口腔门诊医务人员隔离衣使用现状及穿着体验调查研究
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R183.5;R197.39

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首都卫生发展科研专项基金项目(首发2021-1G-4101);北京大学口腔医学院·口腔医院管理科研基金项目(2023GLJJ01)


Usage status and wearing feeling of isolation gowns among dental clinic healthcare workers
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    摘要:

    目的 调查三级口腔专科医院医务人员躯干防护隔离用品使用情况及不同材质隔离衣的穿着体验,为优化隔离衣使用提供依据。方法 采用问卷调查法,收集16所三级口腔专科医院隔离衣及白大衣的使用数据(类型、更换频率、清洗成本等),并评估其中某院4个门诊科室医务人员对3种材质隔离衣(一次性、自制可复用、成品可复用)的穿着体验。结果 所有机构均使用白大衣和隔离衣,其中81.25%的机构同时使用一体式和分体式白大衣,75.00%的机构同时使用一次性和可复用隔离衣。喷溅操作时,以内穿刷手服外罩隔离衣为主(占87.50%)。隔离衣以每日更换为主(75.00%),白大衣每周更换1~2次为主(各占43.75%),刷手服更换频率不一。87.50%的机构复用织物外送第三方处理。可复用隔离衣的月使用量最大值为21 346件,每台口腔综合治疗台月使用量及每名医务人员月使用量中位数与白大衣的数值接近;白大衣的月使用量中位数最高(2 537件),清洗单价中位数最高(3.50元)。可复用隔离衣购置单价最高(85.00元),一次性隔离衣最低(12.50元)。一次性隔离衣在透气性、延展性和气味方面的体验感较差,自制可复用隔离衣在有效阻隔血液体液、重量上评价较低,成品可复用隔离衣"衣长过小过短"的评价较低。3种隔离衣的主要改进意见集中于透气性、重量和有效防护覆盖。结论 执行口腔喷溅操作时建议使用隔离衣,隔离衣购置及月清洗消毒的整体成本较高,隔离衣的设计应兼顾防护性能与舒适性,结合口腔临床需求优化。

    Abstract:

    Objective To investigate the usage status of trunk protective isolation products and wearing feeling of isolation gowns made of different materials in tertiary dental hospitals, and provide evidence for optimizing the usage of isolation gowns. Methods A questionnaire survey was conducted to collect data on the usage of isolation gowns and white coats (including type, replacement frequency, cleaning costs, etc.) from 16 tertiary stomatological specialty hospitals. The wearing feeling on three types of isolation gowns (disposable, self-made reusable, and commercial reusable) of healthcare workers (HCWs) in 4 outpatient departments of a hospital was evaluated. Results All institutions used both white coats and isolation gowns, with 81.25% using both one-piece and two-piece white coats, and 75.00% of the institutions used both disposable and reusable isolation gowns. During splashing procedures, 87.50% of the institutions adopted the practice of wearing scrubs underneath isolation gowns. Isolation gowns were mostly replaced daily(75.00%), white coats 1-2 times weekly(43.75%), and scrubs varied in replacement frequency. 87.50% of the institutions outsourced reusable textiles for cleaning. For reusable isolation gowns, the maximum monthly usage reached 21 346 pieces, the median monthly usage per dental unit and per HCW were close to the numbers of white coats. For white coats, the median monthly usage was the highest (2 537 pieces), and the median cleaning cost per piece was also the highest (¥3.50). The highest purchasing cost was from reusable isolation gowns (¥85.00) and the lowest was from disposable ones (¥12.50). Disposable gowns received poor subjective evaluation for breathability, stretchability, and odor during use; self-made reusable gowns received poor evaluation in weight and effective blocking of blood and body fluid; commercial reusable gowns received poor evaluation for being "too short in length". Key improvement suggestions on three isolation gowns focused on breathability, weight, and protective coverage. Conclusion Isolation gowns are recommended during dental splash procedures. The overall cost of purchasing as well as monthly cleaning and disinfection is relatively high. The design of isolation gowns should balance protective performance and comfort based on clinical needs in dental practice.

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引用本文

徐丹慧,丁建芬,辛子熙,等.口腔门诊医务人员隔离衣使用现状及穿着体验调查研究[J]. 中国感染控制杂志,2026,25(2):203-212. DOI:10.12138/j. issn.1671-9638.20267399.
XU Danhui, DING Jianfen, XIN Zixi, et al. Usage status and wearing feeling of isolation gowns among dental clinic healthcare workers[J]. Chin J Infect Control, 2026,25(2):203-212. DOI:10.12138/j. issn.1671-9638.20267399.

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  • 收稿日期:2025-09-17
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  • 在线发布日期: 2026-03-04
  • 出版日期: 2026-02-28