Hospital Niño Jesús, Avda. de Menéndez Pelayo 65, 28009, Madrid, Spain.
Eur J Dermatol. 2012 Jan-Feb;22(1):97-105. doi: 10.1684/ejd.2011.1560.
This work studies atopic dermatitis in the following terms: impact on patients' life; patients' satisfaction and attitudes toward topical pharmacological treatment and medical recommendations (regarding hygienic and preventive strategies) and patients' and dermatologists' impressions of severity at the moment of consultation. To this end, an epidemiological, multicentre, cross-sectional study was carried out. In total, 191 dermatologists collected data from 322 patients (163 children, 159 adults). Poor agreement between specialists' and patients' criteria was found and patients with higher severity of affectation showed higher impacts on sleep/rest, emotional and school/ professional fulfillment (p<0.001). Moreover, reported compliance with pharmacological treatment and medical recommendations was high but patients' satisfaction with these recommendations was lower than with respect to pharmacological treatment. These results highlight that although reported compliance was high, there were still non-compliance attitudes and concerns about treatments that should be answered. Finally, a significant impact on patients' life was confirmed.
影响患者生活的因素；患者对局部药物治疗和医疗建议（关于卫生和预防策略）的满意度和态度，以及患者和皮肤科医生在就诊时对病情严重程度的印象。为此，进行了一项流行病学、多中心、横断面研究。共有 191 名皮肤科医生从 322 名患者（163 名儿童，159 名成人）中收集数据。研究发现，专家和患者的标准之间存在较差的一致性，受影响程度更高的患者在睡眠/休息、情绪和学校/职业成就方面受到更大的影响（p<0.001）。此外，报告的药物治疗和医疗建议的依从性很高，但患者对这些建议的满意度低于对药物治疗的满意度。这些结果表明，尽管报告的依从性很高，但仍存在不依从的态度和对治疗的担忧，这些问题需要得到解答。最后，证实了特应性皮炎对患者生活的重大影响。
