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甲癣对生活质量的影响:基于皮肤病生活质量指数的横断面研究。

Impact of Onychomycosis on the Quality of Life: Dermatology Life Quality Index-Based Cross-Sectional Study.

作者信息

Kayarkatte Manasa Narayan, Singal Archana, Pandhi Deepika

机构信息

Department of Dermatology, Leprosy, and STD, University College of Medical Sciences and GTB Hospital, University of Delhi, Delhi, India.

出版信息

Skin Appendage Disord. 2020 Mar;6(2):115-119. doi: 10.1159/000504944. Epub 2020 Jan 14.

DOI:10.1159/000504944
PMID:32258055
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7109422/
Abstract

BACKGROUND

Onychomycosis (OM) is a common fungal infection of the nail unit with a worldwide prevalence of 5%. Though apparently a benign and innocuous entity, it carries significant psychosocial morbidity. The Dermatology Life Quality Index (DLQI) is based on a simple practical questionnaire that considers multiple psychological and social domains. Its utility in OM by far remains unexplored.

OBJECTIVE

To determine the DLQI in patients suffering from OM.

METHODS

The DLQI questionnaire was answered by 100 patients with an established diagnosis of OM.

RESULTS

The mean DLQI of our study subjects was 6.1 ± 3.3. Most patients (46%) belonged to the DLQI 2 group (moderate effect). Among these, most patients reported disease duration of 1-5 years (50%). Among patients responding to DLQI 3 (very large effect), a higher significant proportion were females (66.7%). The most inconvenient domain was seeking treatment for OM and social embarrassment due to the disease.

CONCLUSION

As DLQI is an easy scoring method, it can be used for assessing quality of health in OM. OM causes moderate effect on quality of life (mostly DLQI 2), thereby making its treatment mandatory.

摘要

背景

甲癣(OM)是一种常见的甲部真菌感染,全球患病率为5%。尽管它表面上是一种良性且无害的疾病,但却会带来严重的心理社会问题。皮肤病生活质量指数(DLQI)基于一份简单实用的问卷,该问卷考虑了多个心理和社会领域。其在甲癣方面的效用迄今尚未得到探索。

目的

确定甲癣患者的DLQI。

方法

100例确诊为甲癣的患者回答了DLQI问卷。

结果

我们研究对象的平均DLQI为6.1±3.3。大多数患者(46%)属于DLQI 2组(中度影响)。其中,大多数患者报告病程为1 - 5年(50%)。在对DLQI 3(非常大的影响)做出反应的患者中,女性比例更高(66.7%)。最不方便的方面是因甲癣寻求治疗以及该病导致的社交尴尬。

结论

由于DLQI是一种易于评分的方法,它可用于评估甲癣患者的健康质量。甲癣对生活质量有中度影响(大多为DLQI 2),因此必须对其进行治疗。

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本文引用的文献

1
Onychomycosis: A study of self-recognition by patients and quality of life.甲癣:一项关于患者自我认知及生活质量的研究。
Indian J Dermatol Venereol Leprol. 2015 May-Jun;81(3):270-4. doi: 10.4103/0378-6323.154796.
2
Quality of life in patients with toenail onychomycosis.患者趾甲真菌感染的生活质量。
Mycoses. 2013 Sep;56(5):543-51. doi: 10.1111/myc.12072. Epub 2013 Mar 18.
3
NailQoL: a quality-of-life instrument for onychomycosis.甲真菌病生活质量量表:一种用于甲真菌病的生活质量评估工具。
Int J Dermatol. 2007 Dec;46(12):1279-86. doi: 10.1111/j.1365-4632.2007.03362.x.
4
Chronic dermatomycoses of the foot as risk factors for acute bacterial cellulitis of the leg: a case-control study.足部慢性皮肤真菌病作为腿部急性细菌性蜂窝织炎的危险因素:一项病例对照研究。
Dermatology. 2004;209(4):301-7. doi: 10.1159/000080853.
5
Onychomycosis of toenails: orthopaedic and podiatric considerations.趾甲甲癣:骨科与足病科的考量因素
Australas J Dermatol. 2002 May;43(2):105-12. doi: 10.1046/j.1440-0960.2002.t01-1-00570.x.
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Effect of onychomycosis on quality of life.甲癣对生活质量的影响。
J Am Acad Dermatol. 1998 May;38(5 Pt 1):702-4. doi: 10.1016/s0190-9622(98)70199-9.
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Dermatology Life Quality Index (DLQI)--a simple practical measure for routine clinical use.皮肤病生活质量指数(DLQI)——一种用于日常临床的简单实用测量方法。
Clin Exp Dermatol. 1994 May;19(3):210-6. doi: 10.1111/j.1365-2230.1994.tb01167.x.