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Bu çalışmanın amacı COVID-19 pandemisi sürecinde farklı maske tiplerinin ve bunların kullanım güçlüklerinin incelenmesidir. Çalışma etik kurul onayı sonrası düzenlendi. İzmir Ekonomi Üniversitesi Medical Park Hastanesi’nde çalışan, sekreter, hemşire ve doktorlardan oluşan, yaş ortalaması 29,5 olan 78 kadın, 34 erkek toplam 112 gönüllü çalışmaya dâhil edildi. Gönüllüler cerrahi tıbbi maske ve FFP2 maske kullananlar olarak iki gruba ayrıldı. 1. gruba cerrahi tıbbi maske kullanan 81 gönüllü, 2. gruba FFP2 maske kullanan 31 gönüllü dahil edildi. Gönüllülerin, maske kullanımı esnasında 60. dakika ve 180. dakikada nefes darlığı, görme sıkıntısı, kulak ağrısı, baş ağrısı, yüzde rahatsızlık hissi, anksiyete şikâyetlerinin gelişip gelişmediği sorgulandı. Ayrıca 60. ve 180. dakikalarda pulse oksimetre cihazı ile gönüllülerin oksijen satürasyonları ve kalp atım sayılarındaki değişiklik ölçüldü ve başlangıç değerleriyle kıyaslandı. Şikâyetlerin; alerji, sigara kullanımı ve gözlük kullanımı ile değişkenlik gösterip göstermediği değerlendirildi. Verilerin analizinde SPSS 17 paket program kullanıldı. Mevcut verilerin dağılımı Kruskal Wallis ve Shapiro Wilk testleri ile incelendi. Verilerin normal dağılım paterninde olduğu saptandı ve ortalama±standart sapma olarak, gruplar arasında başlangıç, 60 ve 180. dakika satürasyon ve nabız değerleri açısından fark olup olmadığı Student-t testi ile karşılaştırıldı. p<0.05 istatistiksel olarak anlamlı kabul edildi. Nefes darlığı, anksiyete, yüzde rahatsızlık hissi, baş ağrısı, kulakta ağrı ve görme sıkıntısı açısından grupların kendi içinde ve gruplar arasında fark olup olmadığı Ki-Kare testi ile değerlendirildi. Her iki grupta da başlangıç ile 60. Dakika(p<0.001) ve 180 dakika (p<0.001), oksijen satürasyonları açısından istatistiksel anlamlı fark bulunmuştur. Yine başlangıç nabız değerleri ile 60.dakika (p<0.001) ve 180. dakika nabız değerleri açısından (p<0.001) istatistiksel anlamlı fark bulunmuştur. 180. dakika satürasyon değeri arasındaki fark ile maske türü, alerji varlığı, gözlük kullanımı, sigara kullanımı, yaş ve cinsiyet arasında istatistiksel anlamlı ilişki saptanmamıştır. FFP2 tipi maskenin cerrahi maske kullanımıyla kıyaslandığında, daha fazla şikâyete yol açtığı saptanmıştır. Sonuç olarak FFP2 tipi maskenin kullanımda tolerasyonunun daha zor olduğu görülmüştür. Her iki maske tipinde de 180 dakika kullanım sonunda oksijen satürasyonu ve kalp atım hızında düşüş görülmesine rağmen, bu değerler fizyolojik sınırlarda kalmıştır. COVID-19 pandemisi sürecinde, sağlık çalışanları ve toplumdaki kişilerin kendilerinin korunması için önemli bir bariyer olan maske kullanımının sağlık üzerine olumsuz etkisi saptanmamıştır.
The aim of this study is to study different types of masks and their difficulties in use during the COVID-19 pandemic process. The work was carried out after the approval of the Ethical Board. 78 women, 34 men, with an average age of 29,5, consisting of secretaries, nurses and doctors, who work at the Medical Park Hospital of İzmir Economy University, were included in the total of 112 volunteers. Volunteers were divided into two groups as those using the surgical medical mask and the FFP2 mask. The first group included 81 volunteers using a surgical medical mask, the second group included 31 volunteers using a FFP2 mask. Volunteers were questioned whether in the 60th and 180th minutes during the use of the mask their breathing difficulties, vision disorders, headaches, headaches, percentage discomfort, anxiety complaints were developed or not. 60 and 180. In minutes, the pulse oxymeter was measured and compared to the changes in volunteer’s oxygen saturation and heart rate with the initial values. The complaints were assessed whether they show variations with allergies, smoking and glasses. In the analysis of data, SPSS 17 package program was used. The distribution of the existing data was studied by the tests of Kruskal Wallis and Shapiro Wilk. It was found that the data were in normal distribution patterns, and the average±standard deviation was compared with the Student-t test where the start between the groups, 60 and 180 minutes of saturation and pulse values were different. p<0.05 was statistically considered meaningful. In terms of breathing difficulty, anxiety, percentage discomfort, headache, headache in the ear and vision disorder, the Ki-Kare test was assessed by whether the groups differ within themselves and between the groups. In both groups, it starts with 60. Minutes (p<0.001) and 180 minutes (p<0.001) have found a statistically significant difference in oxygen saturation. A statistically significant difference was found with the initial pulse values in the 60th minute (p<0.001) and 180th minute (p<0.001) values. The difference between the 180-minute saturation value and the type of mask, the presence of allergy, the use of glasses, smoking, age and gender has not been statistically significant. The FFP2 type mask was found to lead to more complaints compared to the use of the surgical mask. As a result, the FFP2 type mask has been found to be harder to tolerate in use. Despite the decline in oxygen saturation and heart rate at the end of 180 minutes of use in both types of masks, these values remained within the physiological limits. In the COVID-19 pandemic process, the negative health effects of the use of the mask, which is an important barrier to the protection of health workers and people in the community, have not been identified.
The aim of this study is to evaluate different types of masks and difficulties that are observed while wearing masks during the COVID-19 pandemic. The study was performed following local ethical committee approval. A total of 112 volunteers, 78 females and 34 males, working at Izmir University of Economics Medical Park Hospital, consisting of secretaries, nurses and doctors, were included in the study. Volunteers were divided into two groups as those using surgical medical masks and FFP2 masks. 81 volunteers using surgical medical masks were included in the first group and 31 volunteers using FFP2 mask were included in the second group. Development of dyspnea, vision disturbance, ear pain, headache, discomfort on face and anxiety complaints during the 60th and 180th minutes during mask usage was questioned. In addition, changes of oxygen saturation and changes of heart beat rate were measured with the pulse oximeter at 60th and 180th minutes and compared with the baseline values. Variation of the complaints were evaluated regarding allergy, smoking and use of glasses. For statistical analysis, the statistical package SPSS version 17 was used. The distribution of the data was analyzed with Kruskal Wallis and Shapiro Wilk tests. The data was found to be normally distributed. The difference between the groups in terms of oxygen saturation and heart beat rates in 60th and 180th minutes was compared with baseline values using Student-t test. A p value of <0.05 was considered statistically significant. The Chi-square test was used to determine the difference in dyspnea, anxiety, discomfort on face, headache, pain in the ear, and visual disturbance. In both groups; when compared to baseline values, difference in oxygen saturations in 60th minutes (p <0.001) and 180th minutes (p <0.001) were found to be statistically significant. Statistically significant difference was also found in heart beat rate, in comparison between baseline values and values in 60th minutes (p <0.001) and 180th minutes (p <0.001). There was no statistically significant difference between the changes of oxygen saturation values in 180th minutes and the mask type, the presence of allergy, the use of glasses, smoking, age and gender. As a result, it has been observed that the FFP2 type masks are more difficult to tolerate in use. Although, both types of masks showed a decrease in oxygen saturation and heart beat rate after 180 minutes of use, these values remained within physiological limits. During the COVID-19 pandemic, as an important barrier for protection of healthcare professionals and the people in the community, on wearing masks, adverse effect has not been determined.
Alan : Eğitim Bilimleri; Filoloji; Güzel Sanatlar; Hukuk; İlahiyat; Sosyal, Beşeri ve İdari Bilimler; Spor Bilimleri
Dergi Türü : Uluslararası
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