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The prevalence, characteristics, and related factors of pressure injury in medical staff wearing personal protective equipment against COVID ‐19 in China: A multicentre cross‐sectional survey
Author(s) -
Jiang Qixia,
Liu Yuxiu,
Wei Wei,
Zhu Dongmei,
Chen Aihua,
Liu Haiying,
Wang Jing,
Jiang Zhixia,
Han Qiuying,
Bai Yuxuan,
Hua Jiao,
Zhang Yanhong,
Guo Jinli,
Li Li,
Li Juan
Publication year - 2020
Publication title -
international wound journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.867
H-Index - 63
eISSN - 1742-481X
pISSN - 1742-4801
DOI - 10.1111/iwj.13391
Subject(s) - medicine , personal protective equipment , cross sectional study , logistic regression , covid-19 , psychological intervention , protective factor , nursing , disease , pathology , infectious disease (medical specialty)
Since December 2019, the medical staff fighting against COVID‐19 frequently reported the device‐related pressure injury (DRPI) caused by personal protective equipment (PPE). We conducted a cross‐sectional survey online to investigate the prevalence and characteristics of DRPI among medical staff. Univariate and multivariate logistic regression analyses were employed to explore the risk factors associated with DRPI. A total of 4308 participants were collected and 4306 participants were valid from 161 hospitals in China. The overall prevalence of DRPI caused by PPE among medical staff was 30.03% (95% CI 28.69%‐31.41%). The prevalence of male was more than that of female (42.25%, 95% CI 37.99‐46.51% vs 26.36%, 95% CI 26.93‐29.80%, P  < .001).The categories were mainly stages 1 and 2, and the common anatomical locations were nose bridge, cheeks, ears, and forehead. Logistic regression analysis revealed that the risk factors were sweating (OR = 43.99, 95% CI 34.46‐56.17), male (OR = 1.50, 95% CI 1.12‐1.99), level 3 PPE (OR = 1.44, 95% CI 1.14‐1.83), and longer wearing time (OR = 1.28, 95% CI 0.97‐1.68). The prevalence of DRPI was high among medical staff wearing PPE against COVID‐19, and the risk factors were sweating, male, wearing level 3 PPE, and longer wearing time. Comprehensive preventive interventions should be taken.

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