上海交通大学学报（医学版）

上海交通大学学报(医学版) ›› 2020, Vol. 40 ›› Issue (08): 1013-1017.doi: 10.3969/j.issn.1674-8115.2020.08.003

• 新型冠状病毒防控专栏 • 上一篇    下一篇

新型冠状病毒肺炎隔离室医护人员身体不适的情况调查

许 莉1, 2，刘 桐1, 2，奚慧琴1, 2，季梦婷1, 2，钱 萍1   

  1. 1. 上海交通大学医学院附属仁济医院护理部，上海 200127；2.武汉雷神山医院感染二科重症医学病区，武汉430200
  • 出版日期:2020-08-28 发布日期:2020-08-28
  • 通讯作者: 钱 萍，电子信箱：renji_qp@126.com。
  • 作者简介:许 莉（1987—），女，主管护师，学士；电子信箱：lily_0920@163.com。

Investigation of the discomforts of the medical staff in COVID-19 isolation room

XU Li1, 2, LIU Tong1, 2, XI Hui-qin1, 2, JI Meng-ting1, 2, QIAN Ping1   

  1. 1. Department of Nursing, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China; 2. Department of ICU Infection B, Leishenshan Hospital, Wuhan 430200, China
  • Online:2020-08-28 Published:2020-08-28

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摘要： 目的·调查新型冠状病毒肺炎隔离室医护人员因身体不适而离开的情况，为临床防治提供依据。方法·采用分层抽样法调查上海援鄂医疗队医护人员因身体不适而提前离开隔离室的情况，以及主要的症状和体征。采用logistic回归进行危险因素分析。结果·纳入湖北武汉雷神山医院上海援鄂医护人员227人，有69人（30.4%）在隔离室工作期间因出现身体不适而提前离开。发生晕厥2人，出现晕厥先兆相关症状和体征67人。晕厥先兆表现依次为头痛、恶心、出汗、呼吸困难、心悸等。经单因素分析，职业（P=0.002）、性别（P=0.006）、站立时间（P=0.002）有统计学意义。经Logistic回归分析，职业（P=0.000）、站立时间（P=0.025）、感到饥饿（P=0.029）有统计学意义。结论·不同职业、性别、站立时间对隔离室医护人员因身体不适而离开的情况有差异，职业、站立时间、感到饥饿是导致医护人员提前离开隔离室的影响因素。

关键词: 新型冠状病毒肺炎, 晕厥先兆, 隔离室, 医护人员

Abstract:

Objective · To investigate the occurrence of medical staff leaving the COVID-19 isolation room due to discomforts and to provide reference for clinical prevention and treatment. Methods · Stratified sampling method was used to investigate the occurrence of medical staff from Shanghai medical team leaving isolation room earlier due to discomforts, as well as the main symptoms and signs of theirs. Logistic regression was used for risk factor analysis. Results · Among the 227 medical staff working in Leishenshan Hospital in Wuhan, Hubei Province, who were assisted by Shanghai, 69 (30.4%) staff left earlier due to discomforts while working in the isolation room. Two of them had syncope, and sixty-seven of them had symptoms and signs related to presyncope. Symptoms of presyncope include headache, nausea, sweating, dyspnea, and palpitations, etc. Univariate analysis revealed statistically significant differences in occupation (P=0.002), gender (P=0.006), and standing time (P=0.002). Logistic regression analysis showed that occupation (P=0.000), standing time (P=0.025), and hunger (P=0.029) were statistically significant. Conclusion · Different occupation, gender and standing time have different effects on the situation of medical staff leaving the isolation room due to discomforts. Occupation, standing time and feeling of hunger are the influencial factors for medical staff leaving the isolation room earlier.

Key words: coronavirus disease-2019, presyncope, isolation room, medical staff

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