- 作者：Bianca Sultana ; Jeannie Cimiotti ; Allison E. Aiello ; Dan Sloan ; Elaine Larson
- 关键词：myocardial infarction ; exercise cardiac rehabilitation ; exercise facilitation ; self-monitoring
- 刊名：Heart & Lung: The Journal of Acute and Critical Care
- 出版年：2003
- 出版时间：July - August 2003
- 年：2003
- 卷：32
- 期：4
- 页码：283-289
- 全文大小：98 K
Methods
Nurses (n = 111) working in 1 of 2 neonatal ICUs in New York City were surveyed regarding reported hand care practices and demographics, the condition of their hands was assessed by a trained observer and by themselves using validated instruments, and a hand culture was obtained.
Results
There were no significant differences in any skin care practices by race, but nurses who wore powder-free gloves were significantly younger than those who did not (P = .004). There were no significant differences in bacterial counts on hands of black or white nurses (mean log colony-forming units 3.49 and 3.61 respectively, P = .63) and no significant correlation between age and microbial counts (r = 0.04, P = .72). In a logistic regression analysis, race, but not age, was a significant predictor of skin health. By both observer (P = .02) and self-assessment (P = .004) black nurses had healthier skin.
Conclusion
Physiochemical differences in skin associated with demographic factors such as age and race may be exacerbated among those in disciplines such as nursing, for whom the skin of the hands is continually stressed by occupational practices such as frequent hand hygiene. Such demographic factors need be considered when assessing skin condition and when advocating for appropriate strategies to maximize skin health. The recommendations of the new CDC Hand Hygiene Guideline for Healthcare Settings[23] regarding maintaining skin health and providing moisturizers and products that are milder to the skin are timely and should be followed.