Faculty of Medicine, Dermatology Research Centre, The Chinese University of Hong Kong, Shatin, Hong Kong.
Contact Dermatitis. 2011 Dec;65(6):329-35. doi: 10.1111/j.1600-0536.2011.01961.x. Epub 2011 Aug 10.
Hand eczema is common in the nursing profession, and has been reported widely in various parts of the world.
The aim of this study was to determine the prevalence and severity of hand eczema among nurses working in a regional hospital in Hong Kong, as well as its psychosocial impact and any possible associated risk factors.
PATIENTS/MATERIALS/METHODS: The study took the form of a self-report questionnaire survey; 1240 nurses in a regional hospital were asked to participate in the survey by completing the questionnaire and returning it anonymously within 2 weeks.
Seven hundred and twenty-four nurses returned the questionnaire (a response rate of 59%). The prevalence of hand eczema among the respondents was 22.1% (160/724). More than 90% had moderate to severe hand eczema. Itchiness and dryness were the most common symptoms. Occupational work, housework, mood, social activities and sleep were particularly affected. Multinomial logistic regressions showed that a personal or family history of atopy and a hand washing frequency of >20 times per day were independent risk factors for hand eczema.
Hand eczema is common and severe among Hong Kong nurses. The results of this study suggest that hand eczema is an important problem for nurses and that preventive measures should be emphasized.
手部湿疹在护理行业中较为常见，在世界各地均有广泛报道。
本研究旨在确定香港一家地区医院护士手部湿疹的患病率和严重程度，及其对心理社会的影响和任何可能存在的相关危险因素。
患者/材料/方法：该研究采用自我报告问卷调查形式；要求该地区医院的 1240 名护士参与调查，在两周内匿名填写并交回问卷。
724 名护士交回了问卷（应答率为 59%）。受访者手部湿疹的患病率为 22.1%（160/724）。超过 90%的人患有中重度手部湿疹。瘙痒和干燥是最常见的症状。职业工作、家务、情绪、社交活动和睡眠都受到了特别影响。多项逻辑回归显示，特应性个人或家族史以及每天洗手>20 次是手部湿疹的独立危险因素。
手部湿疹在香港护士中较为常见且较为严重。本研究结果表明手部湿疹是护士面临的一个重要问题，应强调预防措施。
