Abstract:Zusammenfassung
Berufsbedingte Hauterkrankungen verlaufen h?ufig chronisch. Patienten k?nnen durch das eigene Hautschutzverhalten den Erkrankungsverlauf jedoch ma?geblich positiv beeinflussen. An diesem Punkt setzen gesundheitsp?dagogische Interventionen an, z.?B. in Form von Patientenschulungen und Einzelberatungen. Sie zielen darauf ab, beim Teilnehmer eine ausreichende Wissensbasis sowie die notwendige Motivation zu erzeugen, um am Arbeitsplatz sowie im Privatbereich ein ad?quates Hautschutzverhalten umzuse… Show more
“…In addition, a choice of skin protection products is discussed and appropriate samples of skin protection products are provided. This is important since appropriate skin care and skin protection behavior can significantly influence the individual course of disease [13, 24, 25]. Table 1 shows the details of this one-day program.Fig.…”
BackgroundIn Germany, work-related skin diseases are predominant within the spectrum of reported occupational diseases. Metal workers are among the high-risk professions. Offering effective prevention programs to affected patients is of utmost importance to avoid deterioration of the disease and job loss. We conducted a 1-year follow-up in patients who participated in a multidisciplinary, complex outpatient prevention program representing a standard procedure of patient care by the respective statutory accident insurance.MethodsThe multi-component prevention program consists of multiprofessional individual patient counseling, a structured skin protection seminar in a group, as well as workplace visits and on-site counseling in terms of appropriate skin protection (e.g. gloves). An observational study with a 1-year follow-up and four measurements (T1-T4, longitudinal pre/post-test design) including dermatological examinations and standardized written questionnaires was conducted between 2013 and 2016 to assess changes over time regarding job loss and disease severity.ResultsData from 94 patients (87 male, mean age: 45.4 years) were included in the analysis. One year after the skin protection seminar (T4), 83 patients (88.3%) remained in their original professional metalworking activity and four patients (4.3%) had given up their profession because of their skin disease. At baseline (T1), irritant contact dermatitis of the hands was the most frequent diagnosis (80.7%). Methods for self-reported disease severity showed good correlation with the clinical gold standard at T1 and T2 (dermatological examination with the Osnabrück Hand Eczema Severity Index / OHSI), and a significant decrease of the self-reported disease severity was found over time from T1 to T4 (p < 0.001). Further results indicate an improved self-perceived disease control and an overall satisfaction with the prevention program.ConclusionsThe results of this observational study demonstrate that the comprehensive prevention program positively influences the course of work-related skin diseases, increases the possibility to continue working in a “high-risk” profession and improves the disease management of metal workers. In the long term, the prevention program may lead to cost savings by preventing high therapy costs or professional retraining.Electronic supplementary materialThe online version of this article (10.1186/s12895-018-0080-2) contains supplementary material, which is available to authorized users.
“…In addition, a choice of skin protection products is discussed and appropriate samples of skin protection products are provided. This is important since appropriate skin care and skin protection behavior can significantly influence the individual course of disease [13, 24, 25]. Table 1 shows the details of this one-day program.Fig.…”
BackgroundIn Germany, work-related skin diseases are predominant within the spectrum of reported occupational diseases. Metal workers are among the high-risk professions. Offering effective prevention programs to affected patients is of utmost importance to avoid deterioration of the disease and job loss. We conducted a 1-year follow-up in patients who participated in a multidisciplinary, complex outpatient prevention program representing a standard procedure of patient care by the respective statutory accident insurance.MethodsThe multi-component prevention program consists of multiprofessional individual patient counseling, a structured skin protection seminar in a group, as well as workplace visits and on-site counseling in terms of appropriate skin protection (e.g. gloves). An observational study with a 1-year follow-up and four measurements (T1-T4, longitudinal pre/post-test design) including dermatological examinations and standardized written questionnaires was conducted between 2013 and 2016 to assess changes over time regarding job loss and disease severity.ResultsData from 94 patients (87 male, mean age: 45.4 years) were included in the analysis. One year after the skin protection seminar (T4), 83 patients (88.3%) remained in their original professional metalworking activity and four patients (4.3%) had given up their profession because of their skin disease. At baseline (T1), irritant contact dermatitis of the hands was the most frequent diagnosis (80.7%). Methods for self-reported disease severity showed good correlation with the clinical gold standard at T1 and T2 (dermatological examination with the Osnabrück Hand Eczema Severity Index / OHSI), and a significant decrease of the self-reported disease severity was found over time from T1 to T4 (p < 0.001). Further results indicate an improved self-perceived disease control and an overall satisfaction with the prevention program.ConclusionsThe results of this observational study demonstrate that the comprehensive prevention program positively influences the course of work-related skin diseases, increases the possibility to continue working in a “high-risk” profession and improves the disease management of metal workers. In the long term, the prevention program may lead to cost savings by preventing high therapy costs or professional retraining.Electronic supplementary materialThe online version of this article (10.1186/s12895-018-0080-2) contains supplementary material, which is available to authorized users.
“…Meso level Due to the high incidences in Germany, for the last two decades, our institute (Skudlik 2015) has been developing educational approaches and interdisciplinary programs for occupational skin diseases, including workrelated hand eczema (Wilke et al 2015;Sonsmann et al 2015), in cooperation with the German social accident insurances.…”
Section: Description and Consideration Of The Context Characteristicsmentioning
Objective To outline the development and pilot testing of a patient counseling approach for individual sun protection for patients in outdoor professions diagnosed with squamous cell carcinoma or multiple actinic keratosis due to solar UV radiation. This is a secondary prevention measure as part of the standard procedure of patient care by the respective statutory accident insurance. Methods Results of guideline-based qualitative interviews with seven outdoor workers and a search of literature formed the basis for the counseling approach, which was compiled in a manual. Interdisciplinary experts (dermatologists and educators) reviewed and consented the final manual. The pilot testing was conducted in consecutive steps (N 1 = 36 patients and N 1 = 2 counselors; N 4 = 12 patients and N 4 = 6 counselors). The first two stages of the revised guideline 'Criteria for Reporting the Development and Evaluation of Complex Interventions in healthcare (CReDECI 2)' serve as background and structure for presenting the results. Results The 'counseling approach for individual sun protection (ILB: Individuelle Lichtschutz-Beratung)' consists of seven general and eight add-on modules. These can be combined and tailored according to the patient's individual needs. Interactive, educational components (e.g. haptic experiments) are crucial elements of the counseling approach. Conclusions The special requirements of outdoor workers are hardly taken into consideration in Germany, even though the interest for an improved sun protection behavior of some occupational groups is high. The advantage of the presented approach is that the heterogeneous needs of patients can be specifically addressed with its various modules.
“…In einem nächsten Schritt werden die Betroffenen in Kleingruppen im Rahmen eines Intensivseminars interdisziplinär geschult und mit persönlicher Schutzausrüstung ausgestattet. Fachliche Inhalte und die Auswahl der Schutzausrüstung richten sich dabei nach individuellen Erfordernissen der einzelnen Tätigkeiten und Versicherten sowie nach aktuellen wissenschaftlichen Empfehlungen . Nach einem zweimonatigen Arbeitsversuch unter optimierten Bedingungen werden die Erfolge der bisherigen Maßnahmen mit den Versicherten im Rahmen einer zweiten Hautsprechstunde evaluiert.…”
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