Chilicka Karolina, Maj Joanna, Panaszek Bernard
Department of Cosmetology, Opole Medical School, Opole.
Department of Dermatology, Venereology and Allergology.
Patient Prefer Adherence. 2017 Aug 4;11:1357-1361. doi: 10.2147/PPA.S131184. eCollection 2017.
Achieving a satisfying quality of life for a patient by applying individually matched therapy is, simultaneously, a great challenge and a priority for contemporary medicine. Patients with visible dermatological ailments are particularly susceptible to reduction in the general quality of life. Among the dermatological diseases, acne causes considerable reduction in the quality of life and changes in self-perception that lead to the worsening of a patient's mental condition, including depression and suicidal thoughts. As a result, difficulties in contact with loved ones, as well as social and professional problems are observed, which show that acne is not a somatic problem alone. To a large extent, it becomes a part of psychodermatology, becoming an important topic of public health in social medicine practice. Pharmacological treatment of acne is a challenge for a dermatologist and often requires the necessity of cooperating with a cosmetologist. Cosmetological treatments are aimed at improving the condition of the skin and reduction or subsiding of acne skin changes.
The aim of this study was to assess the influence of selected cosmetological treatments on the general quality of life of patients with acne.
The study group consisted of 101 women aged 19-29 years ([Formula: see text] years, SD =2.3 years). All subjects were diagnosed with acne vulgaris of the face. In the study group, the acne changes occurred over the course of 3-15 years ([Formula: see text] years, SD =2.7 years). Selected cosmetological treatments (intensive pulsing light, alpha-hydroxy acids, cavitation peeling, needle-free mesotherapy, diamond microdermabrasion and sonophoresis) were performed in series in the number depending on the particular patient's chosen treatment, after excluding contraindications. General quality of life of the patients was estimated using the Skindex-29 and Dermatology Life Quality Index (DLQI) questionnaires, before and after the cosmetological treatment.
Statistical analysis of the data obtained from the Skindex-29 questionnaire in areas (emotions, symptoms and physical functioning) and DLQI questionnaire in areas (daily activities, leisure, work and school, personal relations and treatment) showed great improvement in the general quality of life after applying a series of cosmetological treatments. The results are statistically relevant at <0.0001.
The cosmetological treatment significantly improved the general quality of life of patients with acne vulgaris and their skin condition, which was evaluated by the Hellgren-Vincent scale. It was proven that therapy performed in cosmetological clinics may become an integral part of or complete dermatological treatment.
通过应用个性化匹配的疗法为患者实现令人满意的生活质量，同时是当代医学面临的巨大挑战和优先事项。患有可见皮肤病的患者尤其容易出现总体生活质量下降的情况。在皮肤病中，痤疮会导致生活质量显著下降以及自我认知的改变，进而导致患者心理状况恶化，包括抑郁和自杀念头。结果，会出现与亲人接触困难以及社交和职业问题，这表明痤疮不仅仅是一个躯体问题。在很大程度上，它成为心理皮肤病学的一部分，成为社会医学实践中公共卫生的一个重要话题。痤疮的药物治疗对皮肤科医生来说是一项挑战，并且通常需要与美容师合作。美容治疗旨在改善皮肤状况并减少或消退痤疮皮肤变化。
本研究的目的是评估所选美容治疗对痤疮患者总体生活质量的影响。
研究组由101名年龄在19 - 29岁（平均年龄 = 22.5岁，标准差 = 2.3岁）的女性组成。所有受试者均被诊断为面部寻常痤疮。在研究组中，痤疮变化持续了3 - 15年（平均病程 = 6.5年，标准差 = 2.7年）。在排除禁忌症后，根据特定患者选择的治疗方式，依次进行所选的美容治疗（强脉冲光、α - 羟基酸、空化剥脱、无针美塑疗法、钻石微晶磨皮术和超声导入）。在美容治疗前后，使用Skindex - 29和皮肤病生活质量指数（DLQI）问卷对患者的总体生活质量进行评估。
对从Skindex - 29问卷的各个领域（情绪、症状和身体功能）以及DLQI问卷的各个领域（日常活动、休闲、工作和学校、人际关系和治疗）获得的数据进行统计分析，结果显示在进行一系列美容治疗后，总体生活质量有了显著改善。结果在<0.0001水平具有统计学意义。
美容治疗显著改善了寻常痤疮患者的总体生活质量及其皮肤状况，这通过赫尔格伦 - 文森特量表进行评估。已证明在美容诊所进行的治疗可能成为皮肤科治疗的一个组成部分或完善皮肤科治疗。
