Sustainability of interdisciplinary secondary prevention in patients with occupational hand eczema: a 5-year follow-up survey

Autor(en): Wilke, Annika
Gediga, Guenther
Schlesinger, Tanja
John, Swen M. 
Wulfhorst, Britta
Stichwörter: Allergy; CARE; CONTACT-DERMATITIS; Dermatology; effectiveness; evaluation; follow-up; GERIATRIC NURSES; hand eczema; INDIVIDUAL PREVENTION; INPATIENT-MANAGEMENT ROQ; INTERVENTION; occupational; patient education; prevention; QUALITY-ASSURANCE; REHABILITATION; SKIN DISEASES; sustainability; wet work; WET-WORK
Erscheinungsdatum: 2012
Herausgeber: WILEY-BLACKWELL
Journal: CONTACT DERMATITIS
Volumen: 67
Ausgabe: 4
Startseite: 208
Seitenende: 216
Zusammenfassung: 
Background. Occupational hand eczema (OHE) is common in wet work occupations. Thus, effective and sustainable prevention strategies are needed. Objectives. To investigate the long-term effectiveness (sustainability) of an interdisciplinary secondary prevention programme. Methods. One hundred and thirty-four patients with OHE consecutively participated in an outpatient skin protection seminar comprising dermatological and educational interventions. Data were obtained at baseline (T0) and at 9 months (T1) and 5 years (T2) after participation. A cohort of 84 patients was available for analysis of the outcomes job continuation, skin condition, skin protection behaviour, and disease management'. Results. At T2, 71.4% of patients remained in their occupation. The prevalence and severity of self-reported OHE were significantly reduced as compared with T0 (p = 0.007, p = 0.002). Of the patients, 13.1% gave up work because of OHE at T2. The intervention was most successful in patients suffering from milder forms of OHE, and there was less success in patients with severe OHE. The results showed a significant reduction in the frequency of hand washing (p = 0.003) but no measurable change in the use of skin care products (p = 1.000). Conclusions. The intervention showed sustainable long-term effects. Early detection and reporting of OHE in the initial stages of the disease is of utmost importance for the effectiveness of secondary prevention. In cases of severe OHE, inpatient programmes may be indicated.
ISSN: 01051873
DOI: 10.1111/j.1600-0536.2012.02132.x

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