Dulon Madeleine, Kromark Kathrin, Skudlik Christoph, Nienhaus Albert
Institution of Statutory Accident Insurance of the Health and Welfare Service, Hamburg, Germany.
Int Arch Occup Environ Health. 2008 Aug;81(8):983-92. doi: 10.1007/s00420-007-0292-y. Epub 2007 Dec 19.
The prevalence of hand eczema, low back disorders (LBD) and neck/shoulder disorders (NSD) in geriatric nurses and the association of work-related factors with hand eczema, LBD and NSD in geriatric nurses were examined.
The cross-sectional study comprises 1,390 nurses and nursing aides. Nurses underwent clinical examinations of their hands and their back and answered a questionnaire. Odds ratios (ORs) and 95% confidence intervals (95% CI) for putative risk factors were calculated by logistic regression.
The point prevalence of hand eczema was 18.0%. Disposing factors, like atopic eczema in childhood and dry or itching body skin, were statistically significant risk factors for irritant skin changes. Hand cleaning and hand care were not predictive for hand eczema. LBD was observed in 47.9% and NSD in 16.6% of the nurses. Increasing age and years in the nursing profession, prior treatment of back disorder and psychological stress were significant risk factors for LBD and NSD.
Hand eczema and LBD or NSD are often found in geriatric nurses. Therefore, workplace-related health promotion should be improved for geriatric nurses.
研究老年护理人员手部湿疹、下背部疾病（LBD）和颈/肩部疾病（NSD）的患病率，以及工作相关因素与老年护理人员手部湿疹、LBD和NSD之间的关联。
这项横断面研究纳入了1390名护士和护理助理。护士们接受了手部和背部的临床检查，并回答了一份问卷。通过逻辑回归计算假定风险因素的比值比（OR）和95%置信区间（95%CI）。
手部湿疹的点患病率为18.0%。诸如儿童期特应性皮炎以及身体皮肤干燥或瘙痒等易感因素是刺激性皮肤变化的统计学显著风险因素。手部清洁和手部护理并非手部湿疹的预测因素。47.9%的护士存在LBD，16.6%的护士存在NSD。年龄增长、从事护理工作的年限、既往背部疾病治疗史以及心理压力是LBD和NSD的显著风险因素。
老年护理人员中常出现手部湿疹和LBD或NSD。因此，应改善针对老年护理人员的与工作场所相关的健康促进措施。
