Work environment and hand dermatitis among nurses in a Chinese teaching hospital

Abstract

Objective: The aim of this study was to investigate the effects of the working environment on hand dermatitis (HD) prevalence among nurses in a Chinese teaching hospital.Methods: We utilised a previously validated, self-reporting survey which was translated into Chinese.Results: The prevalence of HD among nurses was 18.3%, although this rate varied between departments, ranging from 9.4% in gynaecology to 26.7% in intensive care (P for Trend=0.3167). Logistic regression indicated that wet work was the most important HD risk factor, with a 9-fold increase (OR 9.0, 95%CI 1.2−74.9, P=0.0342). Allergic disease was also related to HD, with a 4.6-fold increase noted (OR 4.6, 95%CI 1.4−15.0, P=0.0096).Conclusions: Overall, the prevalence of HD among Chinese hospital nurses appears to be less than that of their foreign counterparts. Nevertheless, the burden of this disease does seem to vary with respect to department of employment within the hospital.

Prevalence of Occupational Hand Contact Dermatitis and Its Associated Factors Among Staff Nurses of a Public Hospital in Selangor

“…Research in Japan found a respondent with allergy history had 3.7 times risk to get occupational hand contact dermatitis (OR 3.7, 95% CI 2.1-6.6) (Smith et al, 2003). This finding was similar with a research in China that showed a significant association between current allergy histories with occupational hand contact dermatitis by an increment of a 4.6-time risk of the disease (OR 4.6, 95% CI 1.4-15.0) (Smith, Wei, Kang, & Wang et al, 2004). Another study that had significant study was conducted in Saudi Arabian with a p-value of 0.015 (Kokandi, 2017).…”

Hand eczema: prevalence and risk factors of hand eczema in a population of 2274 healthcare workers

“…Nurses, assistant nurses and nursing auxiliaries were found to be at particularly high risk in a Danish study, with approximately one‐third reporting hand eczema (4). Studies among nurses in other countries have reported prevalences of hand eczema ranging from 17% to 50% (5–13), and an increased prevalence of hand eczema has been reported in nurses working in intensive care units (7, 13, 14). However, most of the studies have been based on surveys using different outcome definitions and questionnaires, and comparability is therefore an issue.…”

“…among nurses in other countries have reported prevalences of hand eczema ranging from 17% to 50% (5)(6)(7)(8)(9)(10)(11)(12)(13), and an increased prevalence of hand eczema has been reported in nurses working in intensive care units (7,13,14). However, most of the studies have been based on surveys using different outcome definitions and questionnaires, and comparability is therefore an issue.…”

Factors Influencing Hand Dermatitis in Nurses

“…이와 같이 간호사 손피부염은 유병률이 높고 업무에 많은 영향 을 미치게 되므로 이에 대한 조기발견과 중재를 통해 손피부염 치 료와 자신에게 적절한 업무로 재배치하고 영구적인 손상을 예방하 는 것이 무엇보다도 중요하다 [23,26]. 손피부염의 원인은 손씻기 횟 수 [5,9,13,14,16,17,19,21,24,28], 알러지 [3,[10][11][12][14][15][16]24], 과거 또는 현재 의 아토피 또는 아토피피부염 [5,11,13,21,27,28], 물이용 [12,20,28], 라텍 스장갑사용 [3,5,11], 알코올솜 또는 알코올젤 사용 [4,10,22], 젊은 연 령 [5,8,21], 경력 증가 [13], 4세 이하 어린아이가 있는 경우 [21], 성인시 절 두드러기 [11], 고초열 가족력 [11], 세제 [22], 근무시간 [21], 피부상태 [15], 보호장갑이용 [9,16], 보습제사용 [5,11,21] 등이 알려져 있다. 그러 나...…”

“…호주 간호사에서 50.0%[14], 일본 간호사에서 43.9-53.3%[10,11] 등이다. 한편 중국 간호사에서 18.3%[12], 독일 간호사에서 22.4%[8] 보다는 매우 높은 결과이고, 네덜란드 간호사에서 61.5%[7]보다는 낮은 결과이다. 한편 본 연구와는 다른 도구를 이용한 선행연구에 Factors Influencing Hand Dermatitis ://doi.org/10.7586/jkbns.2019.21.1.37 www.bionursingjournal.or.kr 드 간호사 30% [9]보다는 높았다.…”