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Bir üniversite hastanesinde çalışan hemşirelerde el egzaması sıklığı ve ilişkili faktörler

Year 2022, Volume: 15 Issue: 3, 507 - 516, 31.12.2022
https://doi.org/10.26559/mersinsbd.1105280

Abstract

Amaç: Bu çalışma bir üniversite hastanesinde çalışan hemşirelerde el egzaması sıklığını ve ilişkili faktörleri incelemek amacıyla yapılmıştır. Yöntem: Bu kesitsel çalışmaya 601 hemşire katıldı. Araştırmanın verileri Türkçe NOSQ-2002/ Uzun Versiyon Nordik Mesleki Deri Hastalıkları Belirleme Anketi aracılığıyla toplandı. Verilerin analizinde SPSS 23.0 istatistik paket programı kullanıldı. Verilerin analizinde Pearson-χ2, lojistik regresyon analizleri kullanıldı. İstatistiksel önemlilik seviyesi p<0.05 olarak kabul edildi. Bulgular: Hemşirelerde el egzaması prevelansı %30,6 bulundu. Egzaması olan hemşirelerin %76.6’sı yataklı bölümlerde çalışmakta, %57.6’sının günlük çalışma süresi 12 saatten fazla ve %50’si 1-5 yıl arasında çalışmaktaydı (p<0.05). Kadınlarda, 30-39 yaş grubunda, egzama, alerjik rinit, atopik durum ve alerji öyküsü olan hemşirelerde egzama prevalansı daha yüksekti (p<0.05). Hemşirelerin çalışma süresi, el yıkama sıklığı, sabun kullanımı, ilaç/antibiyotik teması, anestezik gaza maruz kalma, kişisel hijyen ürünlerine maruz kalma ve makyaj ürünleri kullanımı arasında istatistiksel olarak anlamlı bir ilişki bulundu (p<0.05). Kadınlarda egzama riski erkeklere göre 7.5 kat, egzama öyküsü olanlarda 24.8 kat, alerjisi olanlarda 18.1 kat, sırasıyla yataklı servislerde ve yoğun bakım ünitelerinde çalışanlarda 7.6 ve 3.9 kat daha fazladır. Sonuç: Hemşirelerde el egzaması önemli bir sağlık sorunudur. Çalışma saatleri, el yıkama sıklığı, sabun kullanımı, ilaçlar/antibiyotik teması artıkça egzamaya ilişkin semptomlar artmaktadır. İş sağlığı hemşireliği kapsamında çalışma ortamındaki el egzamasına neden olan riskler bilinmeli ve riskleri azaltmaya/yok etmeye yönelik önlemler alınmalıdır.

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References

  • Kezic S. Atopic dermatitis: risk estimates for hand eczema. The British Journal of Dermatology. 2018;178(4):827.
  • Agner T, Elsner P. Hand eczema: epidemiology, prognosis and prevention. Journal Of The European Academy of Dermatology and Venereology. 2020;34(1): 4-12.
  • Luk NM, Lee HC, Luk CK, Cheung YY, Chang MC, Chao VK, Ng SC, Tang LS. Hand eczema among Hong Kong nurses: a self-report questionnaire survey conducted in a regional hospital. Contact Dermatitis. 2011;65(6):329-35.
  • Akan A, Toyran M, Erkoçoğlu M, Kaya A, Kocabaş CN. The prevalence of allergic contact sensitization of practicing and student nurses. The İnternational Journal of Occupational And Environmental Medicine. 2012;3(1):10-18.
  • van der Meer EW, Boot CR, van der Gulden JW et al. Hand eczema among healthcare professionals in the Netherlands: prevalence, absenteeism, and presenteeism. Contact Dermatitis 2013; 69(12): 164– 71.
  • Skudlik C, Dulon M, Wendeler D, John SM, Nienhaus A. Hand eczema in geriatric nurses in Germany--prevalence and risk factors.ContactDermatitis.2009;60(3):136-143.
  • Hamnerius N, Svedman C, Bergendorff O, Björk J, Bruze M, Pontén A. Wet work exposure and hand eczema among healthcare workers: a cross-sectional study. The British Journal of Dermatology. 2018;178(2):452-61.
  • Gupta SB, Gupta A, Shah B, Kothari P, Darall S, Boghara D, Sonkar S, Deo K. Hand eczema in nurses, nursing auxiliaries and cleaners-A cross-sectional study from a tertiary hospital in western India. Contact Dermatitis. 2018;79(1):20-25.
  • Özyazıcıoğlu N, Sürenler S, Tanriverdi G. Hand dermatitis among paediatric nurses. Journal of Clinical Nursing, 2010;19 (11-12):1597-1603.
  • Mernelius S, Carlsson E, Henricson J, Löfgren S, Lindgren PE, Ehricht R, Monecke S, Matussek A, Anderson CD. Staphylococcus aureus colonization related to severity of hand eczema. European Journal of Clinical Microbiology & İnfectious Diseases. 2016;35(8):1355-61.
  • Kocatürk Göncü E, Melikoğlu M, Tarikçi N, Tamyürek M, Toprak D, Topaloğlu Demir F, Topkarcı Z. Mesleki egzamalara yaklaşım: Dermatologlar, işyeri hekimi ve aile hekimlerinin tutum farklılıkları. TÜRKDERM-Deri Hastalıkları ve Frengi Arşivi. 2016;50(1):10-16.
  • Flyvholm MA, Susitaival P, Meding B, Kanerva L, Linderberg M, Svensson A, Olafsson, JH. Nordic Occupational Skin Qestionnaire- NOSQ 2002, Nordic questionnaire for surveying work-related skin diseases on hands and forearms and relevant exposures. TemaNord, Copenhagen, Nordic Council of Ministers. 2002;518:1-186.
  • Susitaival P, Flyvholm MA, Meding B, Kanerva L, Lindberg M, Svensson A, Olafsson JH. Nordic Occupational Skin Questionnaire (NOSQ-2002): a new tool for surveying occupational skin diseases and exposure. Contact Dermatitis. 2003;49(2):70-76.
  • Aktas E, Esin MN. A Turkish Translationof the Nordic Occupational Skin Questionnaire (NOSQ-2002/LONG) adapted for young workers in high-risk jobs. Int J Dermatol. 2016;55:278-288.
  • Huang D, Tang Z, Qiu X, Liu X, Guo Z, Yang B, Guo Q, Xiong H. Hand eczema among healthcare workers in Guangzhou City: a cross-sectional study. Annals of Translational Medicine.2020;8(24):1664.
  • Kokandi AA. Hand dermatitis among nurses at a University Hospital in Saudi Arabia. Biomedical Res-India. 2017;28(15):6687-92.
  • Mekonnen TH, Yenealem DG, Tolosa BM. Self-report occupational-related contact dermatitis: prevalence and risk factors among healthcare workers in Gondar town, Northwest Ethiopia, 2018—a cross-sectional study. Environmental Health and Preventive Medicine. 2019;24(1):1-9.
  • Barnes S, Stuart R, Redley B. Health care worker sensitivity to chlorhexidine-based hand hygiene solutions: A cross-sectional survey. American Journal of Infection Control. 2019;47(8):933-37.
  • Çelik V, Özkars MY. An overlooked risk for healthcare workers amid COVID-19: Occupational hand eczema. Northern Clinics of Istanbul. 2020;7(6):527-33.
  • Singh M, Pawar M, Bothra A, Choudhary N. Overzealous hand hygiene during the COVID 19 pandemic causing an increased incidence of hand eczema among general population. Journal of the American Academy of Dermatology. 2020;83(1):37-41.
  • Nichol K, Copes R, Spielmann S, Kersey K, Eriksson J, Holness DL. Workplace screening for hand dermatitis: a pilot study. Occupational Medicine. 2016;66(1):46-49.
  • Erdem Y, Altunay IK, Aksu Çerman A, Inal S, Ugurer E, Sivaz O, Kaya HE, Gulsunay IE, Sekerlisoy G, Vural O, Özkaya E. The risk of hand eczema in healthcare workers during the COVID-19 pandemic: Do we need specific attention or prevention strategies?ContactDermatitis. 2020; 83(5):422-23.
  • Guertler A, Moellhoff N, Schenck TL, Hagen CS, Kendziora B, Giunta RE, French LE, Reinholz M. Onset of occupational hand eczema among healthcare workers during the SARS-CoV-2 pandemic: Comparing a single surgical site with a COVID-19 intensive care unit. Contact Dermatitis. 2020;83(2):108-14.
  • Lan J, Song Z, Miao X, Li H, Li Y, Dong L, Yang J, An X, Zhang Y, Yang L, Zhou N, Yang L, Li J, Cao J, Wang J, Tao J. Skin damage among health care workers managing coronavirus disease-2019. Journal of the American Academy of Dermatology. 2020;82(5):1215-16.

The frequency of hand eczema and related factors in nurses working in a university hospital

Year 2022, Volume: 15 Issue: 3, 507 - 516, 31.12.2022
https://doi.org/10.26559/mersinsbd.1105280

Abstract

Aim: This study aimed to determine the frequency of hand eczema and related factors in nurses working in a university hospital. Method: 601 nurses participated in this cross-sectional study. Data were collected using the Turkish NOSQ-2002/Long Version Nordic Occupational Skin Disease Detection Questionnaire. Pearson-χ2, logistic regression analyzes were used in the analysis of the data. Results: The prevalence of hand eczema in nurses was 30.6%. 76.6% of nurses with eczema worked in inpatient services, 57.6% worked more than 12 hours a day and 50% worked between 1-5 years. The prevalence of eczema was higher in women, in the 30-39 age group, in nurses with a history of eczema, allergic rhinitis, atopic condition, and allergy (p<0.05). A statistically significant relationship was found between nurses' working time, hand washing frequency, soap use, drugs/antibiotic contact, exposure to anesthetic gas, exposure to personal hygiene products, and use of make-up products (p<0.05). The risk of eczema for women was 7.5 times higher than for men, 24.8 times higher for those with a history of eczema, 18.1 times for those with allergies, and 7.6 and 3.9 times for those working in inpatient services and intensive care units, respectively. Conclusion: Hand eczema is an important health problem in nurses. As working hours, hand washing frequency, soap use, and drug/antibiotic contact increased, symptoms related to eczema increased. Within the scope of occupational health nursing, the risks that cause hand eczema in the working environment should be known and measures should be taken to reduce/eliminate the risks.

Project Number

yok

References

  • Kezic S. Atopic dermatitis: risk estimates for hand eczema. The British Journal of Dermatology. 2018;178(4):827.
  • Agner T, Elsner P. Hand eczema: epidemiology, prognosis and prevention. Journal Of The European Academy of Dermatology and Venereology. 2020;34(1): 4-12.
  • Luk NM, Lee HC, Luk CK, Cheung YY, Chang MC, Chao VK, Ng SC, Tang LS. Hand eczema among Hong Kong nurses: a self-report questionnaire survey conducted in a regional hospital. Contact Dermatitis. 2011;65(6):329-35.
  • Akan A, Toyran M, Erkoçoğlu M, Kaya A, Kocabaş CN. The prevalence of allergic contact sensitization of practicing and student nurses. The İnternational Journal of Occupational And Environmental Medicine. 2012;3(1):10-18.
  • van der Meer EW, Boot CR, van der Gulden JW et al. Hand eczema among healthcare professionals in the Netherlands: prevalence, absenteeism, and presenteeism. Contact Dermatitis 2013; 69(12): 164– 71.
  • Skudlik C, Dulon M, Wendeler D, John SM, Nienhaus A. Hand eczema in geriatric nurses in Germany--prevalence and risk factors.ContactDermatitis.2009;60(3):136-143.
  • Hamnerius N, Svedman C, Bergendorff O, Björk J, Bruze M, Pontén A. Wet work exposure and hand eczema among healthcare workers: a cross-sectional study. The British Journal of Dermatology. 2018;178(2):452-61.
  • Gupta SB, Gupta A, Shah B, Kothari P, Darall S, Boghara D, Sonkar S, Deo K. Hand eczema in nurses, nursing auxiliaries and cleaners-A cross-sectional study from a tertiary hospital in western India. Contact Dermatitis. 2018;79(1):20-25.
  • Özyazıcıoğlu N, Sürenler S, Tanriverdi G. Hand dermatitis among paediatric nurses. Journal of Clinical Nursing, 2010;19 (11-12):1597-1603.
  • Mernelius S, Carlsson E, Henricson J, Löfgren S, Lindgren PE, Ehricht R, Monecke S, Matussek A, Anderson CD. Staphylococcus aureus colonization related to severity of hand eczema. European Journal of Clinical Microbiology & İnfectious Diseases. 2016;35(8):1355-61.
  • Kocatürk Göncü E, Melikoğlu M, Tarikçi N, Tamyürek M, Toprak D, Topaloğlu Demir F, Topkarcı Z. Mesleki egzamalara yaklaşım: Dermatologlar, işyeri hekimi ve aile hekimlerinin tutum farklılıkları. TÜRKDERM-Deri Hastalıkları ve Frengi Arşivi. 2016;50(1):10-16.
  • Flyvholm MA, Susitaival P, Meding B, Kanerva L, Linderberg M, Svensson A, Olafsson, JH. Nordic Occupational Skin Qestionnaire- NOSQ 2002, Nordic questionnaire for surveying work-related skin diseases on hands and forearms and relevant exposures. TemaNord, Copenhagen, Nordic Council of Ministers. 2002;518:1-186.
  • Susitaival P, Flyvholm MA, Meding B, Kanerva L, Lindberg M, Svensson A, Olafsson JH. Nordic Occupational Skin Questionnaire (NOSQ-2002): a new tool for surveying occupational skin diseases and exposure. Contact Dermatitis. 2003;49(2):70-76.
  • Aktas E, Esin MN. A Turkish Translationof the Nordic Occupational Skin Questionnaire (NOSQ-2002/LONG) adapted for young workers in high-risk jobs. Int J Dermatol. 2016;55:278-288.
  • Huang D, Tang Z, Qiu X, Liu X, Guo Z, Yang B, Guo Q, Xiong H. Hand eczema among healthcare workers in Guangzhou City: a cross-sectional study. Annals of Translational Medicine.2020;8(24):1664.
  • Kokandi AA. Hand dermatitis among nurses at a University Hospital in Saudi Arabia. Biomedical Res-India. 2017;28(15):6687-92.
  • Mekonnen TH, Yenealem DG, Tolosa BM. Self-report occupational-related contact dermatitis: prevalence and risk factors among healthcare workers in Gondar town, Northwest Ethiopia, 2018—a cross-sectional study. Environmental Health and Preventive Medicine. 2019;24(1):1-9.
  • Barnes S, Stuart R, Redley B. Health care worker sensitivity to chlorhexidine-based hand hygiene solutions: A cross-sectional survey. American Journal of Infection Control. 2019;47(8):933-37.
  • Çelik V, Özkars MY. An overlooked risk for healthcare workers amid COVID-19: Occupational hand eczema. Northern Clinics of Istanbul. 2020;7(6):527-33.
  • Singh M, Pawar M, Bothra A, Choudhary N. Overzealous hand hygiene during the COVID 19 pandemic causing an increased incidence of hand eczema among general population. Journal of the American Academy of Dermatology. 2020;83(1):37-41.
  • Nichol K, Copes R, Spielmann S, Kersey K, Eriksson J, Holness DL. Workplace screening for hand dermatitis: a pilot study. Occupational Medicine. 2016;66(1):46-49.
  • Erdem Y, Altunay IK, Aksu Çerman A, Inal S, Ugurer E, Sivaz O, Kaya HE, Gulsunay IE, Sekerlisoy G, Vural O, Özkaya E. The risk of hand eczema in healthcare workers during the COVID-19 pandemic: Do we need specific attention or prevention strategies?ContactDermatitis. 2020; 83(5):422-23.
  • Guertler A, Moellhoff N, Schenck TL, Hagen CS, Kendziora B, Giunta RE, French LE, Reinholz M. Onset of occupational hand eczema among healthcare workers during the SARS-CoV-2 pandemic: Comparing a single surgical site with a COVID-19 intensive care unit. Contact Dermatitis. 2020;83(2):108-14.
  • Lan J, Song Z, Miao X, Li H, Li Y, Dong L, Yang J, An X, Zhang Y, Yang L, Zhou N, Yang L, Li J, Cao J, Wang J, Tao J. Skin damage among health care workers managing coronavirus disease-2019. Journal of the American Academy of Dermatology. 2020;82(5):1215-16.
There are 24 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Articles
Authors

Ayşe Özcan 0000-0002-9267-7566

Naile Bilgili 0000-0002-7639-0303

Project Number yok
Publication Date December 31, 2022
Submission Date April 18, 2022
Acceptance Date August 4, 2022
Published in Issue Year 2022 Volume: 15 Issue: 3

Cite

APA Özcan, A., & Bilgili, N. (2022). Bir üniversite hastanesinde çalışan hemşirelerde el egzaması sıklığı ve ilişkili faktörler. Mersin Üniversitesi Sağlık Bilimleri Dergisi, 15(3), 507-516. https://doi.org/10.26559/mersinsbd.1105280
AMA Özcan A, Bilgili N. Bir üniversite hastanesinde çalışan hemşirelerde el egzaması sıklığı ve ilişkili faktörler. Mersin Univ Saglık Bilim derg. December 2022;15(3):507-516. doi:10.26559/mersinsbd.1105280
Chicago Özcan, Ayşe, and Naile Bilgili. “Bir üniversite Hastanesinde çalışan hemşirelerde El Egzaması sıklığı Ve ilişkili faktörler”. Mersin Üniversitesi Sağlık Bilimleri Dergisi 15, no. 3 (December 2022): 507-16. https://doi.org/10.26559/mersinsbd.1105280.
EndNote Özcan A, Bilgili N (December 1, 2022) Bir üniversite hastanesinde çalışan hemşirelerde el egzaması sıklığı ve ilişkili faktörler. Mersin Üniversitesi Sağlık Bilimleri Dergisi 15 3 507–516.
IEEE A. Özcan and N. Bilgili, “Bir üniversite hastanesinde çalışan hemşirelerde el egzaması sıklığı ve ilişkili faktörler”, Mersin Univ Saglık Bilim derg, vol. 15, no. 3, pp. 507–516, 2022, doi: 10.26559/mersinsbd.1105280.
ISNAD Özcan, Ayşe - Bilgili, Naile. “Bir üniversite Hastanesinde çalışan hemşirelerde El Egzaması sıklığı Ve ilişkili faktörler”. Mersin Üniversitesi Sağlık Bilimleri Dergisi 15/3 (December 2022), 507-516. https://doi.org/10.26559/mersinsbd.1105280.
JAMA Özcan A, Bilgili N. Bir üniversite hastanesinde çalışan hemşirelerde el egzaması sıklığı ve ilişkili faktörler. Mersin Univ Saglık Bilim derg. 2022;15:507–516.
MLA Özcan, Ayşe and Naile Bilgili. “Bir üniversite Hastanesinde çalışan hemşirelerde El Egzaması sıklığı Ve ilişkili faktörler”. Mersin Üniversitesi Sağlık Bilimleri Dergisi, vol. 15, no. 3, 2022, pp. 507-16, doi:10.26559/mersinsbd.1105280.
Vancouver Özcan A, Bilgili N. Bir üniversite hastanesinde çalışan hemşirelerde el egzaması sıklığı ve ilişkili faktörler. Mersin Univ Saglık Bilim derg. 2022;15(3):507-16.

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