Journal of Korean Biological Nursing Science

Korean society of Biological Nursing Science (한국기초간호학회)
권호 표지
DOI QR코드

DOI QR Code

Factors Influencing Hand Dermatitis in Nurses

임상간호사의 손피부염에 영향을 미치는 요인

  • Kim, Ki Soon (Department of Nursing, Wonju Severance Christian Hospital) ;
  • Lee, Kyung-Sook (Department of Nursing, Gangneung Wonju National University)
  • Received : 2018.10.02
  • Accepted : 2018.12.28
  • Published : 2019.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This descriptive research was on hand dermatitis in clinical nurses. Nurses often have a high rate of hand dermatitis with several factors associated with the dermatitis. The factors analyzed in this study included; general characteristics, work-related factors, hand washing, and allergies relate to hand dermatitis. Methods: Data were collected from April to May 2016. The subjects were nurses who had worked 12 months or more in a University Hospital. They voluntarily gave their consent for the research. The Symptombased questionnaires were sent to 220 nurses and 199 responses were returned. Collected data were analyzed using frequency, percentage, mean, standard deviation, ${\chi}^2-test$, and logistic regression analysis using SPSS 23.0. Results: Prevalence of dermatitis in nurses was 48.2%. Nurses who had worked for over three years were twice more likely to suffer hand dermatitis than nurses who had worked for 3 years or less (adjusted odds ratio [adj. OR]= 1.97, p= .036). Nurses who used alcohol sponge swabs more than 20 times per shift were 2.5 times more likely to suffer hand dermatitis as compared to those who used them less times (adj. OR = 2.51, p= .023). Conclusion: Results revealed that about a half of the clinical nurses suffered from hand dermatitis, hence it is crucial to find appropriate interventions for dermatitis prevention. This concern needs to be addressed especially in nurses who have more work experience and use more alcohol sponge swabs.

Keywords

References

  1. Smit HA, Coenraads PJ, Lavrijsen AP, Nater JP. Evaluation of a self-administered questionnaire on hand dermatitis. Contact Dermatitis. 1992;26:11-16. 197-208. https://doi.org/10.1111/j.1600-0536.1992.tb00861.x
  2. Jeong JE, Kim DH. Severity of hand dermatitis and quality of life in nurses. Journal of Korean Academy of Fundamental Nursing. 2017;24(4):243-254. http://doi.org/10.7739/jkafn.2017.24.4.243
  3. Choe MA, Jeong JS, Jeon MY, An G, Chae YR, Joo MS, et al. Hand dermatitis among Korean nurses. paper presented at:Fifth International Nursing Conference by Korean Society of Nursing Science. 2005;Seoul.
  4. Jeon SY. Prevalence and related factors for hand dermatitis among nurses in intensive care unit [master's thesis]. Seoul:Ulsan University;2011, 49 p.
  5. Lee SW. Hand dermatitis among nursing staff [master's thesis]. Seoul:Ewha Women's University;2012, 47 p.
  6. You HS, & So HS. A study on the prevalence of dermatitis and allergic reactions to medicine and disinfectant used by nurses. Chonnam Journal of Nursing Science. 2002;7(1):19-34.
  7. Smit HA. Coenraads PJ. A retrospective cohort study on the incidence of hand dermatitis in nurses. International Archives of Occupational and Environmental Health. 1993;64(8):541-544. https://doi.org/10.1007/BF00517697
  8. Stutz N, Becker D, Jappe U, John SM, Ladwig A, Spornraft-Ragaller P, et al. Nurses' perceptions of the benefits and adverse effects of hand disinfection:alcohol-based hand rubs vs. hygienic handwashing:a multicentre questionnaire study with additional patch testing by the German contact dermatitis research group. British Journal of Dermatology. 2009;160(3):565-572. http://doi.org/10.1111/j.1365-2133.2008.08951.x
  9. Flyvholm MA, Bach B, Rose M, Jepsen KF. Self-reported hand eczema in a hospital population. Contact Dermatitis. 2007;57(2):110-115. http://doi.org/10.1111/j.1600-0536.2007.01134.x
  10. Smith DR, Kondo N, Tanaka E, Tanaka H, Hirasawa K, Yamagata Z. A questionnaire survey of hand dermatitis among Japanese hospital nurses. Environmental Dermatology. 2003;10(4):138-144.
  11. Smith DR, Adachi Y, Mihashi M, Kawano S, Ishitake T. Hand dermatitis risk factors among clinical nurses in Japan. Clinical Nursing Research. 2006;15(3):197-208. http://doi.org/10.1177/1054773806287051
  12. 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. http://doi.org/10.1007/BF02898099
  13. Lan CCE, 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. 2010;64:73-79. http://doi.org/10.1111/j.1600-0536.2010.01813.x
  14. Smith DR, Smyth W, Leggat PA, Wang RS. Prevalence of hand dermatitis among hospital nurses working in a tropical environment. Australian Journal of Advanced Nursing. 2005;22(3):28-32.
  15. Skudlik C, Dulon M, Wendeler D, John SM, Nienhaus A. Hand eczema in geriatric nurses in Germany-prevalence and risk factors. Contact Dermatitis. 2009;60:136-143. http://doi.org/10.1111/j.1600-0536.2008.01496.x
  16. Ozyazicioglu N, Surenler S, Tanriverdi G. Hand dermatitis among pediatric nurses. Journal of Clinical Nursing. 2010;19:597-1603. http://doi.org/10.1111/j.1365-2702.2010.03194.x
  17. Forrester BG, Roth VS. Hand dermatitis in intensive care units. Journal of Occupational and Environmental Medicine. 1998;40(10):881-885. https://doi.org/10.1097/00043764-199810000-00008
  18. Lampel HP, Patel N, Boyse K, O'Brien SH, Zirwas MJ. Prevalence of hand dermatitis in inpatient nurses at a United States hospital, Dermatitis. 2007;18(3):140-142. http://doi.org/10.2310/6620.2007.06024
  19. Luk NMT, Lee HCS, Luk CKD, Cheng YYA, Chang MC, Chao VKD, et al. Hand eczema among Hong Kong nurses:a self-report questionnaire survey conducted in a regional hospital. Contact Dermatitis. 2011;65:329-335. http://doi.org/10.1111/j.1600-0536.2011.01961.x
  20. Jungbauer FHW, Lensen GJ, Groothoff JW, Coenraads PJ. Exposure of the hands to wet work in nurses. Contact Dermatitis. 2004;50(4):225-229. http://doi.org/10.1111/j.0105-1873.2004.0314.x
  21. Ibler KS, Jemec GBE, Flyvholm MA, Diepgen TL, Jensen A, Anger T. Hand eczema:prevalancce and risk factor of hand eczema in a population of 2274 healthcare workers. Contact Dermatitis. 2012;67:200-207. http://doi.org/10.1111/j.1600-0536.2012.02105.x
  22. Smith MC, Nedorost. ST. Hand dermatitis:nursing support in the plan of care. Dermatology Nursing. 2008;20(2):121-125.
  23. Alavi A, Skotnicki S, Sussman G, Sibbald RG. Diagnosis and treatment of hand dermatitis. Advances in Skin & Wound Care. 2012;25(8):371-380. http://doi.org/10.1097/01.ASW.0000418540.54237.e5
  24. 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
  25. Strauss RM, Gawkrodger DJ. Contact allergens in nurses with hand dermatitis. British Journal of Dermatology. 2001;145(Supple. 59):94-95
  26. Chen J, Gomez P, Kudla I, DeKoven J, Holness D, Skotnicki S. Return to work for nurses with hand dermatitis. Dermatitis. 2016;27(5):308-312. http://doi.org/10.1097/DER.0000000000000215
  27. Smith DR, Sato M, Mizutani T, Miyajima T, Yamagata Z. A questionnaire survey of hand dermatitis among Japanese nursing students. Environmental Dermatology. 2002;9(4):139-145
  28. Visser MJ, Verberk MM, van Dijk FJH, 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. http://doi.org/10.1111/cod.12131
  29. Smit HA. Susceptibility to and incidence of hand dermatitis in a cohort of apprentice hairdressers and nurses. Scandinavian Journal of Work, Environment & Health. 1994;20(2):113-121. https://doi.org/10.5271/sjweh.1423
  30. Schmid K, Broding HC, Uter W, Drexler H. Transepidermal water loss and incidence of hand dermatitis in a prospectively followed cohort of apprentice nurses. Contact Dermatitis, 2005;52(5):247-253. http://doi.org/10.1111/j.0105-1873.2005.00557.x
  31. Smith DR, Leggat PA. Hand dermatitis among female nursing students in tropical Australia. Nursing and Health Sciences 2004;6:109-113. http://doi.org/10.1111/j.1442-2018.2004.00181.x
  32. Jeong JS, Choi JH, Lee SH, Kim YS. hand hygiene effects measured by hand culture in intensive care unit. Journal of Korean Biological Nursing Science. 2003;5(2):21-30.
  33. Smith DR, Wei N, Zhang YJ, Wang RS. Hand dermatitis among a complete cross-section of Chinese physicians. Contact Dermatitis. 2005;52(5):291-293. http://doi.org/10.1111/j.0105-1873.2005.0573h.x