Increased Long-Term Risks of Occupational Diseases in Homecare Nurses: A Nationwide Population-Based Retrospective Cohort Study

Background: The work of homecare nurses is different from that of general hospital nurses; therefore, it is necessary to understand the risks of occupational diseases in homecare nurses. Materials and Methods: In this retrospective cohort research conducted from 2000 to 2013, nursing staff comprised...

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Main Authors: Hua-Yin Hsu, Chia-Chi Hsieh, Yi-Chen Tseng, Chiu-Hsia Hung, Kow-Tong Chen, Chun-Hsiang Wang, Yuan-Tsung Tseng
Format: Article
Language:English
Published: Mary Ann Liebert 2020-08-01
Series:Women's Health Reports
Subjects:
Online Access:https://www.liebertpub.com/doi/full/10.1089/WHR.2019.0018
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author Hua-Yin Hsu
Chia-Chi Hsieh
Yi-Chen Tseng
Chiu-Hsia Hung
Kow-Tong Chen
Chun-Hsiang Wang
Yuan-Tsung Tseng
author_facet Hua-Yin Hsu
Chia-Chi Hsieh
Yi-Chen Tseng
Chiu-Hsia Hung
Kow-Tong Chen
Chun-Hsiang Wang
Yuan-Tsung Tseng
author_sort Hua-Yin Hsu
collection DOAJ
description Background: The work of homecare nurses is different from that of general hospital nurses; therefore, it is necessary to understand the risks of occupational diseases in homecare nurses. Materials and Methods: In this retrospective cohort research conducted from 2000 to 2013, nursing staff comprised the sample obtained from the National Health Insurance Research Database. Nursing staff were subgrouped according to practice site into homecare, medical center, regional hospital, and local community hospital nurses. The control group included 4,108 subjects. Results: The risk of severe kidney disease was higher in homecare nurses than in medical center nurses (hazard ratio [HR]: 7.3, 95% confidence interval [CI]: 2.45?21.78) and regional hospital nurses (HR: 3.30, 95% CI: 1.37?7.96). The risk of severe liver disease was higher in homecare nurses than in medical center nurses (HR: 1.92, 95% CI: 1.10?3.35) and regional hospital nurses (HR: 2.06, 95% CI: 1.17?3.62). Conclusions: The prevalence of occupational diseases was higher in homecare nurses than in noncaregivers. The correlation between different practice environments and disease prevalence rates revealed that various types of nurses can be ranked in the following order based on the prevalence of the aforementioned diseases: homecare nurses > local community hospital nurses > regional hospital nurses > medical center nurses.
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spelling doaj.art-21b3b6f3457a45b48f8a0f6cca4b2e682024-01-26T05:29:55ZengMary Ann LiebertWomen's Health Reports2688-48442020-08-011125926910.1089/WHR.2019.0018Increased Long-Term Risks of Occupational Diseases in Homecare Nurses: A Nationwide Population-Based Retrospective Cohort StudyHua-Yin HsuChia-Chi HsiehYi-Chen TsengChiu-Hsia HungKow-Tong ChenChun-Hsiang WangYuan-Tsung TsengBackground: The work of homecare nurses is different from that of general hospital nurses; therefore, it is necessary to understand the risks of occupational diseases in homecare nurses. Materials and Methods: In this retrospective cohort research conducted from 2000 to 2013, nursing staff comprised the sample obtained from the National Health Insurance Research Database. Nursing staff were subgrouped according to practice site into homecare, medical center, regional hospital, and local community hospital nurses. The control group included 4,108 subjects. Results: The risk of severe kidney disease was higher in homecare nurses than in medical center nurses (hazard ratio [HR]: 7.3, 95% confidence interval [CI]: 2.45?21.78) and regional hospital nurses (HR: 3.30, 95% CI: 1.37?7.96). The risk of severe liver disease was higher in homecare nurses than in medical center nurses (HR: 1.92, 95% CI: 1.10?3.35) and regional hospital nurses (HR: 2.06, 95% CI: 1.17?3.62). Conclusions: The prevalence of occupational diseases was higher in homecare nurses than in noncaregivers. The correlation between different practice environments and disease prevalence rates revealed that various types of nurses can be ranked in the following order based on the prevalence of the aforementioned diseases: homecare nurses > local community hospital nurses > regional hospital nurses > medical center nurses.https://www.liebertpub.com/doi/full/10.1089/WHR.2019.0018homecarenursing institutionoccupational diseases
spellingShingle Hua-Yin Hsu
Chia-Chi Hsieh
Yi-Chen Tseng
Chiu-Hsia Hung
Kow-Tong Chen
Chun-Hsiang Wang
Yuan-Tsung Tseng
Increased Long-Term Risks of Occupational Diseases in Homecare Nurses: A Nationwide Population-Based Retrospective Cohort Study
Women's Health Reports
homecare
nursing institution
occupational diseases
title Increased Long-Term Risks of Occupational Diseases in Homecare Nurses: A Nationwide Population-Based Retrospective Cohort Study
title_full Increased Long-Term Risks of Occupational Diseases in Homecare Nurses: A Nationwide Population-Based Retrospective Cohort Study
title_fullStr Increased Long-Term Risks of Occupational Diseases in Homecare Nurses: A Nationwide Population-Based Retrospective Cohort Study
title_full_unstemmed Increased Long-Term Risks of Occupational Diseases in Homecare Nurses: A Nationwide Population-Based Retrospective Cohort Study
title_short Increased Long-Term Risks of Occupational Diseases in Homecare Nurses: A Nationwide Population-Based Retrospective Cohort Study
title_sort increased long term risks of occupational diseases in homecare nurses a nationwide population based retrospective cohort study
topic homecare
nursing institution
occupational diseases
url https://www.liebertpub.com/doi/full/10.1089/WHR.2019.0018
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AT yichentseng increasedlongtermrisksofoccupationaldiseasesinhomecarenursesanationwidepopulationbasedretrospectivecohortstudy
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