Quality of Life and Its Predictors in Patients with Occupational Hand Eczema: A Cross-sectional Study

Maryam Nomani, M. Azizzadeh, M. Mirmohammadkhani, Kamyar Mansori, Daryoush Pahlevan
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Abstract

Introduction: The present study was conducted with the aim of investigating the quality of life and its predictive factors in patients with occupational hand eczema. Methods: In this cross-sectional-analytical study, 244 patients with occupational hand eczema were examined through convenience sampling. The tools of data collection included the standard questionnaire of quality of life index in skin diseases (DLQI) and visual analog scale (VAS). Data analysis was done by Stata14 and the raw and adjusted odds ratio (OR) with a 95% confidence interval (95% CI) was reported. Results: 46.7% had severe eczema. Multivariable logistic regression model showed the age over 30 (OR=5.40; CI 95%: 2.92 – 9.98), female gender (OR=2.02 ; ; CI 95% : 1.14 – 3.06), housekeeping (OR=5.25 ; CI 95% : 1.94 – 14.24), work experience over 5 years (OR=4.59 ; CI 95% : 2.13 – 9.85), working more than 8 hours (OR=4.71 ; CI 95% : 2.57 – 8.62) and severity of hand eczema (OR=2.14 ; ; CI 95% : 1.28 – 2.56) were the most important predictors of low life quality in patients with hand eczema (P-value>0.05). Conclusion: Hand eczema has a significant effect on the life quality of most patients; therefore, designing and implementing care and preventive programs considering the above-mentioned factors are necessary to improve the quality of life regarding these patients.
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职业性手湿疹患者的生活质量及其预测因素:一项横断面研究
前言:本研究旨在探讨职业性手湿疹患者的生活质量及其预测因素。方法:对244例职业性手湿疹患者采用方便抽样的方法进行横断面分析。数据收集工具包括皮肤病生活质量指数标准问卷(DLQI)和视觉模拟量表(VAS)。数据分析由Stata14完成,并报告95%可信区间(95% CI)的原始和调整优势比(OR)。结果:46.7%的患者有严重湿疹。多变量logistic回归模型显示年龄在30岁以上(OR=5.40;CI 95%: 2.92 - 9.98),女性(OR=2.02;;可信区间95%:1.14 - 3.06),内务管理(OR=5.25;CI 95%: 1.94 - 14.24), 5年以上工作经验(OR=4.59;CI 95%: 2.13 - 9.85),工作时间超过8小时(OR=4.71;CI 95%: 2.57 - 8.62)和手部湿疹严重程度(OR=2.14;;CI 95%: 1.28 ~ 2.56)是手部湿疹患者生活质量低下的最重要预测因子(p值>0.05)。结论:手部湿疹对大部分患者的生活质量有显著影响;因此,考虑到上述因素,设计和实施护理和预防方案对于改善这些患者的生活质量是必要的。
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