{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,26]],"date-time":"2025-04-26T04:04:55Z","timestamp":1745640295515,"version":"3.40.4"},"reference-count":0,"publisher":"Jaypee Brothers Medical Publishing","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAPI"],"published-print":{"date-parts":[[2023,3,7]]},"abstract":"<jats:p>Background: Prolonged use of N95 masks by health care workers might affect physical health  due to mask-related hypoxia in addition to the psychological effects of N95 masks. We tried to  explore the association of N95 mask-related hypoxia and headache with stress, quality of sleep,  and anxiety in the current study. Materials and methods: The sample (N = 78) consisted of 41 doctors and 37 nurses involved in  COVID-19 patient care and using N95 masks with or without PPE for at least 4 hours. Perceived  stress scale (PSS), Coronavirus anxiety scale (CAS), and Pittsburgh sleep quality index (PSQI) were  administered, and physical parameters like heart rate and oxygen saturation (SpO2) were measured. Results: Around 42% of the study participants experienced headaches after wearing an N95 mask  and had a higher increase in heart rate (mean percent:10.5% vs 6.3%) and decline in SpO2 (mean  percent: 2.6% vs 1.5%) compared to those who didn\u2019t develop a headache after N95 mask use.  Independent samples t-test showed a mean difference for PSS and CAS between those who  experienced headaches and those who didn\u2019t. The mean PSQI scores among the study participants  were 8.91 \u00b1 5.78; the score among those participants with and without headache was 10.57 \u00b1  3.11 and 7.68 \u00b1 2.53, respectively. Conclusion: Perceived corona anxiety, poor sleep quality, and corona anxiety are associated with  N95-related headaches and SpO2 drop among health professionals who wear N95 masks for at  least 4 hours.<\/jats:p>","DOI":"10.5005\/japi-11001-0176","type":"journal-article","created":{"date-parts":[[2023,4,13]],"date-time":"2023-04-13T06:12:15Z","timestamp":1681366335000},"page":"61-64","source":"Crossref","is-referenced-by-count":2,"title":["Influence of N95 Mask-related Hypoxemia on Headache, Stress, Anxiety, and Quality of Sleep during COVID-19 Patient Care among Frontline Health Care Professionals"],"prefix":"10.59556","volume":"71","author":[{"given":"Arul","family":"Varman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Devi R","family":"Nithiya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chetty","family":"Meghna","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arun","family":"Tipandjan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Srinivasan","family":"Thiagarajan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nirmala","family":"Saravanan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geethalakshmi","family":"Sivakumar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2914","published-online":{"date-parts":[[2023,3,1]]},"container-title":["Journal of the Association of Physicians of India"],"original-title":[],"deposited":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T10:57:15Z","timestamp":1745578635000},"score":1,"resource":{"primary":{"URL":"https:\/\/japi.org\/article\/files\/JAPI0176_p61-64_compressed.pdf"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,1]]},"references-count":0,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2023,3,1]]},"published-print":{"date-parts":[[2023,3,7]]}},"URL":"https:\/\/doi.org\/10.5005\/japi-11001-0176","relation":{},"ISSN":["0004-5772"],"issn-type":[{"type":"print","value":"0004-5772"}],"subject":[],"published":{"date-parts":[[2023,3,1]]}}}