en درماتیت دست در بین کارکنان مراقبت های بهداشتی در طول همه گیری COVID-19: شیوع و عوامل خطر، یک مطالعه مقطعی عمومى General پژوهشي Research <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar="">مقدمه:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar=""> کارکنان مراقبت های بهداشتی (</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">HCW_S</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar="">) برای محافظت از خود و بیماران در برابر انتقال مداوم</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"> COVID-19 </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar="">نیاز به اقدامات پیشگیرانه جدیدی دارند که می تواند باعث افزایش بروز درماتیت دست</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"> (HD) </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar="">در بین آنها شود. این مطالعه با هدف بررسی شیوع</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"> HD </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar="">در بین </span></span></span><span dir="LTR" style="color:black">HCWs </span>&nbsp;<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar="">و عوامل خطر احتمالی آن در ایران انجام شد</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">.</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar""></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar="">روش‌ بررسی:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar=""> در یک مطالعه مقطعی بررسی 159</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"> HCW_S </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar="">شاغل در بیمارستان‌های دانشگاهی بین مرداد تا شهریور 1399 انجام شد. داده های پژوهش از طریق پرسشنامه استاندارد شده جمع آوری شد. سابقه</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"> HD </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar="">نیز از طریق پرسشنامه استاندارد نوردیک شغلی پوست</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"> (NOSQ-2002) </span></span><span style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar="">&nbsp;تعیین شد</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">.</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar""></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar="">یافته ها:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar=""> خطر ابتلا به </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">HD</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar=""> در زنان 3.84 برابر بیشتر از مردان بود (فاصله اطمینان </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">(CI): 1.85-8</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar="">). </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">HCW</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar="">های بزرگتر از 40 سال و افراد 30-39 ساله 9.6 و 1.72 برابر بیشتر از </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">HCW</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar="">های 20-29 ساله در معرض خطر </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">HD</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar=""> بودند (به ترتیب</span></span></span> <span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">CI: 2.6-35.7</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar="">؛ </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">CI: 0.87-3.4</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar="">). همچنین ارتباط معنی داری بین شیوع</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"> HD </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar="">در</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"> HCW </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar="">و ساعات کار در هفته و پوشیدن دستکش مشاهده شد</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"> (P<0.05).</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Zar""></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar="">نتیجه‌گیری:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar=""> عوامل خطر احتمالی برای ابتلا به </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">HD</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar=""> در بین بیماران بهداشتی، جنسیت زن و سن بالاتر است. اقدامات پیشگیرانه برای </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">HD</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar=""> برای کارکنان </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">HCW</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar="">، به ویژه در طول همه گیری </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">COVID-19</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar=""> مورد نیاز است.</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="unicode-bidi:embed"><span style="line-height:115%"><span calibri="" style="font-family:"><b><span style="font-size:10.0pt"><span style="line-height:115%"><span 47="" cn="" lt="" std="" style="font-family:" univers=""><span style="letter-spacing:-.1pt">Background:</span></span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:115%"><span adobe="" garamond="" pro="" style="font-family:">Healthcare workers (HCWs) need to perform new preventive measures to protect themselves and patients against ongoing COVID-19 transmission, which can increase hand dermatitis (HD) among them. This study aims to investigate the prevalence of HD among HCWs and its possible risk factors in IRAN. </span></span></span><b><span style="font-size:10.0pt"><span style="line-height:115%"><span 47="" cn="" lt="" std="" style="font-family:" univers=""><span style="letter-spacing:-.1pt">Methods:</span></span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:115%"><span adobe="" garamond="" pro="" style="font-family:">A survey of 159 HCWS working in university hospitals was performed from August to September 2020 in a cross-sectional study. Research data were collected via standardized self-administered questionnaire. The history of HD was determined via standardized Nordic Occupational Skin Questionnaire (NOSQ-2002). </span></span></span><b><span style="font-size:10.0pt"><span style="line-height:115%"><span 47="" cn="" lt="" std="" style="font-family:" univers=""><span style="letter-spacing:-.1pt">Results:</span></span></span></span></b><span style="font-size:10.0pt"><span style="line-height:115%"><span adobe="" garamond="" pro="" style="font-family:"> The prevalence of HD in the study population was 51.6%. A significant association was found between the prevalence of HD among HCWs and sex, age, working hours per week, and wearing gloves (P<0.05).&nbsp; Females had a 3.84 fold higher risk of HD than males (confidence interval (CI): 1.85-8). HCWs older than 40 and those who aged 30-39 had a 9.6 and 1.72 fold higher risk of HD than those aged 20-29 (CI: 2.6-35.7; CI: 0.87-3.4, respectively). </span></span></span><b><span style="font-size:10.0pt"><span style="line-height:115%"><span 47="" cn="" lt="" std="" style="font-family:" univers=""><span style="letter-spacing:-.1pt">Conclusion:</span></span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:115%"><span adobe="" garamond="" pro="" style="font-family:">Possible risk factors for developing HD among HCWs are female gender, age, wearing gloves, and fewer working hours per week. Preventive measures for HD are needed for HCWs, especially during the COVID-19 pandemic. </span></span></span></span></span></span></span></span><br> &nbsp; COVID-19, SARS-CoV-2, Dermatitis, Eczema, Hand, Health Care COVID-19, SARS-CoV-2, Dermatitis, Eczema, Hand, Health Care 1385 1391 http://aoh.ssu.ac.ir/browse.php?a_code=A-10-51-13&slc_lang=en&sid=1 Omolbanin Motamedrezaei No Social Determinant of Health Research Center, Department of Occupational Health, Birjand University of Medical Sciences, Birjand, Iran 2 Instructor of toxicology, Social Determinants of Health Research Center, Faculty of Health, Birjand University of Medical Sciences, Birjand, Iran Hamed Lotfi Hamed Lotfi No Department of Medical Sciences, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran Farnaz Jahani Farnaz Jahani No Department of Medical Sciences, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran Gholamreza Sharifzadeh Gholamreza Sharifzadeh No Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran Hadis Rajabipour Hadis Rajabipour No Student Research Committee, Birjand University of Medical Sciences, Birjand, Iran Fereydoon Laal Fereydoon Laal FEREYDOONLAAL@GMAIL.COM Yes Social Determinants of Health Research Center, Department of Occupational Health Engineering, Birjand University of Medical Sciences, Birjand, Iran