Lan Cheng-Che E, Feng Wen-Wei, Lu Yi-Wei, Wu Ching-Shuang, Hung Shih-Ting, Hsu Hui-Yu, Yu Hsin-Su, Ko Ying-Chin, Lee Chien-Hung, Yang Yi-Hsin, Chen Gwo-Shing
Department of Dermatology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Contact Dermatitis. 2008 Nov;59(5):301-6. doi: 10.1111/j.1600-0536.2008.01439.x.
Hand eczema is a commonly encountered occupational disease and has a negative impact on life quality.
This study aimed to identify the specific conditions that may pose a higher risk for occurrence of hand eczema and evaluate the impact of hand eczema on life quality.
Nursing staff from a university hospital were invited to participate in a cross-sectional study. Validated questionnaires for hand eczema and life quality were used to evaluate the point prevalence and determine the impacts of hand eczema, respectively.
The overall response rate was 93%, equivalent to 1132 completed questionnaires. Two hundred and forty-eight (22%) reported occurrence of hand eczema. Occurrence of hand eczema was significantly associated with nursing for >10 years and working in a special care unit, with prevalences of 27% and 26%, respectively. In addition, hand eczema was associated with suboptimal life quality; pruritus or burning sensations were associated with a lower quality of life among those with hand eczema.
Hand eczema is a work-related problem for nursing staff; proper preventive programmes should be implemented for those nursing staff working in high-risk areas to avoid further lowering of their quality of life.
手部湿疹是一种常见的职业病，对生活质量有负面影响。
本研究旨在确定可能导致手部湿疹发生风险较高的具体情况，并评估手部湿疹对生活质量的影响。
邀请一所大学医院的护理人员参与一项横断面研究。使用经过验证的手部湿疹和生活质量问卷分别评估现患率并确定手部湿疹的影响。
总体应答率为93%，相当于1132份问卷填写完整。248人（22%）报告发生过手部湿疹。手部湿疹的发生与护理工作超过10年以及在特殊护理病房工作显著相关，患病率分别为27%和26%。此外，手部湿疹与生活质量欠佳相关；瘙痒或烧灼感与手部湿疹患者的生活质量较低相关。
手部湿疹是护理人员的一个与工作相关的问题；应对在高风险领域工作的护理人员实施适当的预防方案，以避免其生活质量进一步下降。
