Löffler Harald, Dickel Heinrich, Bruckner Thomas, Effendy Isaak, Happle Rudolf
Department of Dermatology, Philipp University Deuts-chlausstr. 9, 35033, Marburg, Germany.
Eur J Dermatol. 2002 Sep-Oct;12(5):452-4.
Irritant skin changes are a well known problem in nursing services. Especially geriatric nurses often complain of hand dermatitis, most likely induced by frequent washing and hand disinfections. In this cohort study, demographic data and skin changes from 521 nurse trainees were recorded. The data of geriatric nurse trainees (n = 149) were compared to that of other nurse trainees (n = 372), mostly of surgery, internal medicine, pediatric and obstetrics. Geriatric nurse trainees were significantly older and had noticeably severer irritant skin changes at the start of the training. Geriatric nurse trainees were more often undergoing retraining, because they had other jobs before. Interestingly, some nurses performed the retraining because they had problems with hand dermatitis in their previous job. More education concerning the risk of irritant dermatitis in health care occupations is desirable, not only for the starting nurse but also for the employment offices.
刺激性皮肤变化是护理服务中一个众所周知的问题。尤其是老年护理护士经常抱怨手部皮炎，很可能是频繁洗手和手部消毒所致。在这项队列研究中，记录了521名实习护士的人口统计学数据和皮肤变化情况。将老年护理实习护士（n = 149）的数据与其他实习护士（n = 372）的数据进行了比较，其他实习护士大多来自外科、内科、儿科和产科。老年护理实习护士在培训开始时年龄明显较大，刺激性皮肤变化也明显更严重。老年护理实习护士更常接受再培训，因为他们之前有其他工作。有趣的是，一些护士进行再培训是因为他们之前的工作中存在手部皮炎问题。不仅对于初入职场的护士，而且对于就业办公室来说，都需要更多关于医疗保健职业中刺激性皮炎风险的教育。
