Kandwal Meghna, Jindal Rashmi, Chauhan Payal, Roy Samarjit
Undergraduate Student, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, Uttarakhand, India.
Department of Dermatology, Venereology and Leprosy, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, Uttarakhand, India.
J Family Med Prim Care. 2020 Mar 26;9(3):1453-1458. doi: 10.4103/jfmpc.jfmpc_1188_19. eCollection 2020 Mar.
World's population is aging at a very fast pace with 8.5% of current population being aged 65 years and above. Indian figures also reflect the exponential growth in number of older people. With advancing age a myriad of health-related problems arise. Due importance is given to diseases associated with high mortality such as malignancies, diabetes, and cardiovascular illness. However, skin diseases though being prevalent lack priority. This study is being conducted to identify the common geriatric dermatoses prevalent in sub-Himalayan region of Uttarakhand and also to assess their effect on the quality of life.
The aims of this study are to study the pattern and frequency of dermatoses in patients aged 60 years and above and to assess the effect of dermatoses on their quality of life.
In total, 117 patients aged 60 years and above presenting to Dermatology outpatient department were recruited from 1 August 2018 to 31 October 2018 after obtaining written informed consent. Socio-demographic details, presence of co-morbidities, and dermatological complaints were recorded on a data collection form. Skin diseases were categorized into seven categories for statistical analysis. For assessing the effect of dermatoses on the quality of life of participants, Dermatology Life Quality Index was administered.
Out of 117 patients, two-thirds were males. Mean age of patients was 68.60 ± 7.011. Out of total, 40% patients had one or more comorbidity. Erythemato-squamous disorders were the commonest dermatoses seen in 40% patients. This was followed by infections and infestations (33.3%). In total, 17% patients had senile pruritus and age-related skin disorders. Around 16% reported moderate to large effect on their quality of life.
Skin diseases are an important cause of psycho-social morbidity among geriatric population. Their special needs must be addressed by making appropriate changes in national health policies. It is imperative to include skin health as a component to assess the overall wellbeing of geriatrics.
世界人口正以极快的速度老龄化，目前8.5%的人口年龄在65岁及以上。印度的数据也反映出老年人数量呈指数增长。随着年龄的增长，出现了无数与健康相关的问题。人们高度重视与高死亡率相关的疾病，如恶性肿瘤、糖尿病和心血管疾病。然而，皮肤病虽然普遍存在，但却缺乏应有的重视。本研究旨在确定北阿坎德邦喜马拉雅地区常见的老年皮肤病，并评估其对生活质量的影响。
本研究的目的是研究60岁及以上患者皮肤病的类型和频率，并评估皮肤病对其生活质量的影响。
2018年8月1日至2018年10月31日，在获得书面知情同意后，从皮肤科门诊招募了117名60岁及以上的患者。社会人口学细节、合并症情况和皮肤病主诉被记录在一份数据收集表上。为了进行统计分析，皮肤病被分为七类。为了评估皮肤病对参与者生活质量的影响，采用了皮肤病生活质量指数。
117名患者中，三分之二为男性。患者的平均年龄为68.60±7.011岁。总共有40%的患者有一种或多种合并症。红斑鳞屑性疾病是最常见的皮肤病，见于40%的患者。其次是感染和寄生虫病（33.3%）。总共有17%的患者患有老年性瘙痒症和与年龄相关的皮肤疾病。约16%的患者报告其生活质量受到中度至较大影响。
皮肤病是老年人群心理社会发病的重要原因。必须通过对国家卫生政策进行适当调整来满足他们的特殊需求。将皮肤健康纳入评估老年人整体健康状况的一个组成部分势在必行。
