Comfort and tolerability of protective face masks used by healthcare professionals during the COVID-19 pandemic

Yıl 2022, Cilt: 3 Sayı: 1, 17 - 26, 12.03.2022

Murat Duyan , İbrahim Ulaş Özturan , Mustafa Ayhan Ozbek Hüseyin Sevıl Ökkeş Zortuk , Resmiye Nur Okudan , Fatih Selvi , Aslıhan Yürüktümen Ünal , Yıldıray Çete

https://doi.org/10.48176/esmj.2022.48

Öz

Introduction: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus is transmitted by respiratory droplets, and all healthcare professionals (HCPs) have been required to use protective face masks during long working hours. However, the tolerability of different types of face masks varies and can lead to physical or psychological burden for wearer. This study aimed to determine the tolerability and symptoms of commonly used face masks among HCPs.
Methods: This prospective observational study was conducted in the COVID-19 areas of three academic emergency departments (EDs). HCPs, including physicians, nurses, and other personnel were included. The comfort and tolerability of surgical masks, filtering face piece-2 (FFP2), and FFP3 respirators and the symptoms experienced during the four-hour study period were evaluated hourly. The primary outcomes were the severity and duration of discomfort or symptoms experienced according to the type of mask used.
Results: A total of 181 volunteer HCPs were included in the study. Dyspnea was the most common symptom. According to a seven-point Likert scale that measured the wearer’s experience of symptoms, the severity of the first discomfort/symptom was two points on average, and the main discomfort/symptom that led to masking removal was four points. The median time for the appearance of discomfort/symptoms was 70 minutes for the single-layer surgical masks and 50 minutes for the FFP2 and FFP3 masks.
Conclusion: Dyspnea and headache were the most common causes of intolerance to masks used by HCPs. Although statistical significance was not achieved, the duration of mask use was lower in those who used FFP2 and FFP3 masks.  

Anahtar Kelimeler

Occupational Health, Personal protective equipment, COVID-19, Face mask, Respiratory Protection/Respirators

COVID-19 Salgını Sırasında Sağlık Profesyonelleri Tarafından Kullanılan Koruyucu Yüz Maskelerinin Rahatlığı ve Tolere Edilebilirliğinin Değerlendirilmesi

Öz

Giriş: Şiddetli akut solunum sendromu koronavirüs 2 (SARS-CoV-2) virüsü solunum damlacıkları ile bulaşır ve tüm sağlık çalışanlarının uzun çalışma saatleri boyunca koruyucu yüz maskeleri kullanmaları istenmiştir. Bununla birlikte, farklı yüz maskelerinin tolere edilebilirliği değişiklik gösterir ve kullanıcı için fiziksel veya psikolojik yüke yol açabilir. Bu çalışma, sağlık çalışanları arasında yaygın olarak kullanılan yüz maskelerinin tolere edilebilirliğini ve semptomlarını belirlemeyi amaçlamıştır.
Yöntemler: Bu prospektif gözlemsel çalışma, üç akademik acil servisin (ED) COVID-19 alanlarında yürütülmüştür. Doktorlar, hemşireler ve diğer personel dahil olmak üzere tüm sağlık çalışanları dahil edildi. Cerrahi maskeler, FFP2 ve FFP3 solunum cihazlarının konforu ve tolere edilebilirliği ile dört saatlik çalışma süresi boyunca yaşanan semptomlar saatlik olarak değerlendirildi. Birincil sonuçlar, kullanılan maske tipine göre yaşanan rahatsızlık veya semptomların şiddeti ve süresiydi.
Bulgular: Çalışmaya toplam 181 gönüllü sağlık çalışanı dahil edildi. Dispne en sık görülen semptomdu. Kullanıcının semptom deneyimini ölçen yedi puanlık bir Likert ölçeğine göre, ilk rahatsızlığın/semptomun şiddeti ortalama iki puan ve maskenin çıkarılmasına yol açan ana rahatsızlık/semptomun dört puan olduğu görüldü. Rahatsızlık/semptomların ortaya çıkması için medyan süre, tek katmanlı cerrahi maskeler için 70 dakika ve FFP2 ve FFP3 maskeleri için 50 dakika idi.
Sonuç: Dispne ve baş ağrısı, sağlık çalışanları tarafından kullanılan maskelere karşı en yaygın intoleransın nedenleriydi. İstatistiksel anlamlılık elde edilemese de FFP2 ve FFP3 maske kullananlarda maske kullanım süresi daha düşüktü.

Anahtar Kelimeler

İş Sağlığı, Kişisel koruyucu donanım, COVID-19, Yüz maskesi, Solunum Koruması/Solunum Cihazları

Kaynakça

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