Zhang Dan, Zhang Jin, Sun Shuling, Gao Ming, Tong Ailing
Department of Liushun Community, Heilongjiang Provincial Hospital, Harbin, China.
Department of Gynaecology, Fourth Affiliated Hospital of Harbin Medical University, Harbin, China.
Australas J Dermatol. 2018 Aug;59(3):e194-e197. doi: 10.1111/ajd.12672. Epub 2017 Aug 3.
BACKGROUND/OBJECTIVES: This study aimed to evaluate the prevalence of hand eczema among nurses in northern China and to analyse associated risk factors.
A retrospective self-reported questionnaire was designed and distributed to 1322 nurses who were selected from three regional hospitals. Risk factors related to hand eczema in nurses were analysed using multivariable logistic regression.
Hand eczema was present in 183/934 respondents (20%) and was not significantly associated with gender or workplace (P > 0.05). Factors such as the use of moisturiser (odds ratio [OR] 0.6; 95% confidence interval [CI] 0.3-1.0) and not wearing impervious gloves (OR 0.5; 95% CI 0.3-0.7) were associated with lower odds of developing hand eczema. A personal (OR 5.7; 95% CI 3.9-8.2) and family history (OR 2.3; 95% CI 1.5-3.5) of atopy, washing hands more than 20 times per day (OR 1.6; 95% CI 1.1-2.4), and more years working as a nurse (OR 1.1; 95% CI 1.0-1.1) were associated with higher odds of developing hand eczema.
A personal and familial history of atopy, the prolonged use of impervious gloves, washing hands more than 20 times per day and more years in work as a nurse are all risk factors for increased hand eczema in nurses.
背景/目的：本研究旨在评估中国北方护士手部湿疹的患病率，并分析相关危险因素。
设计了一份回顾性自填问卷，并分发给从三家地区医院选取的1322名护士。采用多变量逻辑回归分析护士手部湿疹的相关危险因素。
934名受访者中有183人（20%）患有手部湿疹，且与性别或工作场所无显著关联（P>0.05）。使用保湿剂（比值比[OR]0.6；95%置信区间[CI]0.3 - 1.0）和不戴防渗手套（OR 0.5；95% CI 0.3 - 0.7）等因素与患手部湿疹的几率较低相关。特应性个人史（OR 5.7；95% CI 3.9 - 8.2）和家族史（OR 2.3；95% CI 1.5 - 3.5）、每天洗手超过20次（OR 1.6；95% CI 1.1 - 2.4）以及护士工作年限较长（OR 1.
