Heat Stress and Thermal Perception amongst Healthcare Workers during the COVID-19 Pandemic in India and Singapore.
Heat Stress and Thermal Perception amongst Healthcare Workers during the COVID-19 Pandemic in India and Singapore.
复制标题
DOI：
10.3390/ijerph17218100
复制
发表时间：
2020-11-03
影响因子：
--
通讯作者：
Lee JKW
中科院分区：
文献类型：
--
作者：
Lee J;Venugopal V;Latha PK;Alhadad SB;Leow CHW;Goh NY;Tan E;Kjellstrom T;Morabito M;Lee JKW
在2019冠状病毒病（COVID-19）大流行期间，医护人员（HCW）需要穿戴个人防护设备（PPE），这增加了他们的热应激风险。我们评估了来自印度和新加坡的医护人员在进行治疗和护理活动时关于PPE使用和热应激的知识、态度和做法。来自印度（n = 110）和新加坡（n = 55）的165名医护人员参与了一项调查。来自新加坡的37个HCW提供了冰浆摄入前后的热舒适性评级。对印度和新加坡卫生保健工作者之间的反应差异进行了比较。p值临界值为0.05表示具有统计学显著性。印度的中位湿球地球仪温度（30.2 ℃（四分位距[IQR] 29.1-31.8 ℃））高于新加坡（22.0 ℃（IQR 18.8-24.8 ℃））（p < 0.001）。来自这两个国家的受访者报告口渴（n = 144，87%），过度出汗（n = 145，88%），疲惫（n = 128，78%）和渴望去舒适区（n = 136，84%）。在新加坡，关于工作场所空调（n = 34，62%）、专用休息区可用性（n = 55，100%）和休息期间PPE移除（n = 54，98.2%）的报告高于印度（分别为n = 27，25%; n = 46，42%; n = 66，60%）（p < 0.001）。在新加坡摄入冰浆后，中位热舒适度评分从2（IQR 1-2）提高到0（IQR 0-1）（p < 0.001）。HCW认识到热应激的影响，但由于各种限制，可能不会采用最佳实践。新加坡的热应力管理比印度好。冰浆摄入被证明是实用和有效的，在促进热舒适。热应激对产肉率和判断力的不利影响值得进一步研究。
The need for healthcare workers (HCWs) to wear personal protective equipment (PPE) during the coronavirus disease 2019 (COVID-19) pandemic heightens their risk of thermal stress. We assessed the knowledge, attitudes, and practices of HCWs from India and Singapore regarding PPE usage and heat stress when performing treatment and care activities. One hundred sixty-five HCWs from India (n = 110) and Singapore (n = 55) participated in a survey. Thirty-seven HCWs from Singapore provided thermal comfort ratings before and after ice slurry ingestion. Differences in responses between India and Singapore HCWs were compared. A p-value cut-off of 0.05 depicted statistical significance. Median wet-bulb globe temperature was higher in India (30.2 °C (interquartile range [IQR] 29.1–31.8 °C)) than in Singapore (22.0 °C (IQR 18.8–24.8 °C)) (p < 0.001). Respondents from both countries reported thirst (n = 144, 87%), excessive sweating (n = 145, 88%), exhaustion (n = 128, 78%), and desire to go to comfort zones (n = 136, 84%). In Singapore, reports of air-conditioning at worksites (n = 34, 62%), dedicated rest area availability (n = 55, 100%), and PPE removal during breaks (n = 54, 98.2%) were higher than in India (n = 27, 25%; n = 46, 42%; and n = 66, 60%, respectively) (p < 0.001). Median thermal comfort rating improved from 2 (IQR 1–2) to 0 (IQR 0–1) after ice slurry ingestion in Singapore (p < 0.001). HCWs are cognizant of the effects of heat stress but might not adopt best practices due to various constraints. Thermal stress management is better in Singapore than in India. Ice slurry ingestion is shown to be practical and effective in promoting thermal comfort. Adverse effects of heat stress on productivity and judgment of HCWs warrant further investigation.
登录
查看更多内容
影响因子：
2.5
作者：
Lee, J. K. W.;Yeo, Z. W.;Byrne, C.
通讯作者：
Byrne, C.
影响因子：
4.9
作者：
Xiang, Jianjun;Bi, Peng;Sullivan, Thomas
通讯作者：
Sullivan, Thomas
影响因子：
3.7
作者：
Potter AW;Gonzalez JA;Xu X
通讯作者：
Xu X
影响因子：
9.8
作者：
Morabito, Marco;Messeri, Alessandro;Marinaccioe, Alessandro
通讯作者：
Marinaccioe, Alessandro
DOI：
10.1108/ijppm-08-2014-0121
发表时间：
2016-01-01
影响因子：
3.1
作者：
Chinnadurai, Jeremiah;Venugopal, Vidhya;Paramesh, R.
通讯作者：
Paramesh, R.