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慢性瘙痒患者生活质量的预测因素:一项横断面研究。

Predictive factors of quality of life in chronic pruritus patients: A cross-sectional study.

作者信息

Choragudi Siri, Biazus Soares Georgia, Yosipovitch Gil

机构信息

Dr Phillip Frost Department of Dermatology & Cutaneous Surgery, Miami Itch Center, University of Miami Miller School of Medicine, Miami, Florida.

出版信息

JAAD Int. 2023 Jan 4;11:65-71. doi: 10.1016/j.jdin.2022.12.005. eCollection 2023 Jun.

Abstract

BACKGROUND

Chronic pruritus severely impacts the quality of life (QoL) of patients. Due to its multifactorial nature, the presence of factors that can predict itch-specific QoL needs comprehensive exploration.

OBJECTIVE

To determine the sociodemographic and itch-related factors that predict itch-specific QoL among patients suffering from chronic pruritus.

METHODS

We conducted a cross-sectional study on a cohort of patients with chronic pruritus at our itch clinic in Miami, Florida from 2016 to 2022 and explored predictors of itch-specific QoL using simple and multivariable linear regression models.

RESULTS

Sociodemographic factors that had a negative impact on itch-specific QoL included female sex and multiracial ethnicity. The main itch-related factors that were associated with a negative impact on itch-specific QoL included pruritus in the upper extremity and buttocks/genital regions and associated factors such as pain, cold sensation, sweating, and stress.

LIMITATIONS

Single-center study at a tertiary care center with a primarily non-Hispanic White population and use of self-administered questionnaires.

CONCLUSIONS

A variety of factors help predict the itch-specific QoL in patients with chronic pruritus. Understanding these factors can help clinicians evaluate and treat patients suffering from chronic itch.

摘要

背景

慢性瘙痒严重影响患者的生活质量(QoL)。由于其多因素性质,需要全面探索可预测瘙痒特异性生活质量的因素。

目的

确定预测慢性瘙痒患者瘙痒特异性生活质量的社会人口学和瘙痒相关因素。

方法

2016年至2022年,我们在佛罗里达州迈阿密的瘙痒诊所对一组慢性瘙痒患者进行了横断面研究,并使用简单和多变量线性回归模型探索瘙痒特异性生活质量的预测因素。

结果

对瘙痒特异性生活质量有负面影响的社会人口学因素包括女性和多种族。对瘙痒特异性生活质量有负面影响的主要瘙痒相关因素包括上肢、臀部/生殖器区域瘙痒以及疼痛、冷感、出汗和压力等相关因素。

局限性

在三级护理中心进行的单中心研究,主要研究对象为非西班牙裔白人,且使用的是自行填写的问卷。

结论

多种因素有助于预测慢性瘙痒患者的瘙痒特异性生活质量。了解这些因素有助于临床医生评估和治疗慢性瘙痒患者。

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