Nayak Preethi B, Girisha Banavasi Shanmukha, Noronha Tonita M
Department of Dermatology, Venereology and Leprosy, K. S Hegde Medical Academy, NITTE (Deemed to be University), Mangalore, Karnataka, India.
Indian Dermatol Online J. 2018 May-Jun;9(3):165-169. doi: 10.4103/idoj.IDOJ_250_17.
Psoriasis is a common, chronic inflammatory disorder of skin characterized by a long clinical course with exacerbations, remissions, and relapses. The cost of therapy and psychological burden of the disease depends on disease severity. The objective of this study was to assess the quality of life and financial status and to correlate the financial burden of the disease with the severity of psoriasis and quality of life.
A total of 102 psoriasis patients attending the dermatology outpatient department in our hospital were enrolled in this study. A detailed history and complete physical examination, including, Psoriasis Area and Severity Index (PASI), was done. Their family income was calculated. Quality of life was measured using the dermatology life quality index (DLQI) proposed by Finlay . Multiple linear regression was done to identify the predictor variables of quality of life (DLQI). < 0.05 was considered statistically significant.
Among the 102 psoriasis patients 78 were men(76.5%) and 24 were women(23.5%). The mean PASI score was 8.20 ± 6.18 the mean DLQI was 13.01 ± 6.95, and mean family income was INR 15570.10 ± INR 10081.82 per month. There was a significant positive correlation between disease severity and DLQI, and a significant negative correlation between family income and PASI as well as DLQI.
The quality of life in psoriasis is affected by both the disease severity and financial status of the patient. The chronic course of psoriasis along with disease severity, in a background of low financial status, impairs the quality of life.
银屑病是一种常见的慢性皮肤炎症性疾病，其临床病程漫长，有加重、缓解和复发情况。治疗费用和疾病带来的心理负担取决于疾病严重程度。本研究的目的是评估生活质量和经济状况，并将疾病的经济负担与银屑病严重程度及生活质量相关联。
本研究纳入了我院皮肤科门诊的102例银屑病患者。进行了详细的病史采集和全面的体格检查，包括银屑病面积和严重程度指数（PASI）。计算了他们的家庭收入。使用芬利提出的皮肤病生活质量指数（DLQI）来衡量生活质量。进行多元线性回归以确定生活质量（DLQI）的预测变量。P < 0.05被认为具有统计学意义。
102例银屑病患者中，78例为男性（76.5%），24例为女性（23.5%）。平均PASI评分为8.20±6.18，平均DLQI为13.01±6.95，平均家庭月收入为15570.10印度卢比±10081.82印度卢比。疾病严重程度与DLQI之间存在显著正相关，家庭收入与PASI以及DLQI之间存在显著负相关。
银屑病患者的生活质量受疾病严重程度和患者经济状况的影响。在经济状况不佳的背景下，银屑病的慢性病程以及疾病严重程度会损害生活质量。
