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

Öz

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.

Anahtar Kelimeler

• Hand eczema
• occupational disease
• risk factors
• cross sectional study

Bir üniversite hastanesinde çalışan hemşirelerde el egzaması sıklığı ve ilişkili faktörler

Öz

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.

Anahtar Kelimeler

• El egzaması,
• meslek hastalıkları,
• risk faktörleri,
• kesitsel çalışma
• Hand eczema
• occupational disease
• risk factors
• cross sectional study

Kaynakça

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