Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
권호 표지
DOI QR코드

DOI QR Code

Severity of Hand Dermatitis and Quality of Life in Nurses

간호사의 손 피부염에 대한 심각도와 삶의 질

  • Received : 2017.07.06
  • Accepted : 2017.10.28
  • Published : 2017.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to determine the prevalence, severity and quality of life for nurses with hand dermatitis who want to take advantage of measures to manage their hand dermatitis. Methods: Participants in this research were 422 nurses with clinical experience of more than 12 months. Data were collected using a diagnostic tool for hand dermatitis, subjective severity and objective severity. The skin related quality of life was measured using the Korean version of Skindex-29. Data were analyzed using $x^2$ tests, t-test, and ANOVAs with SPSS 20.0. Results: The prevalence of hand dermatitis among the respondents was 56.9% (240/422). Nurses with hand dermatitis had significantly lower quality of life than nurses with no hand dermatitis. The more severe the hand dermatitis, the lower the quality of life was. Conclusion: The finding in this study indicate that there is a need to improve the health of nurses by lowering the prevalence of hand dermatitis, alleviating the severity of hand dermatitis and improving the quality of life.

Keywords

References

  1. Smit HA, Coenraads PJ, Lavrijsen AP, Nater JP. Evaluation of a self-administered questionnaire on hand dermatitis. Contact Dermatitis. 1992;26(1):11-16. https://doi.org/10.1111/j.1600-0536.1992.tb00861.x
  2. Skoet R, Olsen J, Mathiesen B, Iversen L, Johansen JD, Agner T. A survey of occupational hand eczema in Denmark. Contact Dermatitis. 2004;51(4):159-166. https://doi.org/10.1111/j.0105-1873.2004.00423.x
  3. Cho YK, Park HJ, Lee JY, Cho BK. Occupational dermatoses of health care workers in Korea. Korean Journal of Dermatology. 2005;43(7):887-890.
  4. Ibler KS, Jemec GB, Flyvholm MA, Diepgen TL, Jensen A, Agner T. Hand eczema: Prevalence and risk factors of hand eczema in a population of 2274 healthcare workers. Contact Dermatitis. 2012;67(4):200-207. https://doi.org/10.1111/j.1600-0536.2012.02105.x
  5. Ozyazicioglu N, Surenler S, Tanriverdi G. Hand dermatitis among paediatric nurses. Journal of Clinical Nursing. 2009;19(11-12):1597-1603. https://doi.org/10.1111/j.1365-2702.2010.03194.x
  6. Smith D, Ohmura K, Yamagata Z. Prevalence and correlates of hand dermatitis among nurses in a Japanese teaching hospital. Journal of Epidemiology. 2003;13(3):157-161. https://doi.org/10.2188/jea.13.157
  7. Jeon SY. Prevalence and related factors for hand dermatitis among nurses in intensive care unit [master's thesis]. Ulsan: University of Ulsan; 2011. p. 1-49.
  8. Skudlik C, Dulon M, Wendeler D, John SM, Nienhaus A. Hand eczema in geriatric nurses in Germany - Prevalence and risk factors. Contact Dermatitis. 2009;60(3):136-143. https://doi.org/10.1111/j.1600-0536.2008.01496.x
  9. Smith DR, Wei N, Kang L, Wang RS. Work environment and hand dermatitis among nurses in a Chinese teaching hospital. Environmental Health and Preventive Medicine. 2004;9(4):181-184. https://doi.org/10.1007/BF02898099
  10. Visser MJ, Verberk MM, van Dijk FJ, Bakker JG, Bos JD, Kezic S. Wet work and hand eczema in apprentice nurses: Part I of a prospective cohort study. Contact Dermatitis. 2013;70(1):44-55. https://doi.org/10.1111/cod.12131
  11. Jungbauer FH, Lensen GJ, Groothoff JW, Coenraads PJ. Exposure of the hands to wet work in nurses. Contact Dermatitis. 2004;50(4):225-229. https://doi.org/10.1111/j.0105-1873.2004.0314.x
  12. Ibler KS, Jemec GB, Agner T. Exposures related to hand eczema: A study of healthcare workers. Contact Dermatitis. 2012;66(5):247-253. https://doi.org/10.1111/j.1600-0536.2011.02027.x
  13. Lan CC, Tu HP, Lee CH, Wu CS, Ko YC, Yu HS, et al. Hand dermatitis among university hospital nursing staff with or without atopic eczema: Assessment of risk factors. Contact Dermatitis. 2011;64(2):73-79. https://doi.org/10.1111/j.1600-0536.2010.01813.x
  14. Luk NM, Lee HC, Luk CK, Cheung YY, Chang MC, Chao VK, et al. Hand eczema among Hong Kong nurses: A self-report questionnaire survey conducted in a regional hospital. Contact Dermatitis. 2011;65(6):329-335. https://doi.org/10.1111/j.1600-0536.2011.01961.x
  15. Flyvholm MA, Bach B, Rose M, Jepsen KF. Self-reported hand eczema in a hospital population. Contact Dermatitis. 2007;57(2):110-115. https://doi.org/10.1111/j.1600-0536.2007.01134.x
  16. Dulon M, Kromark K, Skudlik C, Nienhaus A. Prevalence of skin and back diseases in geriatric care nurses. International Archives of Occupational and Environmental Health. 2008;81(8):983-992. https://doi.org/10.1007/s00420-007-0292-y
  17. Hald M, Veien NK, Laurberg G, Johansen JD. Severity of hand eczema assessed by patients and dermatologist using a photographic guide. British Journal of Dermatology. 2007;156(1):77-80. https://doi.org/10.1111/j.1365-2133.2006.07565.x
  18. Cvetkovski RS, Zachariae R, Jensen H, Olsen J, Johansen JD, Agner T. Prognosis of occupational hand eczema: A follow-up study. Archives of Dermatology. 2006;142(3):305-311. https://doi.org/10.1001/archderm.142.3.305
  19. Szepietowski J, Salomon J. Hand dermatitis: A problem commonly affecting nurses. Roczniki Akademii Medycznej w Bialymstoku. 2005;50:46-48.
  20. Diepgen TL, Scheidt R, Weisshaar E, John SM, Hieke K. Cost of illness from occupational hand eczema in Germany. Contact Dermatitis. 2013;69(2):99-106. https://doi.org/10.1111/cod.12038
  21. Lan CC, Feng WW, Lu YW, Wu CS, Hung ST, Hsu HY, et al. Hand eczema among university hospital nursing staff: Identification of high-risk sector and impact on quality of life. Contact Dermatitis. 2008;59(5):301-306. https://doi.org/10.1111/j.1600-0536.2008.01439.x
  22. Chren MM, Lasek RJ, Flocke SA, Zyzanski SJ. Improved discriminative and evaluative capability of a refined version of Skindex, a quality-of-life instrument for patients with skin diseases. Archives of Dermatology. 1997;133(11):1433-1440. https://doi.org/10.1001/archderm.1997.03890470111018
  23. Ahn BK, Lee SJ, Namkoong K, Chung YL, Lee SH. The Korean version of Skindex-29. Korean Journal of Dermatology. 2004;42(1):9-15.
  24. Smith DR, Wei N, Zhao L, Wang RS. Hand dermatitis among nurses in a newly developing region of Mainland China. International Journal of Nursing Studies. 2005;42(1):13-19. https://doi.org/10.1016/j.ijnurstu.2004.05.007.
  25. Visscher MO, Randall Wickett R. Hand hygiene compliance and irritant dermatitis: A juxtaposition of healthcare issues. International Journal of Cosmetic Science. 2012;34(5):402-415. https://doi.org/10.1111/j.1468-2494.2012.00733.x
  26. Boyce JM, Pittet D. Guideline for hand hygiene in health-care settings. Centers for Disease Control and Prevention. 2002;51(RR-16):1-45.
  27. Matterne U, Apfelbacher CJ, Soder S, Diepgen TL, Weisshaar E. Health-related quality of life in health care workers with work-related skin disease. Contact Dermatitis. 2009;61(3):145-151. https://doi.org/10.1111/j.1600-0536.2009.01592.x
  28. Ibler KS, Jemec GB, Diepgen TL, Gluud C, Lindschou Hansen J, Winkel P, et al. Skin care education and individual counselling versus treatment as usual in healthcare workers with hand eczema: Randomized clinical trial. British Medical Journal. 2012;345:e7822. https://doi.org/10.1136/bmj.e7822
  29. Dulon M, Pohrt U, Skudlik C, Nienhaus A. Prevention of occupational skin disease: A workplace intervention study in geriatric nurses. British Journal of Dermatology. 2009;161(2):337-344. https://doi.org/10.1111/j.1365-2133.2009.09226.x

Cited by

  1. 임상간호사의 손피부염에 영향을 미치는 요인 vol.21, pp.1, 2017, https://doi.org/10.7586/jkbns.2019.21.1.37
  2. 간호사 맞춤 핸드크림 사용이 손 피부 보습에 미치는 효과 vol.17, pp.2, 2020, https://doi.org/10.16952/pns.2020.17.2.72