中国全科医学 ›› 2022, Vol. 25 ›› Issue (30): 3726-3733.DOI: 10.12114/j.issn.1007-9572.2022.0555

所属专题: 新型冠状病毒肺炎最新文章合集

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方舱医院新型冠状病毒Omicron防控工作人员正确穿、脱个人防护装备的认知和技能现况调查

姜文迪1, 王金金2, 李珊珊3, 杨洋1, 郝帅1, 童智慧4, 蔡文鹏5,*()   

  1. 1.210018 江苏省南京市,南京大学医学院附属金陵医院普通外科
    2.210018 江苏省南京市,南京大学医学院附属金陵医院护理部
    3.210018 江苏省南京市,南京大学医学院附属金陵医院心血管内科
    4.210018 江苏省南京市,南京大学医学院附属金陵医院重症医学科
    5.200433 上海市,海军军医大学心理系医学心理学教研室
  • 收稿日期:2022-05-27 修回日期:2022-07-25 出版日期:2022-10-20 发布日期:2022-08-11
  • 通讯作者: 蔡文鹏
  • 姜文迪,王金金,李珊珊,等.方舱医院新型冠状病毒Omicron防控工作人员正确穿、脱个人防护装备的认知和技能现况调查[J].中国全科医学,2022,25(30):3726-3733.[www.chinagp.net]
    作者贡献:姜文迪负责论文写作、数据处理和统计学审查;王金金、李珊珊负责调查的实施;杨洋、郝帅负责数据整理;童智慧负责数据校验;蔡文鹏负责论文写作指导、方法学审查、数据与政策分析;童智慧、蔡文鹏负责文章的整体监督和质量控制,对文章整体负责。
  • 基金资助:
    上海市公共卫生体系建设三年行动计划(2020-2022)优秀人才培养计划(GWV-10.2-YQ46)

Awareness and Skills of Correctly Donning and Doffing Personal Protective Equipment in SARS-CoV-2 Omicron Containment Workers from a Mobile Cabin Hospital

Wendi JIANG1, Jinjin WANG2, Shanshan LI3, Yang YANG1, Shuai HAO1, Zhihui TONG4, Wenpeng CAI5,*()   

  1. 1. Department of General Surgery, the Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing 210018, China
    2. Department of Nursing, the Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing 210018, China
    3. Department of Cardiovascular Medicine, the Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing 210018, China
    4. ICU, the Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing 210018, China
    5. Teaching and Research Office of Medical Psychology, Department of Psychology, the PLA Naval Medical University, Shanghai 200433, China
  • Received:2022-05-27 Revised:2022-07-25 Published:2022-10-20 Online:2022-08-11
  • Contact: Wenpeng CAI
  • About author:
    JIANG W D, WANG J J, LI S S, et al. Awareness and skills of correctly donning and doffing personal protective equipment in SARS-CoV-2 Omicron containment workers from a mobile cabin hospital[J]. Chinese General Practice, 2022, 25 (30) : 3726-3733.

摘要: 背景 新型冠状病毒(SARS-CoV-2)Omicron变异株传播速度增快、隐匿性增强,方舱医院SARS-CoV-2防控工作人员正确穿、脱个人防护装备(PPE)技能不仅直接影响入舱人员自身健康,还关乎方舱医院整体感染控制质量。 目的 分析方舱医院SARS-CoV-2防控工作人员对正确穿、脱PPE的认知和技能。 方法 采用整群抽样方法选取2022-04-10至2022-05-10进入国家会展中心(上海)方舱医院第四分院的SARS-CoV-2防控工作人员460名,通过自制网络调查问卷评估其对正确穿、脱PPE的认知,通过现场考核评估其正确穿、脱PPE的技能。 结果 共发放网络调查问卷460份,回收有效问卷384份,回收有效率为83.5%;对于《正确穿、脱PPE认知评价量表》评分,医生、护士第一次更衣区、第二次更衣区、前置脱衣区和第一次脱衣区、第二次脱衣区、手卫生消毒维度评分高于公安和消防人员(P<0.05)。460名方舱医院SARS-CoV-2防控工作人员均完成正确穿、脱PPE技能现场考核;对于《正确穿、脱PPE技能考核表》评分,医生、护士第一次更衣区、清洁区入污染区更衣步骤维度评分低于公安和消防人员,医生第一次更衣区维度评分低于护士(P<0.05)。 结论 不同岗位的方舱医院SARS-CoV-2防控工作人员对正确穿、脱PPE的认知和技能掌握程度存在一定差异,且对穿、脱PPE认知和技能存在不匹配的情况,应注意开展有针对性、有重点的培训和督导。

关键词: 新型冠状病毒肺炎, 新型冠状病毒, 个人防护装备, 方舱医院, 认知, 横断面研究

Abstract:

Background

The transmission speed and concealment of the Omicron variant of SARS-CoV-2 have been enhanced. The awareness level and skills of correctly donning and doffing personal protective equipment (PPE) in SARS-CoV-2 containment workers from the mobile cabin hospital are associated with their own health status, and the overall quality of COVID-19 pandemic control.

Objective

To understand the awareness and skills of correctly donning and doffing PPE in SARS-CoV-2 containment workers from a mobile cabin hospital.

Methods

By use of cluster sampling, 460 SARS-CoV-2 containment workers were selected from the Fourth Branch of Shanghai Mobile Cabin Hospital located in the National Exhibition and Convention Center (Shanghai) , from April 10 to May 10, 2022. Their awareness and skills of correctly donning and doffing PPE were assessed using an online survey with a self-developed questionnaire named Awareness of Correctly Donning and Doffing Personal Protective Equipment, and using an onsite performance assessment with a self-developed questionnaire named Skills of Correctly Donning and Doffing Personal Protective Equipment, respectively.

Results

The survey obtained a response rate of 83.5% (384/460) . According to the survey, both doctors and nurses had significantly higher average scores with regards to the operations at the first donning area, second donning area, front doffing area and first doffing area, second doffing area, and hand hygiene disinfection than public security officers and fire fighters (P<0.05) . All of the 460 cases completed the onsite performance assessment. Both doctors and nurses obtained lower average scores in terms of completing the operations at the first donning area, and donning steps in clean area into contaminated area than public security officers and fire fighters (P<0.05) . Doctors had much lower average score for completing the operations at the first donning area than nurses (P<0.05) .

Conclusion

There were significant differences in the levels of awareness and skills of correctly donning and doffing PPE in SARS-CoV-2 containment workers by occupation. Targeted and focused trainings and supervisions should be carried out to improve the mismatching between the levels of awareness and skills.

Key words: COVID-19, SARS-CoV-2, Personal protective equipment, Mobile cabin hospital, Cognition, Cross-sectional studies