Weisshaar Elke, Radulescu Magdalena, Bock Michael, Albrecht Ursel, Diepgen Thomas L
Department of Clinical Social Medicine, Occupational and Environmental Dermatology, University Hospital of Heidelberg, Heidelberg, Germany.
Contact Dermatitis. 2006 May;54(5):254-60. doi: 10.1111/j.0105-1873.2006.00811.x.
Healthcare workers (HCW) have an increased risk of suffering from occupational skin diseases (OSDs). Therefore, we established special prevention and skin protection courses for HCW. Medical aims are to optimize diagnostic procedures and individual therapy, educational aims are to improve individual skin protection/skin care habits of the patient and also to influence the participants' attitudes towards health. Participants are patients that have been suspected to suffer from an OSD and are insured with the German Accident Prevention Insurance Association for Health Care Workers (BGW). Teaching units mainly focus on the texture and functioning of the skin, general aspects of OSDs, general information concerning skin protection, instructions about the correct use of skin cleansing and skin protection products. Besides, every participant is clinically examined by a dermatologist and a precise patient's history is obtained. Individually adapted skin protection strategies are developed. Patients can ask the dermatologist questions in confidence. 504 patients (mean age: 36.9 years, SD = 11.7) participated in the skin protection courses. 94.6% (n = 477) suffered from hand eczema frequently caused by a mixture of atopic, irritant and allergic contact dermatitis, but irritant contact dermatitis was the most frequent diagnosis (55.4%, n = 279). The participants rated the course as good to excellent. Health education and advisory services in occupational dermatology are still fragmentary. Prevention of OSD and maintenance of health through education are important complementary measures for dermatological care. In the future, similar educational programmes should be offered for employees of other professions with an increased risk for OSD.
医护人员患职业性皮肤病（OSD）的风险增加。因此，我们为医护人员开设了专门的预防和皮肤保护课程。医学目标是优化诊断程序和个体化治疗，教育目标是改善患者的个人皮肤保护/皮肤护理习惯，并影响参与者对健康的态度。参与者是疑似患有职业性皮肤病且已在德国医护人员事故预防保险协会（BGW）投保的患者。教学单元主要关注皮肤的质地和功能、职业性皮肤病的一般方面、皮肤保护的一般信息、正确使用皮肤清洁和皮肤保护产品的说明。此外，每位参与者都由皮肤科医生进行临床检查，并获取详细的患者病史。制定个性化的皮肤保护策略。患者可以放心地向皮肤科医生提问。504名患者（平均年龄：36.9岁，标准差 = 11.7）参加了皮肤保护课程。94.6%（n = 477）患有手部湿疹，通常由特应性、刺激性和过敏性接触性皮炎混合引起，但刺激性接触性皮炎是最常见的诊断（55.4%，n = 279）。参与者对该课程的评价为良好至优秀。职业皮肤病学方面的健康教育和咨询服务仍然零散。通过教育预防职业性皮肤病和维护健康是皮肤科护理的重要补充措施。未来，应该为其他患职业性皮肤病风险增加的职业的员工提供类似的教育项目。
