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新型冠状病毒抗疫期间医务工作者防护相关性皮肤损害的护理研究

Nursing study on protection-related skin damage of medical workers during novel coronavirus's anti-epidemic period
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摘要 目的:研究新型冠状病毒抗疫期间医务工作者防护相关性皮肤损害的护理。方法:2020年2月选取援鄂医疗队中出现防护相关性皮肤损害的医护人员60名,进行相关干预与自身对照试验。比较干预前后防护相关性皮肤损害的发生率。结果:干预后白痱、浸渍、糜烂和接触性皮炎发生率低于干预前,差异有统计学意义(P<0.05);干预后Ⅰ期器械相关压力性损伤中,包括耳郭、额部及面颊在内的3处压力性损伤高发部位发生率均显著下降,差异有统计学意义(P<0.05)。在Ⅱ期压力性损伤患者中,耳郭及面颊部位在干预后器械相关压力性损伤发生率显著下降,差异有统计学意义(P<0.05)。结论:通过本研究为广大临床抗疫一线医护提供建议,以减少相关性皮肤损害的发生,从而增加医护人员的工作舒适度,降低相关性皮肤损害的发生率。 Objective:To study the nursing of protection-related skin damage of medical workers during novel coronavirus's anti-epidemic period.Methods:In February 2020,60 medical staff from the medical aid team in Hubei who were currently suffered protection-related skin damage were selected to conduct related intervention and self-control experiments.The incidence of protection-related skin lesions was compared before and after.Wecompared the incidence of protection-related skin damage before and after intervention.Results:The incidences of leukoplakia,impregnation,erosion and contact dermatitis after intervention were significantly lower than those before intervention,the differences were statistically significant(P<0.05).After the intervention,the incidence of pressure injuries at the three high-incidence sites including the auricle,forehead and cheeks was significantly reduced in stageⅠdevice-related pressure injuries,the difference was statistically significant(P<0.05).In patients with stageⅡpressure injury,the incidence of device-related pressure injury in the auricle and cheek area decreased significantly after intervention,and the difference was statistically significant(P<0.05).Conclusion:Through this study,we can provide suggestions for clinical anti-epidemic first-line health care,in order to reduce the occurrence of related skin damage.So as to increase the work comfort of medical staff and reduce the incidence of related skin damage.
作者 周洁 宋剑平 Zhou Jie;Song Jianping(The Second Affiliated Hospital of Medical College of Zhejiang University,Zhejiang Hangzhou 310009)
出处 《中国社区医师》 2021年第2期168-169,共2页 Chinese Community Doctors
关键词 新型冠状病毒 防护相关性皮肤损害 护理 Novel coronavirus Protection-related skin damage Nursing
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