Changes in skin integrity due to the use of personal protective equipment in health professionals working in the COVID-19 pandemic in a university hospital: retrospective study
DOI:
https://doi.org/10.33448/rsd-v11i4.27747Keywords:
Skin; Personal Protective Equipment; Health Care Professionals; COVID-19; Wounds and injuries.Abstract
Objective: to identify the main changes in skin integrity in the face of the use of personal protective equipment (PPE)/paramentation and to determine the incidence rate of these changes. Methodology: descriptive exploratory research with quantitative approach. Data collection occurred in January 2022, through a data collection form with open and closed questions. The sample was composed of professionals whose inclusion criterion was the use of PPE/paramentation against the COVID-19 pandemic. The research site was a university hospital in Rio de Janeiro. Results: 84 professionals answered the data collection form, 66.7% female and 33.3% male. The main changes in skin integrity were: 84% of the participating health professionals reported hyperemia (redness), 85% marks on the skin by pressure, 36% lesions, 57% increased moisture in the skin and 23% stated that they had some unspecified dermatological alteration. The PFF2 mask of type N95 was the EPI most cited as causing dermatological alterations. Conclusion: The need for continuous use of PPE/paramentation, for long periods and sometimes without respecting prevention measures, determined the emergence of dermatological changes due to external risk factors such as pressure, friction and alteration of the skin microclimate, as intervening variables of skin integrity breakdown. Therefore, actions of occupational health education are recommended so that all professionals, in order to recognize risks, identify injuries resulting from the use of PPE/paramentation and thus avoid them during their work activities.
References
Ali, S. A. (2009). Dermatoses ocupacionais. 2. ed. São Paulo: Fundacentro.
Assis, I.R.A.S.; Binotto, E.; & Casarotto, E. L. (2021). Padronização de materiais em um hospital universitário: atividades e processo. Revista de Administração Hospitalar e Inovação em Saúde, 18(1), 94-108.
Bitencourt, M.O. (2018). Relação entre uso de equipamentos de proteção individual e o absenteísmo no trabalho. Revista especialize on-line IPOG, 9 (15), 1-26.
Coelho, M. D.M. F.; Cavalcante, V.M. V.; Moraes, J. T.; Menezes, L.C. G. D.; Figueirêdo, S. V.; Branco, M. F.C.C. & Alexandre, S. G. (2020). Pressão lesão relacionada ao uso de equipamentos de proteção individual na pandemia COVID-19. Revista Brasileira de Enfermagem, 73 (2), e20200670.
Costa, A. T. (2012). Manual de Segurança e Saúde no Trabalho: Normas regulamentadoras. 7 ed. São Paulo: Difusão.
Di Piero, K. C.; Pontes, A. R. de S.; & Cardinelli, C. C. (2021). Silicon foam in the prevention of pressure injuries by the PFF2 (N95) mask in the Coronavirus pandemic. Research, Society and Development, 10(5), e47510515166. https://doi.org/10.33448/rsd-v10i5.15166
Girondi, J.B.R.; Di Piero, K.C.; Oliveira, C.F.; Rosa, C.S.; Santos, L.A. & Abreu, A.M. (2020). Lesões por pressão relacionada à equipamentos de proteção individual em instituições de longa permanência. In: R. F. Santana (Ed.). Enfermagem Gerontológica no cuidado ao idoso em tempos da COVID-19. 2(1), 126-32 ABEN/DCEG.
HUCFF. (2012). Histórico. Disponível em: http://www.hucff.ufrj.br/institucional/historico.
Li, Q.; Guan, X.; Wu, P.; Wang, X.; Zhou, L. & Tong, Y. (2020). Early Transmission Dynamics in Wuhan, China, of Novel Coronavirus–Infected Pneumonia. New England Journal of Medicine, 382(13), 1199-1207. doi: 10.1056/NEJMoa2001316.
Martins, D.A. & Soares F.F.R. (2008). Conhecimento sobre prevenção e tratamento de úlceras de pressão entre trabalhadores de enfermagem em um hospital de Minas Gerais. Cogitare Enferm, 13(1), 83-7.
Mills, J. (2020). Medics left with sore marks all over their skin from coronavirus face masks. Metro. https://metro.co.uk/2020/02/05/medics-left-sore-marks-skin-coronavirus-face-masks-12188952/
Nogueira, P. R. R. B.; Sant’Ana M. de F.; Amaral, E. G. & Sant’Ana, R. C. S. F. (2021). Índice de absenteísmo entre os profissionais de enfermagem brasileiros com a pandemia do COVID-19. Revista Mais Educação, 4 (5), 837-847. https://www.revistamaiseducacao.com/artigosv4-n5-julho-2021/72
National Pressure Ulcer Advisory Panel. (2016). National Pressure Ulcer Advisory Panel (NPUAP) announces a change in terminology from pressure ulcer to pressure injury and updates the stages of pressure injury. https://www.woundsource.com/blog/national-pressure-ulcer-advisory-panel-npuap-announces-change-in-terminology-pressure-ulcer
NPUAP, EPUAP & PPPIA. (2014). Prevention and Treatment of Pressure Ulcers: Quick Reference Guide. Cambridge Media
Santos, J. L. G.; Erdmann, A.L.; Meirelles, B.H.S.; Lanzoni, G.M.M.; Cunha, V.P. & Ross R. Integração entre dados quantitativos e qualitativos em uma pesquisa de métodos mistos. Texto Contexto Enferm, 26(3), e1590016. http://dx.doi.org/10.1590/0104-07072017001590016
SOBEST. (2016). Classificação das lesões por pressão – Consenso NPUAP 2016 – adaptada culturalmente para o brasil. http://www.sobest.org.br
Silva Filho, P. S. da P.; Costa, R. E. A. R. da; Santos, M. B. L. dos; Leal, M. de C.; Vieira, M. J. A.; Rodrigues, F. M.; Melo, M. de J. A. de; Ferro, J. de A.; Rodrigues, K. S.; Araújo, F. W. C.; Silva, A. P. A. da; Alves, D. R. C. F.; Mendes, A. M.; Reis, M. R. dos; Leão, C. de A. & Raiol, S. R. do N. (2020). A importância do uso de equipamentos de proteção individual (EPI) em tempos de covid-19. Research, Society and Development, 9(7), e629974610. https://doi.org/10.33448/rsd-v9i7.4610
Tonetto, L. M.; Brust-Renck, P. G. & Stein, L. M. (2014). Perspectivas metodológicas na pesquisa sobre o comportamento do consumido. Psicologia: Ciência e Profissão, 34(1), 180-195.
WHO. (2019). Rational use of personal protective equipment for coronavirus disease 2019 (COVID-19): Interim guidance. World Health Organization (WHO). https://apps.who.int/iris/bitstream/handle/10665/331215/WHO-2019-nCov-IPCPPE_use-2020.1-eng.pdf
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Ana Rosa de Souza Pontes; Camila Castanho Cardinelli; Jéssica Fabíola dos Santos Paula; Karina Chamma Di Piero
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
