Skip to main content
Log in

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

  • Short Communication
  • Published:
Environmental Health and Preventive Medicine Aims and scope

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 depertment of employment within the hospital.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Meding B, Swanbeck G. Predictive factors for hand cezema. Contact Dermatitis. 1990; 23: 154–161.

    Article  PubMed  CAS  Google Scholar 

  2. Stingeni L, Lapomarda V, Lisi P. Occupational hand dermatilis in hospital environment. Contact Dermatitis. 1995; 33: 172–176.

    Article  PubMed  CAS  Google Scholar 

  3. Smith DR, Ohmura K, Yamagata Z. Prevalence and correlates of hand dermatitis among nurses in a Japanese teaching hospital. J. Epidemiol 2003; 13: 157–161.

    PubMed  CAS  Google Scholar 

  4. Soter K, Salomon J, Horanin M, Nowicka D, Szepietowski JC. Atopy as the main predisposing factor to hand dermatitis in hospital staff: A preliminary self-assessment questionnaire study. Environ. Dermatol. 2001; 8: 163–166.

    Google Scholar 

  5. Forrester BG, Roth VS. Hand dermatitis in intensive care units. J. Occup. Environ. Med. 1998; 40: 881–885.

    Article  PubMed  CAS  Google Scholar 

  6. Larson E, Friedman C, Cohran J, Treston-Aurand J, Green S. Prevalence and correlates of skin damage on the hands of nurses. Heart Lung 1997; 26: 404–412.

    Article  PubMed  CAS  Google Scholar 

  7. Smit HA, Coenraads PJ. A retrospective cohort study on the incidence of hadn dermatitis in nurses. Int. Arch. Occup. Environ. Health 1993; 64: 541–544.

    Article  PubMed  CAS  Google Scholar 

  8. Lantinga H, Nater JP, Coenraads PJ. Prevalence, incidence and course of eczema on the hands and forearms in a sample of the general population. Contact Dermatitis 1984; 10: 135–139.

    Article  PubMed  CAS  Google Scholar 

  9. Smit HA, Burdorf A, Coenraads PJ. Prevalence of hand dermatitis in different occupations. Int. J. Epidemiol. 1993; 22: 288–293.

    Article  PubMed  CAS  Google Scholar 

  10. Meding B, Swanbeck G. Occupational hand eczema in an industrial city. Contact Dermatitis 1990; 22: 13–23.

    Article  PubMed  CAS  Google Scholar 

  11. Xu Y, Xu Z, Zhang J. The nursing education system in the People's Republic of China: Evolution, structure and reform. Int. Nurs. Rev. 2000; 47: 207–217.

    Article  PubMed  CAS  Google Scholar 

  12. Smith HA, Coenraads PJ, Lavrijsen APM, Nater JP. Evaluation of a self-administered questionnaire on hand dermatitis. Contact Dermatitis 1992; 26: 11–16.

    Article  Google Scholar 

  13. Berg M. Evaluation of a questionnaire used in dermatological epidemiology. Discrepancy between self-reported symptoms and objective signs. Acta Dermato. Venereol. (Stockh.) 1991; Suppl. 156: 13–17.

    CAS  Google Scholar 

  14. Simion FA, Rhein LD, Morrison BM, Scala DD, Salko DM, Kligman AM, Grove GL. Self-perceived sensory responses to soap and synthetic detergent bars, correlate with clinical signs of irritation. J. Am. Acad. Dermatol. 1995; 32: 205–211.

    Article  PubMed  CAS  Google Scholar 

  15. Smith DR, Symth W, Leggat PA, Wang RS. Hand dermatitis among Australian nurses working in a tropical environment. Aust. J. Adv, Nurs. 2004 (in press).

  16. Nilsson E, Bäck O. The importance of anamnestic information of atopy, metal dermatitis and earlier hand eczema for the development of hand dermatitis in women in wet hospital work. Acta Dermato. Venereol. (Stockh). 1986; 66: 45–50.

    CAS  Google Scholar 

  17. Tsai TF, Maibach HI. How irritant is water? An overview. Contact Dermatitis 1999; 41: 311–314.

    PubMed  CAS  Google Scholar 

  18. Meding B, Swanbeck G. Consequences of having hand eczema. Contact Dermatitis 1990; 23: 6–14.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Derek R. Smith.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Smith, D.R., Wei, N., Kang, L. et al. Work environment and hand dermatitis among nurses in a Chinese teaching hospital. Environ Health Prev Med 9, 181–184 (2004). https://doi.org/10.1007/BF02898099

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02898099

Key words

Navigation