Deniz Fatma, Altunay Ilknur Kivanc, Ozkur Ezgi, Cerman Asli Aksu, Erdogan Hilal Kaya, Bulur Isil
Department of Dermatovenereology, Luleburgaz State Hospital, Kirklareli, Turkey.
Department of Dermatovenereology, University of Health Sciences, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.
Sisli Etfal Hastan Tip Bul. 2021 Jul 2;55(2):197-202. doi: 10.14744/SEMB.2020.01799. eCollection 2021.
The purpose of our study was to compare healthy lifestyle behaviors between psoriasis patients and healthy controls.
This case-control study included 80 psoriasis patients and 80 sex- and age- matched healthy controls aged over 18. Participants completed the socio-demographic data form and the Health-Promoting Lifestyle Profile II (HPLP-II). The HPLP-II consists of 52 items and measures six components of health-promoting behavior outcomes: Nutrition, physical activity, health responsibility, spiritual growth, interpersonal relations, and stress management. Higher scores show that the individual applies the specified health behaviors at a high level.
HPLP-II total scores were 128.3±21.1 in patient group and 132.5±22.3 in control group. Based on the scores, psoriasis patients showed a moderate level of health-promoting lifestyle, while controls showed a good level of health-promoting lifestyle. Spiritual growth score of patients (mean±SD = 25.6±4.9) was statistically lower than the controls (mean±SD = 27.3±4.5) (p=0.040). In addition, spiritual growth score and disease duration were negatively correlated in the patient group (r=-0.287, p=0.01). Furthermore, nutrition score of those with additional comorbidity was significantly higher than those with psoriasis alone in patient group (p=0.002).
This is the first study to compare healthy lifestyle behaviors of psoriasis patients and healthy volunteers in Turkish population. The task of dermatologists is not only the medical treatment of psoriasis lesions but also questioning patients' lifestyle behaviors and supporting the development of healthy behaviors in patients.
我们研究的目的是比较银屑病患者和健康对照者的健康生活方式行为。
这项病例对照研究纳入了80例银屑病患者和80例年龄及性别匹配的18岁以上健康对照者。参与者完成了社会人口统计学数据表和健康促进生活方式量表II（HPLP-II）。HPLP-II由52个项目组成，测量健康促进行为结果的六个组成部分：营养、身体活动、健康责任、精神成长、人际关系和压力管理。得分越高表明个体在较高水平上应用特定的健康行为。
患者组HPLP-II总分是128.3±21.1，对照组是132.5±22.3。根据得分，银屑病患者表现出中等水平的健康促进生活方式，而对照组表现出良好水平的健康促进生活方式。患者的精神成长得分（均值±标准差=25.6±4.9）在统计学上低于对照组（均值±标准差=27.3±4.5）（p=0.040）。此外，患者组中精神成长得分与病程呈负相关（r=-0.287，p=0.01）。此外，患者组中合并其他疾病者的营养得分显著高于仅患银屑病者（p=0.002）。
这是第一项在土耳其人群中比较银屑病患者和健康志愿者健康生活方式行为的研究。皮肤科医生的任务不仅是对银屑病皮损进行医学治疗，还包括询问患者的生活方式行为并支持患者形成健康行为。
