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治疗方式对银屑病患者生活质量的影响。

The Influence of Treatment Modalities on the Quality of Life of Psoriasis Patients.

作者信息

Milidrag Ardea, Safiye Teodora, Gutić Medo, Zlatanović Milena, Stevanović Aleksandar, Dubljanin Jakša, Despotović Mile, Miličić Vesna, Radević Svetlana, Ravić-Nikolić Ana

机构信息

Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.

Public Health Institution Health Center "Dr Branko Zogovic", Plav, Montenegro.

出版信息

Iran J Public Health. 2023 Sep;52(9):1925-1934. doi: 10.18502/ijph.v52i9.13574.


DOI:10.18502/ijph.v52i9.13574
PMID:38033841
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10682585/
Abstract

BACKGROUND: We aimed to identify the quality of life (QoL) of patients with psoriasis, to determine the possible differences depending on the therapeutic modalities (biologic, conventional treatment and phototherapy), and to examine other variables that could affect the success of the treatment. METHODS: This research was a non-experimental, quantitative, observational study that included 183 psoriasis patients. The study was conducted from November 2021 to December 2022 at the University Clinical Center Kragujevac, Serbia. The following instruments were used: Dermatology Life Quality Index (DLQI), Psoriasis Area and Severity Index (PASI), as well as a general questionnaire that contained a set of questions which referred to sociodemographic data. RESULTS: There was a statistically significant difference in the average values of the DLQI score concerning the application of different therapeutic modalities (<0.001). Biologic treatment was the modality with the lowest impairments in the QoL domain (average value of DLQI score 10.6±7.3), followed by patients on conventional treatment (average value of DLQI score 12.9±7.9), and the highest levels of impaired QoL were in patients who received phototherapy (average value of the DLQI score 13.7±9.3). CONCLUSION: Patients on biological therapy at all four time points individually (baseline, 4, 12 and 16 weeks) had the lowest average values of the DLQI score, i.e. the best QoL compared to subjects who received other therapy.

摘要

背景:我们旨在确定银屑病患者的生活质量(QoL),确定不同治疗方式(生物制剂、传统治疗和光疗)可能存在的差异,并研究其他可能影响治疗效果的变量。 方法:本研究为非实验性、定量观察性研究,纳入了183例银屑病患者。该研究于2021年11月至2022年12月在塞尔维亚克拉古耶瓦茨大学临床中心进行。使用了以下工具:皮肤病生活质量指数(DLQI)、银屑病面积和严重程度指数(PASI),以及一份包含一系列涉及社会人口统计学数据问题的一般问卷。 结果:不同治疗方式应用的DLQI评分平均值存在统计学显著差异(<0.001)。生物治疗是生活质量领域受损程度最低的治疗方式(DLQI评分平均值为10.6±7.3),其次是接受传统治疗的患者(DLQI评分平均值为12.9±7.9),生活质量受损程度最高的是接受光疗的患者(DLQI评分平均值为13.7±9.3)。 结论:在所有四个时间点(基线、4周、12周和16周)接受生物治疗的患者,其DLQI评分平均值最低,即与接受其他治疗的患者相比,生活质量最佳。

相似文献

[1]
The Influence of Treatment Modalities on the Quality of Life of Psoriasis Patients.

Iran J Public Health. 2023-9

[2]
Biologics and dermatology life quality index (DLQI) in the Australasian psoriasis population.

J Dermatolog Treat. 2017-12

[3]
Durable dermatology life quality index improvements in patients on biologics associated with psoriasis areas and severity index: a longitudinal study.

Australas J Dermatol. 2016-8

[4]
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J Dermatolog Treat. 2017-9

[5]
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Dermatol Ther (Heidelb). 2020-10

[6]
Narrow-band UVB Phototherapy does not Consistently Improve Quality of Life in Psoriasis Patients: A Prospective Observational Study from Eastern India.

Indian Dermatol Online J. 2018

[7]
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J Dermatol Sci. 2021-3

[8]
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Dermatol Ther (Heidelb). 2022-2

[9]
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[10]
Life quality among psoriasis patients based on Dermatology Life Quality Index evaluation and its association with psoriasis severity in China: a cross-sectional study.

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本文引用的文献

[1]
The social value of a PASI 90 or PASI 100 response in patients with moderate-to-severe plaque psoriasis in Spain.

Front Public Health. 2023

[2]
The Implication of Misinformation and Stigma in Age-Related Quality of Life, Depression, and Coping Mechanisms of Adult Patients with Psoriasis.

Medicina (Kaunas). 2022-10-9

[3]
Paradoxical improvement of life quality in the COVID-19 era in psoriasis patients.

PLoS One. 2022

[4]
Quality of Life and Its Associated Factors among Patients with Psoriasis in a Semi-Urban Northeast Malaysia.

Int J Environ Res Public Health. 2022-9-14

[5]
[Quality of life, depression and its relation to the severity in psoriasis].

Rev Med Inst Mex Seguro Soc. 2022-5-2

[6]
Sharing Patient and Clinician Experiences of Moderate-to-Severe Psoriasis: A Nationwide Italian Survey and Expert Opinion to Explore Barriers Impacting upon Patient Wellbeing.

J Clin Med. 2022-5-16

[7]
The Relationship between Alexithymia and Mental Health Is Fully Mediated by Anxiety and Depression in Patients with Psoriasis.

Int J Environ Res Public Health. 2022-3-19

[8]
Correlation Between Change in Psoriasis Area and Severity Index and Dermatology Life Quality Index in Patients with Psoriasis: Pooled Analysis from Four Phase 3 Clinical Trials of Secukinumab.

Dermatol Ther (Heidelb). 2021-8

[9]
Psoriasis.

Lancet. 2021-4-3

[10]
What Factors Influence on Dermatology-Related Life Quality of Psoriasis Patients in South Korea?

Int J Environ Res Public Health. 2021-3-31

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