Apfelbacher Christian J, Soder Stefanie, Diepgen Thomas L, Weisshaar Elke
Department of Clinical Social Medicine, Occupational and Environmental Dermatology, University Hospital Heidelberg, 69115 Heidelberg, Germany.
Contact Dermatitis. 2009 Mar;60(3):144-9. doi: 10.1111/j.1600-0536.2008.01505.x.
Specific instruction courses as a tool for secondary prevention of occupational skin disease (secondary individual prevention, SIP courses) affecting individuals have been introduced in Germany. Little is yet known about the outcome of occupational disease and related behavioural patterns following these courses.
To investigate the outcome of occupational skin disease in health care workers (HCW) 1 year after attendance of a SIP course.
PATIENTS/METHODS: Two hundred and fifty-three HCW participated in SIP courses and were contacted by telephone 1 year after attendance. Patients were interviewed about skin lesions, medical treatment, sick leave, change of occupation, skin protection, skin care and skin cleansing, and the impact of skin disease.
The follow-up rate was 81%. The proportion of participants reporting skin lesions decreased significantly (68% at follow-up compared with 77% at baseline; P = 0.02). Seventy-two per cent reported that their skin lesions had improved. Nine per cent reported having left their occupation due to their skin disease. Skin care and skin protection had improved, while the frequency of reported hand washing was reduced. Twenty-seven per cent said their quality of life was impaired due to the skin disease, compared with 54% at baseline (P < 0.001).
Outcome parameters, including behavioural parameters, indicate a positive impact of courses for SIP on skin health of HCW 1 year after attendance.
德国已引入特定指导课程作为影响个体的职业性皮肤病二级预防工具（二级个体预防，SIP课程）。关于这些课程后职业病的结果及相关行为模式，目前所知甚少。
调查医护人员（HCW）参加SIP课程1年后职业性皮肤病的结果。
患者/方法：253名医护人员参加了SIP课程，并在参加课程1年后通过电话联系。就皮肤病变、医疗治疗、病假、职业变更、皮肤保护、皮肤护理和皮肤清洁以及皮肤病的影响对患者进行了访谈。
随访率为81%。报告有皮肤病变的参与者比例显著下降（随访时为68%，而基线时为77%；P = 0.02）。72%的人报告其皮肤病变有所改善。9%的人报告因皮肤病而离职。皮肤护理和皮肤保护有所改善，而报告的洗手频率降低。27%的人表示其生活质量因皮肤病而受损，而基线时为54%（P < 0.001）。
包括行为参数在内的结果参数表明，SIP课程对医护人员参加课程1年后的皮肤健康有积极影响。
