Aljuaid Abdulaziz A, Basendwh Mohammad, Alhamid Hamid S, Shaheen Esraa A, Alajmi Rakan S, Abualola Amal H
College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
Department of Dermatology, King Fahad Armed Forces Hospital, Jeddah, SAU.
Cureus. 2024 Jun 13;16(6):e62325. doi: 10.7759/cureus.62325. eCollection 2024 Jun.
Introduction Self-medication is defined as the use of a medication or product to treat, alleviate, or prevent a condition or symptom of an illness or to promote health. Self-management is increasingly used for dermatological diseases, especially chronic inflammatory skin diseases. Hence, it is crucial to be aware of its prevalence and the leading factors of its usage. Therefore, this study aims to estimate the prevalence of self-treatment for dermatological diseases and to determine possible factors associated with its practice. Methodology This is a cross-sectional online-based questionnaire study that was conducted in King Fahad Armed Forces Hospital in Jeddah, Saudi Arabia. In this study, we included all first-visit and follow-up patients diagnosed with vitiligo, eczema, alopecia areata, and psoriasis. Data analysis was conducted using JMP Statistical Discovery Software, version 15 (JMP Statistical Discovery LLC, Cary, NC). Results Of the 203 patients who participated in this study, 91 (44.8%) had vitiligo. Moreover, topical corticosteroids were the most commonly used medications in self-treatment and included mometasone and hydrocortisone, which were used by 143 (41.3%) and 50 (14.5%) patients, respectively. Thirty patients (16.2%) improved with self-treatment, whereas 52 (28.1%) had no improvement. In addition, the most common reason for self-treatment was having mild symptoms of the disease in 97 patients (30.1%). Conclusion This study revealed that the prevalence of self-treatment among various dermatological diseases was 53.2%. Topical corticosteroids were the most commonly used conventional medicines, whereas the most common alternative medications used were honey and henna. We found that the most common reason for self-treatment was mildness of the dermatological disease. Family and friends were the most common sources of information.
引言
自我药疗被定义为使用药物或产品来治疗、缓解或预防疾病状况或症状，或促进健康。自我管理在皮肤病，尤其是慢性炎症性皮肤病中越来越常用。因此，了解其流行情况及其使用的主要因素至关重要。因此，本研究旨在估计皮肤病自我治疗的流行率，并确定与其实施相关的可能因素。
方法
这是一项基于在线问卷的横断面研究，在沙特阿拉伯吉达的法赫德国王武装部队医院进行。在本研究中，我们纳入了所有首次就诊和随访的白癜风、湿疹、斑秃和银屑病患者。使用JMP统计发现软件15版（JMP统计发现有限责任公司，北卡罗来纳州卡里）进行数据分析。
结果
在参与本研究的203名患者中，91名（44.8%）患有白癜风。此外，局部皮质类固醇是自我治疗中最常用的药物，包括莫米松和氢化可的松，分别有143名（41.3%）和50名（14.5%）患者使用。30名患者（16.2%）通过自我治疗病情改善，而52名（28.1%）没有改善。此外，自我治疗最常见的原因是97名患者（30.1%）患有该疾病的轻度症状。
结论
本研究表明，各种皮肤病中自我治疗的流行率为53.2%。局部皮质类固醇是最常用的传统药物，而最常用的替代药物是蜂蜜和指甲花。我们发现自我治疗最常见的原因是皮肤病症状较轻。家人和朋友是最常见的信息来源。
