Papadatou Zoi, Williams Hector, Cooper Kay
School of Health Sciences, Robert Gordon University, Aberdeen, Scotland.
The Scottish Centre for Evidence-based Multi-professional Practice: a Joanna Briggs Institute Centre of Excellence.
JBI Database System Rev Implement Rep. 2018 Jun;16(6):1398-1417. doi: 10.11124/JBISRIR-2017-003405.
The aim of this review was to identify, appraise and synthesize the best available evidence on the effectiveness of moisturizers, barrier creams, protective gloves, skin protection education and complex interventions (a combination of two or more of the interventions listed here) in preventing occupational irritant hand dermatitis (OIHD) in wet workers, comparing each intervention to an alternative intervention or to usual care (workers' regular skin care regimen).
The most significant occupational skin problem potentially encountered in wet work occupations is occupational dermatitis. When the skin comes into contact with hazardous substances at work, this can cause occupational dermatitis. Substances which may cause occupational dermatitis include cleaning products, organic solvents, metalworking fluids, cement, flour, adhesives, other chemicals and even certain plants. Occupational skin disease has adverse effects on quality of life and the long term prognosis for skin health is poor unless workplace exposures are addressed. To date, no systematic review has been undertaken to determine the effectiveness of interventions for the primary prevention of OIHD in wet workers.
The review included any workers from healthcare (e.g. nurses, doctors and allied health professionals) and also people in different wet work occupations (e.g. hairdressers, florists, catering workers, metal workers) at similar risk of OIHD. Studies that assessed the following interventions in the primary prevention of OIHD in wet workers at the workplace and at home (before and after work) were included:Types of studies considered were experimental study designs including randomized controlled trials, non-randomized controlled trials, quasi-experimental, and before and after studies. Primary outcome measures were OIHD incidence, and secondary outcome measures were product evaluation and change of occupation because of OIHD versus staying in the occupation.
Published and unpublished literature in the English language was sought between 2004 and 2017. The databases searched included: COCHRANE CENTRAL, MEDLINE, CINAHL, AMED and Embase. The search for unpublished studies included: Google Scholar, Open DOAR and Robert Gordon University's thesis database, "OPEN AIR".
There were no studies located that met the inclusion requirements of this review.
There is currently no evidence available to determine the effectiveness of interventions to prevent OIHD amongst wet workers that met this review's inclusion criteria.
本综述的目的是识别、评估和综合关于保湿剂、防护霜、防护手套、皮肤保护教育以及综合干预措施（此处列出的两种或更多干预措施的组合）在预防从事潮湿作业的工人职业性刺激性手部皮炎（OIHD）方面有效性的最佳现有证据，将每种干预措施与替代干预措施或常规护理（工人的常规皮肤护理方案）进行比较。
在潮湿作业职业中可能遇到的最严重的职业性皮肤问题是职业性皮炎。当皮肤在工作中接触有害物质时，可能会引发职业性皮炎。可能导致职业性皮炎的物质包括清洁产品、有机溶剂、金属加工液、水泥、面粉、粘合剂、其他化学品，甚至某些植物。职业性皮肤病会对生活质量产生不利影响，除非解决工作场所暴露问题，否则皮肤健康的长期预后较差。迄今为止，尚未进行系统综述以确定针对从事潮湿作业的工人原发性预防OIHD的干预措施的有效性。
该综述纳入了医疗保健领域的任何工人（如护士、医生和专职医疗人员）以及处于患OIHD风险相似的不同潮湿作业职业的人员（如美发师、花店店员、餐饮工人、金属工人）。纳入了在工作场所和家中（工作前后）评估以下干预措施在从事潮湿作业的工人原发性预防OIHD中的研究：所考虑的研究类型为实验性研究设计，包括随机对照试验、非随机对照试验、准实验以及前后对照研究。主要结局指标为OIHD发病率，次要结局指标为产品评估以及因OIHD导致的职业变更与继续从事该职业的情况。
检索了2004年至2017年间以英文发表和未发表的文献。检索的数据库包括：Cochrane中心对照试验注册库、医学期刊数据库、护理学与健康领域数据库、联合和补充医学数据库以及荷兰医学文摘数据库。对未发表研究的检索包括：谷歌学术、开放获取学术资源目录以及罗伯特·戈登大学的论文数据库“开放获取资源库”。
未找到符合本综述纳入要求的研究。
目前没有证据可确定符合本综述纳入标准的干预措施在预防从事潮湿作业的工人患OIHD方面的有效性。
