Institute for Innovative Rehabilitation, Hospital Management and Stress Medicine (IREHA) of the Lielje Gruppe, Loehne, Germany,
Institute for Innovative Rehabilitation, Hospital Management and Stress Medicine (IREHA) of the Lielje Gruppe, Loehne, Germany.
Occup Med (Lond). 2014 Oct;64(7):509-15. doi: 10.1093/occmed/kqu076. Epub 2014 Jul 2.
Stress is known to activate or exacerbate dermatoses, but the relationships between chronic stress, job-related stress and sickness absence among occupational hand eczema (OHE) patients are inadequately understood.
To see whether chronic stress or burnout symptoms were associated with cumulative sickness absence in patients with OHE and to determine which factors predicted sickness absence in a model including measures of job-related and chronic stress.
We investigated correlations of these factors in employed adult inpatients with a history of sickness absence due to OHE in a retrospective cross-sectional explorative study, which assessed chronic stress (Trier Inventory for the Assessment of Chronic Stress), burnout (Shirom Melamed Burnout Measure), clinical symptom severity (Osnabrück Hand Eczema Severity Index), perceived symptom severity, demographic characteristics and cumulative days of sickness absence.
The study group consisted of 122 patients. OHE symptoms were not more severe among patients experiencing greater stress and burnout. Women reported higher levels of chronic stress on some measures. Cumulative days of sickness absence correlated with individual dimensions of job-related stress and, in multiple regression analysis, with an overall measure of chronic stress.
Chronic stress is an additional factor predicting cumulative sickness absence among severely affected OHE patients. Other relevant factors for this study sample included the 'cognitive weariness' subscale of the Shirom Melamed Burnout Measure and the physical component summary score of the SF-36, a measure of health-related life quality. Prevention and rehabilitation should take job stress into consideration in multidisciplinary treatment strategies for severely affected OHE patients.
压力已知会引发或加重皮肤病，但慢性压力、与工作相关的压力与职业性手部湿疹（OHE）患者病假之间的关系尚未得到充分理解。
观察慢性压力或倦怠症状是否与 OHE 患者的累积病假有关，并确定在包括与工作相关和慢性压力测量的模型中哪些因素可以预测病假。
我们在一项回顾性横断面探索性研究中调查了这些因素与因 OHE 而缺勤的成年住院患者之间的相关性，该研究评估了慢性压力（特里尔慢性压力评估量表）、倦怠（ Shirom Melamed 倦怠量表）、临床症状严重程度（奥斯纳布吕克手部湿疹严重程度指数）、感知症状严重程度、人口统计学特征和累积病假天数。
研究组包括 122 名患者。在压力和倦怠较大的患者中，OHE 症状并不更严重。女性在某些措施上报告的慢性压力水平更高。累积病假天数与与工作相关的压力的个别维度相关，并且在多元回归分析中与慢性压力的总体测量相关。
慢性压力是严重影响 OHE 患者累积病假的另一个预测因素。对于本研究样本而言，其他相关因素包括 Shirom Melamed 倦怠量表的“认知疲劳”子量表和 SF-36 的生理成分综合评分，这是衡量与健康相关的生活质量的指标。在严重影响 OHE 患者的多学科治疗策略中，预防和康复应考虑工作压力。
