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[与工作相关的手部湿疹患者教育:医疗保健实践中的重要性与挑战]

[Patient education in work-related hand eczema : Importance and challenges in health care practice].

作者信息

Wilke Annika, Fischer Ann-Kristin, Brans Richard, Sonsmann Flora

机构信息

Institut für interdisziplinäre Dermatologische Prävention und Rehabilitation (iDerm), Am Finkenhügel 7a, 49076, Osnabrück, Deutschland.

Institut für Gesundheitsforschung und Bildung (IGB), Abteilung Dermatologie, Umweltmedizin und Gesundheitstheorie, Universität Osnabrück, Am Finkenhügel 7a, 49076, Osnabrück, Deutschland.

出版信息

Dermatologie (Heidelb). 2023 Jun;74(6):416-424. doi: 10.1007/s00105-023-05137-2. Epub 2023 Apr 27.

Abstract

Patient education can help patients with work-related hand eczema to cope with their skin disease in an informed and responsible manner and to improve their personal skin protection behavior in everyday working and private life. Skin protection education in centers specialized in occupational dermatology is a pivotal component of outpatient and inpatient individual prevention programs for individuals with work-related skin diseases provided by the statutory accident insurance institutions in Germany. Patient education should be patient-oriented and promote learning, e.g., through interactive, activating discussions and design, references to everyday life, and methodically and didactically well-prepared media and materials in clear, understandable language. Challenges may arise in educational practice, e.g., due to subjective illness perceptions, participants with a lack of motivation, language barriers, functional illiteracy, or heterogeneous patient groups. In this article, different challenges are presented and educational and health psychological perspectives are discussed to meet these challenges in order to provide an optimal, patient-oriented individual prevention measure.

摘要

患者教育可以帮助患有与工作相关手部湿疹的患者以明智且负责的方式应对其皮肤疾病,并在日常工作和私人生活中改善其个人皮肤保护行为。在德国,职业皮肤病专科中心的皮肤保护教育是法定事故保险机构为患有与工作相关皮肤病的个人提供的门诊和住院个人预防计划的关键组成部分。患者教育应以患者为导向并促进学习,例如通过互动、活跃的讨论和设计、与日常生活的关联以及用清晰易懂的语言精心准备的方法性和教学性材料。教育实践中可能会出现挑战,例如由于主观疾病认知、缺乏动力的参与者、语言障碍、功能性文盲或异质性患者群体等。本文介绍了不同的挑战,并讨论了教育和健康心理学观点以应对这些挑战,从而提供最佳的、以患者为导向的个人预防措施。

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