Tan J K, Vasey K, Fung K Y
Windsor Regional Hospital, Windsor, Ontario, Canada.
J Am Acad Dermatol. 2001 Mar;44(3):439-45. doi: 10.1067/mjd.2001.111340.
There is a paucity of information on the knowledge and understanding of patients with acne about their condition.
The objective of this study is to evaluate the knowledge, beliefs, and perceptions of acne patients regarding their understanding of acne pathogenesis, sources of information, treatment options, and expectations.
Patients referred to a community-based dermatologist for management of acne vulgaris completed a self-administered questionnaire. Responses were correlated with demographic and clinical information.
Seventy-four percent of patients waited more than 1 year before seeking medical attention for acne. Nonprescription products used most frequently were cleansers, acne pads, and lotions. Acne was most often believed to be caused by hormonal and genetic factors, although diet, poor skin hygiene, and infection were also implicated. Information on acne was obtained primarily from family physicians, mass media, friends, and family, but was largely believed to be inadequate. Acne was believed to be curable by 49% of patients with an anticipated treatment duration of less than 6 months. Male patients and those with severe acne preferred systemic therapy compared with female patients and those with lesser grades of acne.
There is a need for accessible, accurate, community-based education on the natural history of acne, pathogenesis, risk of sequelae, the effectiveness and expected duration of treatment, and the importance of prompt medical attention.
关于痤疮患者对自身病情的了解和认识，相关信息匮乏。
本研究的目的是评估痤疮患者对痤疮发病机制、信息来源、治疗选择和期望的了解、信念及认知。
因寻常痤疮转诊至社区皮肤科医生处就诊的患者完成一份自填式问卷。将回答与人口统计学和临床信息相关联。
74%的患者在寻求痤疮医疗护理前等待了1年以上。最常使用的非处方产品是洁面产品、痤疮贴和乳液。痤疮最常被认为是由激素和遗传因素引起的，尽管饮食、皮肤卫生差和感染也被认为与之有关。痤疮信息主要来自家庭医生、大众媒体、朋友和家人，但大部分人认为这些信息不足。49%的患者认为痤疮可治愈，预期治疗时间少于6个月。与女性患者和痤疮程度较轻的患者相比，男性患者和重度痤疮患者更喜欢全身治疗。
有必要开展基于社区的、易于获取的、准确的教育，内容包括痤疮的自然病程、发病机制、后遗症风险、治疗效果和预期疗程，以及及时就医的重要性。
