Chen Jennifer, Gomez Pilar, Kudla Irena, DeKoven Joel, Holness D Linn, Skotnicki Sandra
From the *Faculty of Medicine and Dentistry, University of Alberta, Edmonton; †Department of Occupational and Environmental Health, St Michael's Hospital; ‡Department of Occupational Science and Occupational Therapy, §Dalla Lana School of Public Health, and ∥Department of Medicine, University of Toronto; and ¶Centre for Research in Inner City Health, Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Ontario, Canada.
Dermatitis. 2016 Sep-Oct;27(5):308-12. doi: 10.1097/DER.0000000000000215.
Occupational skin disease is common in healthcare workers. If the healthcare worker develops moderate to severe dermatitis, return to work (RTW) may be challenging.
The study objectives were to review the impact of an RTW program on the work status of nurses with occupational hand dermatitis and to identify successful intervention methods and strategies.
Nurses who received RTW services at a tertiary occupational medicine clinic were identified, and information related to their diagnosis and RTW was abstracted from their charts.
Eighteen nurses with irritant hand dermatitis who received RTW services were identified. Twelve nurses (67%) were performing administrative duties because of their skin condition when admitted to the RTW program, and others were performing patient care with modifications. A graduated RTW trial was commonly implemented with optimized skin care management and monitoring by physicians and the RTW coordinator. Upon discharge, 14 nurses (78%) had returned to their nursing roles with direct patient care, 3 (17%) were working as nurses in non-patient care roles, and 1 (6%) was on permanent disability.
A graduated RTW trial to reduce cumulative irritant exposure is a crucial strategy to facilitate nurses' transition back to work and to maintain direct patient care nursing roles.
职业性皮肤病在医护人员中很常见。如果医护人员患上中度至重度皮炎，重返工作岗位（RTW）可能具有挑战性。
本研究的目的是评估RTW计划对患有职业性手部皮炎护士工作状态的影响，并确定成功的干预方法和策略。
确定在三级职业医学诊所接受RTW服务的护士，并从其病历中提取与他们的诊断和RTW相关的信息。
确定了18名接受RTW服务的刺激性手部皮炎护士。12名护士（67%）在进入RTW计划时因皮肤状况从事行政工作，其他护士在进行调整后从事患者护理工作。通常实施渐进式RTW试验，并由医生和RTW协调员进行优化的皮肤护理管理和监测。出院时，14名护士（78%）恢复了直接护理患者的护士岗位，3名（17%）担任非患者护理岗位的护士，1名（6%）永久残疾。
采用渐进式RTW试验以减少累积刺激性接触是促进护士重返工作岗位并维持直接护理患者护士岗位的关键策略。
