Page 23 - 中国全科医学2022-30
P. 23
·3732· http://www.chinagp.net E-mail:zgqkyx@chinagp.net.cn
差异,存在选择偏倚;(2)《正确穿、脱 PPE 认知 from a symptomatic patient[J]. JAMA,2020,323(16):
评价量表》和《正确穿、脱 PPE 技能考核表》评分 1610-1612. DOI:10.1001/jama.2020.3227.
[7]MOORE D,GAMAGE B,BRYCE E,et al. Protecting health care
均具有一定主观性,本研究中部分方舱医院 SARS-
workers from SARS and other respiratory pathogens:organizational
CoV-2 防控工作人员不能够很好地适应网络问卷调
and individual factors that affect adherence to infection control
查,存在信息偏倚;(3)网络问卷的匿名性增加了 guidelines[J]. Am J Infect Control,2005,33(2):88-96.
方舱医院 SARS-CoV-2 防控工作人员《正确穿、脱 DOI:10.1016/j.ajic.2004.11.003.
PPE 认知评价量表》评分的自由度和可信度,但本研 [8]FISCHER W A 2nd,HYNES N A,PERL T M. Protecting health
究发现其正确穿、脱 PPE 的认知和技能掌握程度存 care workers from Ebola:personal protective equipment is critical but
is not enough[J]. Ann Intern Med,2014,161(10):753-754.
在不匹配的情况,不排除部分方舱医院 SARS-CoV-2
DOI:10.7326/M14-1953.
防控工作人员未能认真、如实填写网络调查问卷等
[9]WOTHERSPOON S,CONROY S. COVID-19 personal protective
情况。 equipment protocol compliance audit[J]. Infect Dis Health,
综上所述,不同岗位的方舱医院 SARS-CoV-2 2021,26(4):273-275. DOI:10.1016/j.idh.2021.06.002.
防控工作人员对正确穿、脱 PPE 的认知和技能掌握 [10]WHO Guidelines Approved by the Guidelines Review
程度存在一定差异,且对穿、脱 PPE 认知和技能存 Committee[M]. Infection Prevention and Control of Epidemic-
and Pandemic-Prone Acute Respiratory Infections in Health Care.
在不匹配的情况,今后应注意开展有针对性、有重
Geneva:World Health Organization,2014.
点的培训和督导,并将对穿、脱 PPE 认知评价和技
[11]EL-SOKKARY R H,KHATER W S,EL-KHOLY A,
能考核结合起来,以保证方舱医院 SARS-CoV-2 防 et al. Compliance of healthcare workers to the proper use of
控工作高效、平稳开展。 personal protective equipment during the first wave of COVID-19
作者贡献:姜文迪负责论文写作、数据处理和统 pandemic[J]. J Infect Public Health,2021,14(10):1404-
计学审查;王金金、李珊珊负责调查的实施;杨洋、 1410. DOI:10.1016/j.jiph.2021.07.017.
[12]FRAM D S,DA SILVA ESCUDERO D V,DE OLIVERIA
郝帅负责数据整理;童智慧负责数据校验;蔡文鹏
MATIAS L O,et al. Personal protective equipment:shortage or
负责论文写作指导、方法学审查、数据与政策分析;
waste?[J]. Infect Control Hosp Epidemiol,2021,42(6):
童智慧、蔡文鹏负责文章的整体监督和质量控制, 786-787. DOI:10.1017/ice.2020.354.
对文章整体负责。 [13]ZELLMER C,VAN HOOF S,SAFDAR N. Variation in health
本文无利益冲突。 care worker removal of personal protective equipment[J]. Am
参考文献 J Infect Control,2015,43(7):750-751. DOI:10.1016/j.
[1]ZHANG X,ZHANG W,CHEN S. Shanghai's life-saving efforts ajic.2015.02.005.
against the current omicron wave of the COVID-19 pandemic[J]. [14]REBMANN T,ALVINO R T,HOLDSWORTH J E. Availability
Lancet,2022,399(10340):2011-2012. DOI:10.1016/S0140- and crisis standards of care for personal protective equipment during
6736(22)00838-8. fall 2020 of the COVID-19 pandemic:a national study by the APIC
[2]CHEN S,ZHANG Z,YANG J,et al. Fangcang shelter hospitals: COVID-19 task force[J]. Am J Infect Control,2021,49(6):
a novel concept for responding to public health emergencies[J]. 657-662. DOI:10.1016/j.ajic.2021.03.015.
Lancet,2020,395(10232):1305-1314. DOI:10.1016/S0140- [15]ZHAN M,ANDERS R L,LIN B,et al. Lesson learned from
6736(20)30744-3. China regarding use of personal protective equipment[J]. Am J
[3]ORTEGA R,GONZALEZ M,NOZARI A,et al. Personal protective Infect Control,2020,48(12):1462-1465. DOI:10.1016/j.
ajic.2020.08.007.
equipment and COVID-19[J]. N Engl J Med,2020,382(26):
[16]周晓芬,钱欣,蔡菲莉,等 . 武汉方舱医院新型冠状病毒肺炎
e105. DOI:10.1056/NEJMvcm2014809.
[4]中华人民共和国卫生部医院感染控制标准专业委员会 . 医院隔 隔离病房工作人员穿脱个体防护装备认知状况调查[J]. 中
华实验和临床病毒学杂志,2020,34(6):573-577. DOI:
离技术规范[J]. 中华医院感染学杂志,2009,19(13):Ⅳ - Ⅷ .
10.3760/cma.j.cn112866-20200314-00066
[5]KARIM S S A,KARIM Q A. Omicron SARS-CoV-2 variant:a new
[17]CURRAT L,SUPPAN M,GARTNER B A,et al. Impact of
chapter in the COVID-19 pandemic[J]. Lancet,2021,398(10317):
face-to-face teaching in addition to electronic learning on personal
2126-2128. DOI:10.1016/S0140-6736(21)02758-6.
protective equipment doffing proficiency in student paramedics:
[6]ONG S W X,TAN Y K,CHIA P Y,et al. Air,surface
randomized controlled trial[J]. Int J Environ Res Public Health,
environmental,and personal protective equipment contamination by
2022,19(5):3077. DOI:10.3390/ijerph19053077.
severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)