.2015.12. 110.
[16]	Brackeen AR, Smith JL. Surgical pearl: Antifog solution for surgery goggles. J Am Acad Dermatol, 2006, 55(4): 694-695. DOI: 10.1016/j.jaad.2006.02.019.
[17]	Knauth A, Weiss M, Dave M, et al. Vergleich von Antibeschlagmethoden in der Endoskopie. Der Anaesthesist, 2012, 61(12): 1036-1044. DOI: 10.1007/s00101-012-2116-z.
[18]	Chia SE, Koh D, Fones C, et al. Appropriate use of personal protective equipment among healthcare workers in public sector hospitals and primary healthcare polyclinics during the SARS outbreak in Singapore. Occup Environ Med, 2005, 62(7): 473- 477. DOI: 10.1136/oem.2004.015024.
[19]	黄小琼, 瞿佳, 陈燕燕, 等. 新型冠状病毒肺炎期间佩戴护目镜正确选择和防雾指导. 中华眼视光学与视觉科学杂志, 2020, 22(4): 253-255. DOI: 10.3760/cma.j.cn115909-20200301-00054.