Toll of Hand Eczema on Nurses: A Crossectional Questionnaire Based Study of Awareness, Impact and Quality of Life

Introduction: Hand eczema is a prevalent occupational skin condition among healthcare workers, especially nurses, due to frequent exposure to irritants and prolonged glove use. This condition negatively affects both work efficiency and overall quality of life. Objectives: This study aimed to assess nursing professionals' awareness, knowledge, and preventive practices regarding hand eczema, and to evaluate its impact on their daily functioning and quality of life. Materials and Methods: A cross-sectional, hospital-based study was conducted in November 2024, involving 250 nursing professionals over 18 years old. Participants completed a digital questionnaire covering demographics, symptom prevalence, knowledge, preventive behaviors, and the Dermatology Life Quality Index (DLQI). Data were analyzed using SPSS version 23, with results summarized using percentages, means, and medians. Results: Of the 250 participants, 236 (94.4%) were female and 14 (5.6%) were male. Nurses with over five years of experience demonstrated significantly higher knowledge scores (mean: 80%) compared to those with less experience (mean: 58.75%). Department-wise knowledge levels varied, with experienced nurses (>5 years) in ICU showing the highest knowledge (82%), followed by Operating Room, Emergency Dept., and General Ward (all 80% or 78%). Common symptoms reported included itching (44%), dryness (30.4%), and cracking (10%), with itching and dryness being the most frequent combination (30%). The mean DLQI score was 8.4, indicating a moderate impact on the nurses' quality of life. Conclusion: Hand eczema profoundly affects nurses' occupational performance and well-being. The study highlights the critical need for emphasizing preventive measures like regular moisturizer use and skin protection. It also underscores the importance of increased institutional support and educational interventions to mitigate hand eczema among healthcare professionals.