Holness D Linn
Gage Occupational and Environmental Health Unit, St Michael's Hospital and University of Toronto, Toronto, Ontario, Canada M5B 1W8.
Contact Dermatitis. 2003 Dec;49(6):273-5. doi: 10.1111/j.0105-1873.2003.0257.x.
There is little information available regarding barriers to return-to-work (RTW) in workers with contact dermatitis. The purpose of this study was to survey occupational health and safety personnel to determine their perceptions regarding RTW barriers for workers with contact dermatitis. The study was conducted during an occupational health and safety research conference attended by stakeholders from labour, management, injured workers, government, safety associations, occupational health and safety practitioners and researchers. The attendees were presented with 3 pictures of varying degrees of work-related hand contact dermatitis and were asked to list the 3 key barriers or challenges in RTW for individuals with contact dermatitis. 21 individuals completed the survey. Issues identified in descending order of frequency were concern of ongoing dermatitis, ability to do the job safely, appearance, ability to accommodate, personal protective equipment, fear that the rash was contagious, workplace attitudes and pain. While some of these issues are potentially common to RTW situations in general, others are more specific to health problems which have a visible manifestation. Increased awareness of and attention to these possible barriers to RTW may lead to better RTW outcomes.
关于接触性皮炎患者重返工作岗位（RTW）的障碍，目前可获取的信息较少。本研究的目的是对职业健康与安全人员进行调查，以确定他们对接触性皮炎患者RTW障碍的看法。该研究是在一次职业健康与安全研究会议期间进行的，与会者包括来自劳工、管理层、受伤工人、政府、安全协会、职业健康与安全从业者及研究人员等利益相关者。向与会者展示了3张不同程度的与工作相关的手部接触性皮炎图片，并要求他们列出接触性皮炎患者RTW的3个主要障碍或挑战。21人完成了调查。按出现频率从高到低排列的问题依次为：对持续性皮炎的担忧、安全工作的能力、外观、适应能力、个人防护设备、担心皮疹具有传染性、工作场所态度和疼痛。虽然其中一些问题可能在一般的RTW情况下较为常见，但其他问题则更具体地针对具有明显表现的健康问题。提高对这些可能的RTW障碍的认识并加以关注，可能会带来更好的RTW结果。
