Skin Problems in the Facial Area due to the Use of Personal Protective Equipment in Healthcare Workers: A Systematic Review

IF 3.5 3区医学 Q1 NURSING Journal of Clinical Nursing Pub Date : 2025-02-24 DOI:10.1111/jocn.17695

Vildan Çakar, Ayişe Karadağ, Ayşe Sılanur Demir

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Abstract

Aims

The use of personal protective equipment can cause various skin problems in the facial area. The aim of the systematic review study is to determine the skin problems and related factors due to the use of personal protective equipment.

Design

Preferred Reporting Items for Systematic Reviews and Meta-Analyses and Joanna Briggs Institute Systematic Reviews Tools were used in the methodological approach of this systematic review. The publications were searched using MEDLINE(R), CINAHL, Web of Science, PubMed and Scopus databases without year limitation. Data were screened, extracted and appraised for quality by two authors.

Results

In total 1670 records were identified, of which 15 studies were included in the review. These studies were mostly conducted during the COVID-19 pandemic. Studies have shown that the incidence of skin problems in the face area is high due to the use of personal protective equipment. The most common skin problems were pressure injury, rash, irritation, sweating and moisture accumulation and acne. Anatomical regions with skin problems were nose bridge, cheeks, ears, chin and forehead. The duration of use and type of personal protective equipment and sweating and moisture were the most prominent risk factors for the development of skin problems.

Conclusion

This study has shown that though the studies included in the review have methodological differences, there is a high rate of skin problems related to personal protective equipment used in the facial region. Well-structured, prospective observational and randomised controlled trials are needed.

Relevance to Clinical Practice

It is important to understand the types and causes of skin problems in the face area due to the use of personal protective equipment to protect the facial skin health of healthcare workers.

No Patient or Public Contribution

In the inclusion criteria of this systematic review, the patients or public were not included in the study.

Trail Registration

The systematic review study has been registered in PROSPERO International Prospective Register of Systematic Reviews System (CRD4202127650).

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医护人员因使用个人防护设备而导致的面部皮肤问题：系统回顾

目的：个人防护装备的使用会引起面部各种皮肤问题。本系统综述研究的目的是确定因使用个人防护装备而引起的皮肤问题及其相关因素。设计：系统评价和荟萃分析的首选报告项目和乔安娜布里格斯研究所系统评价工具被用于本系统评价的方法学方法。文献检索采用MEDLINE(R)、CINAHL、Web of Science、PubMed和Scopus数据库，检索年份不限。数据由两位作者筛选、提取并评估质量。结果：共纳入1670份文献，其中15项研究被纳入本综述。这些研究大多是在COVID-19大流行期间进行的。研究表明，由于个人防护装备的使用，面部皮肤问题的发生率很高。最常见的皮肤问题是压伤、皮疹、刺激、出汗和水分积累以及痤疮。出现皮肤问题的解剖区域为鼻梁、脸颊、耳朵、下巴和前额。使用时间和个人防护装备的类型以及出汗和潮湿是皮肤问题发展的最突出的危险因素。结论：本研究表明，虽然纳入综述的研究在方法学上存在差异，但与面部区域使用的个人防护装备相关的皮肤问题发生率很高。需要结构良好、前瞻性观察性和随机对照试验。与临床实践的相关性：了解由于使用个人防护设备而导致的面部皮肤问题的类型和原因是很重要的，以保护医护人员的面部皮肤健康。无患者或公众贡献：在本系统评价的纳入标准中，患者或公众未被纳入研究。试验注册：该系统评价研究已在普洛斯彼罗国际前瞻性系统评价注册系统（CRD4202127650）中注册。

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来源期刊

Journal of Clinical Nursing 医学-护理

CiteScore

6.40

自引率

2.40%

发文量

审稿时长

2 months

期刊介绍： The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice. JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice. We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.