新型冠状病毒肺炎流行期间169家医院员工护目镜使用情况调查

目的：了解医院员工在新型冠状病毒肺炎期间护目镜佩戴的使用现状，为科学有效的安全防护提供参考依据。方法：横断面研究。采用便利抽样法，选取全国169家医院1 050名职工，其中医师69人 （6.6%）、护士945人（90%）、管理人员24人（2.3%）、后勤、护工等辅助人员6人（0.6%）进行问卷调查。 采用自行设计的调查问卷，内容设有研究对象的基本资料及护目镜使用现况两部分。结果：疫情期间， 380人（36.2%）在临床工作中未佩戴护目镜，其中临床一线医护人员未佩戴护目镜171人（占未 戴人员的45.1%）。在670名佩戴者中，有488人（占佩戴护目镜人员的72.8%）表示佩戴不舒适，其中 375人（占佩戴护目镜不舒适人员的76.8%）反映镜片起雾为主要原因。在所有佩戴护目镜的员工中， 615人出现过起雾现象，占佩戴护目镜人员的91.8%；401人（占起雾人员中的65.2%）认为护目镜起雾对工作有中、重度的影响，会导致视物模糊而降低工作效率，严重者导致无法工作；243人（占起 雾人员中的39.5%）认为护目镜起雾的问题需迫切解决，361人（占起雾人员中的58.7%）的员工希望尽快解决。高危人群优先选用镜片涂抹抗菌洗手液，然后是碘伏、肥皂类洗涤剂等预防护目镜起雾； 非高危人群优先选用鼻梁上垫纸巾，然后是镜片涂抹碘伏、抗菌洗手液等防雾。结论：所调查的医院工作人员中，护目镜佩戴率相对较低；其原因主要是护目镜佩戴期间的起雾问题，它降低工作效率，增加医疗风险，甚至影响抢救。因此，指导医护人员进行科学的护目镜防雾处理，从而改善护目镜佩戴体验，是增强疫情期间医护人员安全保护的一大措施。

Current Use Condition of Goggles among the Staff of 169 Hospitals during the COVID-19 Outbreak

Objective: To investigate the current use of goggles among hospital staff during the COVID-19 outbreak, so as to provide guidelines for protecting staff scientifically and effectively. Methods: This cross-sectionalstudy used a questionnaire and a convenience sampling strategy. Data was collected from 1 050 employees, including 69 doctors (6.6%), 945 nurses (90%), 24 administrative staff (2.3%), and 6 support staff (0.6%) at 169 hospitals by using a self-designed questionnaire, which consisted of questions about basic information and the use of goggles. Results: In this study, it was found that during the COVID-19 outbreak, 380 hospital employees (36.2%) did not wear goggles while in the hospital, of which 171(45.1%) were clinical front-line medical staff. Among 670 employees who wore goggles, 488 people reported discomfort (72.8% of wearers), the major reason for discomfort reported by 375 wearers (76.8% of wearers) was the issue of fogging. This issue was reported by 615 wearers (91.8% of wearers). Its impact on performing their work can be considerably huge. 401 employees (65.2% of those who reported fogging) had experienced moderate or serious impact from fogging, which caused blurred vision and reduced work efficiency. In severe cases, work could not be performed. Moreover, 243 employees (39.5% of those who reported fogging) urgently required the problem of fogging goggles be solved, while 361 people (58.7% of those who reported fogging) were expecting the problem to be solved. In addition, high-risk individuals were more inclined to use hand sanitizers, iodine and soap detergents to prevent the goggles from fogging; nonhigh-risk individuals were more inclined to use paper towels on the bridge of the nose, iodophor, and antibacterial hand sanitizer to prevent fogging. Conclusions: A relatively low rate of investigated hospital staff wear goggles. Fogging is the main issue that hospital staff did not wear goggles during the outbreak. If goggles fog up, it can lead to a reduction in efficiency and an increase in exposure risks and difficulties of providing medical services. Therefore, it is suggested that medical staff be guided to adopt scientific measures to avoid fogging of goggles during clinical work.