Brajac Ines, Bilić-Zulle Lidija, Tkalcić Mladenka, Loncarek Karmen, Gruber Franjo
Department of Dermatovenerology, University Hospital Centre Rijeka, 51 000 Rijeka, Croatia.
Patient Educ Couns. 2004 Jul;54(1):21-5. doi: 10.1016/S0738-3991(03)00168-X.
The objective of the study was to evaluate the health beliefs and knowledge about acne among acne patients and family physicians. A total of 100 patients referred to a dermatologist for management of acne vulgaris and 120 family physicians completed questionnaires. The questionnaires consisted of questions about health beliefs, the natural course of the disease, the causes of acne, and a set of questions about the knowledge of acne therapy. Acne was considered as a trivial and transitory condition by 52% of the acne patients and 44% of the family physicians. The overall score of correct answers pertaining to the causes of acne among the acne patients and family physicians was 11 and 15%, respectively. The percentage of correct answers regarding the natural course of the disease was 6% for both subsets of subjects. Acne was believed to be curable by 96% of acne patients. Most patients (66%) believed that acne would improve immediately after the first treatment. The knowledge of isotretinoin teratogenecity was reasonable among family physicians (55% correct answers), but it was much lower for other side effects (9%). The overall score of correct answers regarding antibiotic therapy among family physicians was only 21%. Impact of the disease was underestimated by family physicians and also by acne patients. Overall knowledge pertaining to the causes, natural course and therapy was very low. Myths and misconceptions still exist among patients but also among family physicians.
该研究的目的是评估痤疮患者和家庭医生对痤疮的健康认知和知识。共有100名因寻常痤疮转诊至皮肤科医生处治疗的患者以及120名家庭医生完成了问卷调查。问卷包括有关健康认知、疾病自然病程、痤疮病因以及一组关于痤疮治疗知识的问题。52%的痤疮患者和44%的家庭医生认为痤疮是一种轻微且短暂的病症。痤疮患者和家庭医生中关于痤疮病因的正确答案总体得分分别为11%和15%。两个受试群体中关于疾病自然病程的正确答案百分比均为6%。96%的痤疮患者认为痤疮可治愈。大多数患者（66%）认为首次治疗后痤疮会立即改善。家庭医生对异维A酸致畸性的认知较为合理（正确答案为55%），但对其他副作用的认知则低得多（9%）。家庭医生中关于抗生素治疗的正确答案总体得分仅为21%。家庭医生和痤疮患者都低估了该疾病的影响。关于病因、自然病程和治疗的总体知识水平非常低。患者以及家庭医生中仍然存在误解和错误观念。
