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首页> 外文期刊>Contact dermatitis >Simple, low‐cost group‐counselling programme vs treatment as usual for patients with newly notified occupational hand eczema—Exploratory analyses of effects on knowledge, behaviour and personal resources of the randomized PREVEX clinical trial
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Simple, low‐cost group‐counselling programme vs treatment as usual for patients with newly notified occupational hand eczema—Exploratory analyses of effects on knowledge, behaviour and personal resources of the randomized PREVEX clinical trial

机译：对于新通知的职业手湿疹的患者探讨了对随机预防预审临床试验的知识，行为和个人资源影响的患者，常见的简单，低成本的群体咨询计划与往常进行治疗

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Background Sickness absence in hand eczema patients has been associated with stress rather than disease severity, indicating that personal aspects regarding hand eczema should be investigated further. Objectives To examine whether patient education vs treatment as usual can influence behaviour and knowledge regarding skin protection and care, as well as personal resources, in patients with occupational hand eczema. Methods PREVEX is an individually randomized clinical trial investigating the 1‐year effects of a simple, low‐cost group‐counselling programme vs treatment as usual for patients with notified occupational hand eczema. Exploratory outcomes were behaviour, knowledge, self‐efficacy, and self‐evaluated skin care ability. Results In total, 1668 patients with notified occupational skin disease were invited to participate, of whom 769 were randomized and 756 were analysed: intervention group ( n ?=?376) vs control group ( n ?=?380). Behaviour was improved and the knowledge score increased in the intervention group as compared with the control group (respectively: estimate 0.08; 95%CI: 0.02‐0.19; P ?=?.01; and estimate 0.49; 95%CI: 0.28‐0.70; P ??.001). Self‐efficacy was lower in the intervention group as compared with the control group (estimate ?0.78; 95%CI: ?1.25 to ?0.30; P ?=?.001). No difference was found regarding skin care abilities. Conclusions The intervention had a positive influence on 1‐year behaviour and knowledge, but was insufficient to result in long‐term positive changes in personal resources regarding dealing with hand eczema.
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