Effects of Three-Hour Wearing Personal Protective Equipment on Heart Rate Variability in Healthcare Workers for the Treatment of COVID-19 Patients

BACKGROUND: Personal protective equipment (PPE), an essential shield to protect healthcare workers (HCWs) during the COVID-19 pandemic, has been reported to affect their heart rate variability (HRV). OBJECTIVE: To investigate the changes of very short-term heart rate variability in HCWs after three...

Descripción completa

Detalles Bibliográficos
Autores principales: Thi Ngoc Le, Han, Xuan Nguyen, Kien, Duy Nguyen, Toan, Quang La, Ho, Thanh Nguyen, Xuan, Tien Le, Dung, Quoc Pham, Huy, Xuan Nguyen, Khai, Hoang Nguyen, Hiep, Van Pham, Viet, Van Pham, Cong, Pho, Dinh Cong, Nhu Do, Binh, Viet Tran, Tien, Tien Nguyen, Son, Dinh Le, Tuan, Cong Luong, Thuc
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2023
Materias:
Original Research
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10281273/
https://www.ncbi.nlm.nih.gov/pubmed/37346809
http://dx.doi.org/10.2147/IJGM.S413626
Descripción
Sumario:BACKGROUND: Personal protective equipment (PPE), an essential shield to protect healthcare workers (HCWs) during the COVID-19 pandemic, has been reported to affect their heart rate variability (HRV). OBJECTIVE: To investigate the changes of very short-term heart rate variability in HCWs after three hours of wearing PPE to treat COVID-19 patients at different working times and intensities, and related factors. METHODS: Sixty-five healthy HCWs were enrolled at the Number 2 Infectious Field Hospital (formed by Military Hospital 103), Vietnam. Two-minute 12-lead electrocardiograms were recorded before wearing and after removing PPE. RESULTS: After three hours of wearing PPE, the mean heart rate of HCWs increased (p = 0.048) meanwhile, the oxygen saturation decreased significantly (p = 0.035). Standard deviation of all normal to normal intervals (SDNN), mean intervals RR (mean NN), and root mean square successive difference (rMSSD) after wearing PPE was also reduced significantly. SDNN, Mean NN, and rMSSD decreased as the working intensity increased (as in mild, moderate, and severe patient departments). In univariate regression analysis, logSDNN, logmean NN and logrMSSD were positively correlated with SpO2 and QT interval (r = 0.14, r = 0.31, r = 0.25; r = 0.39, r = 0.77, r = 0.73, respectively) and were negatively correlated with ambient temperature inside PPE (r = −0.41, r = −0.405, r = −0.25, respectively) while logmean NN and log rMSSD were negatively correlated with diastolic blood pressure (r = −0.43, r = −0.39, respectively). In multivariable regression analysis, logSDNN and logmean NN were negatively correlated to ambient temperature inside PPE (r = −0.34, r = −0.18, respectively). CONCLUSION: Time-domain heart rate variability decreased after wearing PPE. Time-domain HRV parameters were related to ambient temperature inside PPE, diastolic blood pressure, QT interval, and SpO2.

Ejemplares similares