A self-report questionnaire to detect hand dermatitis in nurses.
Occup Med (Lond)
; 70(9): 645-648, 2020 Dec 30.
Article
em En
| MEDLINE
| ID: mdl-33219375
ABSTRACT
BACKGROUND:
Hand dermatitis is highly prevalent among nurses due to their frequent exposure to wet work. Providing cost-effective dermatological health surveillance for this occupational group presents a challenge to health service providers.AIMS:
To ascertain the predictive value of nurses' self-assessment of whether they had current hand dermatitis using a screening questionnaire when compared with the assessment made by a dermatologist of the nurses' hand photographs.METHODS:
We conducted a cross-sectional study comparing the self-report decision made by student and intensive care nurses using a single hand dermatitis screening question with the clinical assessment of their hand photographs made by dermatologists using a standardized photographic guide.RESULTS:
We analysed data collected at study baseline (n = 1599). The results showed that the screening question had a high negative predictive value (91%; 95% CI 89-93), but a low positive predictive value (39%; 95% CI 34-45). It demonstrated acceptable accuracy in distinguishing those with and without the disease (area under the receiver operator curve = 0.7) and had a high specificity (86%; 95% CI 84-88) but a sensitivity of only 52% (95% CI 46-59) in identifying hand dermatitis.CONCLUSIONS:
We found that nurses were able to accurately self-assess themselves as not having any signs of hand dermatitis. By contrast, they were less able to accurately self-assess positive cases suggesting under-recognition of early disease. We propose that a questionnaire containing a single hand dermatitis screening question should be considered as a tool for screening out clear cases as part of a workplace health surveillance programme for detecting hand dermatitis.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Dermatite Ocupacional
/
Dermatoses da Mão
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Enfermeiras e Enfermeiros
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
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Qualitative_research
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article