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孟加拉国一家三级护理中心的皮肤真菌病患者的皮肤病生活质量指数。

Dermatology Life Quality Index in Patients with Dermatophytosis in a Tertiary Care Centre of Bangladesh.

机构信息

Dr Afsana Nahid, Assistant Professor, Department of Dermatology and Venereology, Dhaka Medical College (DMC), Dhaka, Bangladesh; E-mail:

出版信息

Mymensingh Med J. 2022 Apr;31(2):522-530.

Abstract

In our country a huge number of populations are suffering from dermatophytosis. During the last few years, the number of patients affected by dermatophytosis has been increasing. Dermatophytosis tends to be prolonged, recurrent and persistent course which can affect quality of life (QoL). The aim of this study was to seek out the effect of dermatophytosis on the quality of life of the patients of dermatophytosis and to analyze its relationship with various demographic and clinical factors. This was a cross-sectional study in which 306 patients aged ≥16 years with dermatophytosis were included and evaluated for impact of dermatophytosis on quality of life using dermatology life quality index (DLQI) questionnaire. Independent sample t-test and one way ANOVA were used to find out statistical associations between various variables and mean DLQI scores, wherever applicable. The mean DLQI score in this study was 13.07±8.51. Majority (39.5%) subjects had a 'very large' effect on the QoL. Mean DLQI was significantly higher in young subjects, patients with longer duration of disease, more body surface area involved, involvement of more than one sites (generalized involvement) and topical steroid containing preparation users (p<0.05). This study revealed that the quality of life is adversely affected by dermatophytosis. Hence, Steps must be taken for proper counseling and management, along with early detection and elimination of topical steroid use in dermatophytosis.

摘要

在我国,大量人群患有皮肤癣菌病。在过去的几年中,受皮肤癣菌病影响的患者人数一直在增加。皮肤癣菌病往往具有迁延、复发和持续的病程,会影响生活质量(QoL)。本研究旨在探讨皮肤癣菌病对患者生活质量的影响,并分析其与各种人口统计学和临床因素的关系。这是一项横断面研究,纳入了 306 名年龄≥16 岁的皮肤癣菌病患者,并使用皮肤病生活质量指数(DLQI)问卷评估皮肤癣菌病对生活质量的影响。在适用的情况下,使用独立样本 t 检验和单因素方差分析来发现各种变量与平均 DLQI 评分之间的统计学关联。本研究的平均 DLQI 评分为 13.07±8.51。大多数(39.5%)患者的生活质量受到“非常大”的影响。年轻患者、疾病持续时间较长、受累体表面积较大、累及一个以上部位(全身性受累)和使用含有皮质类固醇的制剂的患者的平均 DLQI 显著较高(p<0.05)。本研究表明,皮肤癣菌病会对生活质量产生不利影响。因此,必须采取措施进行适当的咨询和管理,同时早期发现和消除皮肤癣菌病中皮质类固醇的使用。

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