Department of Dermatology, Numune Training and Research Hospital, Ankara, Turkey.
J Dermatolog Treat. 2021 Feb;32(1):64-69. doi: 10.1080/09546634.2019.1618434. Epub 2019 May 28.
Acne Vulgaris is a chronic inflammatory disease that requires long-term treatment. Adherence to treatment is a problem in chronic diseases and may affect treatment outcomes. We aim to investigate treatment adherence and satisfaction of patients with acne and identify independent factors that affect them. Five hundred patients with acne were included in this cross-sectional study. Demographic and clinical characteristics of the patients were recorded. Severity of acne was assessed using the Investigator Global Assessment (IGA) scale, and a five-point Likert scale was used to assess patients' satisfaction and adherence. Adherence to treatment was poor in 64.4% of the patients. Multivariate logistic regression analysis showed that using oral isotretinoin (OR: 4.1, 95% CI 2.44-6.92, < .001) and satisfaction with treatment (OR: 2.1, 95% CI 1.31-3.43, = .002) were independent factors that affect adherence in patients. 51.8% of the patients were satisfied with their treatments and treatment satisfaction was higher in females (OR: 2.2, 95% CI 1.3-3.8, = .004) and patients using oral isotretinoin (OR: 14.8, 95% CI 9.4-23.2, < .001). Treatment adherence is poor among patients with acne. Identifying the factor that affects adherence may help the dermatologist recognize non-adherent patients and develop strategies to improve adherence.
寻常痤疮是一种慢性炎症性疾病，需要长期治疗。慢性病患者的治疗依从性是一个问题，可能会影响治疗效果。我们旨在调查痤疮患者的治疗依从性和满意度，并确定影响他们的独立因素。本横断面研究纳入了 500 例痤疮患者。记录患者的人口统计学和临床特征。使用研究者全球评估 (IGA) 量表评估痤疮严重程度，使用 5 分李克特量表评估患者的满意度和依从性。64.4%的患者治疗依从性差。多变量逻辑回归分析显示，使用口服异维 A 酸 (OR：4.1，95%CI 2.44-6.92， < .001) 和对治疗的满意度 (OR：2.1，95%CI 1.31-3.43， = .002) 是影响患者依从性的独立因素。51.8%的患者对治疗满意，女性 (OR：2.2，95%CI 1.3-3.8， = .004) 和使用口服异维 A 酸的患者 (OR：14.8，95%CI 9.4-23.2， < .001) 的治疗满意度更高。痤疮患者的治疗依从性较差。确定影响依从性的因素可能有助于皮肤科医生识别不依从的患者，并制定提高依从性的策略。
