National Skin Centre, Singapore.
Department of Dermatology, Peking University First Hospital, Beijing, China.
J Cosmet Dermatol. 2024 Aug;23(8):2516-2523. doi: 10.1111/jocd.16396. Epub 2024 Jun 10.
While treatment is a definitive therapeutic component in the management of inflammatory skin conditions, adjunctive skin care comprising of appropriate cleansing, moisturization, and photoprotection are just as important. Cleansing, treatment, moisturization, and photoprotection (CTMP) constitute the four major components of holistic skincare routine for dermatological conditions. However, inadequate patient understanding of the condition, limited resources for physicians, and insufficient time for patient education during busy dermatological consultations are the main obstacles to establishing a holistic skincare routine in the real world.
This study aimed to identify key challenges in the implementation of a holistic skincare routine, and offer practical guidance to physicians to improve adoption in the management of acne, atopic dermatitis, rosacea, and sensitive skin syndrome.
An expert panel comprising of nine dermatologists from Australia, China, Hong Kong, Taiwan, India, Philippines, Singapore, South Korea, and Thailand convened to develop consensus statements to stimulate real-world adoption of holistic skincare routine in acne, rosacea, atopic dermatitis, and sensitive skin syndrome using the Delphi approach.
Consensus was defined as ≥80% of panel rating statement as ≥8 or median rating of ≥8. The final statements were collated to develop consensus recommendations to encourage adoption of holistic skincare routine.
Promoting patient education on the skin condition, training support staff in patient counseling, and offering physician training opportunities are the key strategies to encourage real-world adoption of CTMP as a holistic skincare routine. The consensus recommendations presented here should be considered in all dermatology patients to accomplish the ultimate goals of improved treatment outcomes and patient satisfaction.
虽然治疗是炎症性皮肤疾病管理中的一个明确的治疗组成部分，但辅助皮肤护理，包括适当的清洁、保湿和光保护，同样重要。清洁、治疗、保湿和光保护（CTMP）构成了皮肤科疾病整体皮肤护理常规的四个主要组成部分。然而，患者对病情的理解不足、医生资源有限以及在繁忙的皮肤科就诊期间患者教育的时间不足，是在现实世界中建立整体皮肤护理常规的主要障碍。
本研究旨在确定实施整体皮肤护理常规的关键挑战，并为医生提供实用指导，以改善痤疮、特应性皮炎、酒渣鼻和敏感皮肤综合征的管理。
一个由来自澳大利亚、中国、中国香港、中国台湾、印度、菲律宾、新加坡、韩国和泰国的 9 名皮肤科医生组成的专家小组采用 Delphi 方法开会制定共识声明，以刺激在痤疮、酒渣鼻、特应性皮炎和敏感皮肤综合征中采用整体皮肤护理常规。
共识定义为≥80%的小组将陈述评为≥8 或中位数评分为≥8。最终的陈述被整理出来，以制定鼓励采用整体皮肤护理常规的共识建议。
促进患者对皮肤状况的教育、培训支持人员进行患者咨询以及为医生提供培训机会是鼓励 CTMP 作为整体皮肤护理常规在现实世界中采用的关键策略。这里提出的共识建议应在所有皮肤科患者中考虑，以实现改善治疗结果和患者满意度的最终目标。
