Title Indikatori kvalitete života bolesnika s dermatološkim bolestima koje se manifestiraju na licu Title (english) Predictors of quality of life in patients with dermatological diseases visible on face Author Ines Sjerobabski Masnec Mentor Mirna Šitum (mentor)Mentor Gorka Vuletić (komentor)Committee member Branka Marinović (predsjednik povjerenstva)Committee member Liborija Lugović Mihić (član povjerenstva)Committee member Romana Čeović (član povjerenstva)Committee member Marinka Mravak-Stipetić (član povjerenstva)Committee member Dalibor Karlović (član povjerenstva)Granter University of Zagreb Defense date and country 2018-11-12, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Universal decimal classificationUDC ) 616 - Pathology. Clinical medicine Abstract Lice ima veliki značaj u svakom aspektu ljudskog života. Kao glavni alat ljudske neverbalne komunikacije, lice ima utjecaj na naše društvene odnose. Psihosocijalni aspekti dermatološke bolesti utječu na pacijentovo opće zdravlje i mogu dovesti do osjećaja izolacije i usamljenosti. Cilj istraživanja bio je ispitati različite prediktore kvalitete života u bolesnika s bolestima kože koje su vidljive na licu. Ispitivanje je provedeno u Klinici za kožne i spolne bolesti KBC-a Sestre milosrdnice, čije Etičko povjerenstvo je odobrilo provođenje studije. U istraživanju je sudjelovalo 182 ispitanika, pacijenata oboljelih od dermatoloških bolesti: rozaceje, acne vulgaris i seboroičnog dermatitisa koji su liječeni u Poliklinici Klinike za kožne i spolne bolesti KBC Sestre milosrdnice u Zagrebu. Od toga je njih 60 imalo dijagnozu rozaceje, 70 dijagnozu acne vulgaris , a 52 sudionika su imala dijagnozu seboroičnog dermatitisa. Ispitanici su ispunili upitnik indeksa osobne kvalitete života, upitnik dermatološkog indeksa kvalitete života i upitnik percepcije stresa. U rezultatima istraživanja nađena je značajna pozitivna povezanost između kliničke procjene težine bolesti i utjecaja dermatološke bolesti na kvalitetu života u skupini oboljelih od seboroičnog dermatitisa, dok kod drugih oboljenja razlika nije pronađena. Oboljeli od rozaceje postižu značajno nižu ukupnu kvalitetu života u odnosu na oboljele od akne, ali nije pronađena razlika u kvaliteti života između oboljelih od rozaceje i oboljelih od seboroičnog dermatitisa. Oboljeli od akni postižu značajno nižu kvalitetu života u područjima materijalnog standarda, zdravlja i sigurnosti u budućnost u odnosu na oboljele od rozaceje i seboroičnog dermatitisa, između kojih nema razlike. Dermatološka kvaliteta života pokazala se značajnim prediktorom opće kvalitete života. Utvrđena je visoka razina stresa kod oboljelih od dermatoloških bolesti, no nema razlike u razini stresa između oboljelih od rozaceje, acne vulgaris ili seboroičnog dermatitisa. Dermatološka kvaliteta života i stres pokazali su se značajnim prediktorima opće ukupne kvalitete života. Zbog ponavljajućeg karaktera bolesti, često nezadovoljavajućih rezultata liječenja i kozmetskih problema, promjene na koži mogu negativno utjecati na psihosocijalno funkcioniranje bolesnika. Rezultati istraživanja kvalitete života predstavljaju važan pokazatelj kojim liječnici i pacijenti mogu bolje procijeniti učinke liječenja.
Abstract (english) Introduction. The face has a major significance in every aspect of human life. As a major tool of human nonverbal communication it has an impact on our social relations. The psychosocial aspects of dermatological disease usually impact the patient’s general health and can lead to feeling of isolation and loneliness. Physicians have focused on treatments and minimizing side effects. However, a broad spectrum of patient needs are also factors in treatment success. The aim of the study is to examine different predictors of the quality of life in patients with dermatological disease visible on face.
Methods. The study included one hundred and eighty two patients with acne vulgaris, rosacea and dermatitis seborrhoica which were treated in an outpatient treatment at the Department of Dermatovenerology, Sestre milosrdnice University Hospital Center in Zagreb. Participants were divided into three groups. In the first group of patients, sixty were those with rosacea. In the second group there were seventy patients with acne vulgaris and in third group fifty-two patients with dermatitis seborrhoica. Consenting participants completed the following standardizes psychological questionnaires: Dermatology Life Quality Index, Personal Wellbeing Index and Perceived Stress Scale.
Results. The results of the study showed a significant positive correlation between the clinical assessment of the severity of the disease and the influence of dermatological disease on the quality of life in the group of seborrheic dermatitis patients, whereas in other diseases the difference was not found.
Rosacea sufferers achieve significantly lower overall quality of life compared with acne vulgaris sufferers, but no difference in the quality of life between those with rosacea and those suffering from seborrheic dermatitis was found.
Acne vulgaris sufferers achieve significantly lower quality of life in areas of material standard, health and safety in the future compared with those suffering from rosacea and seborrheic dermatitis, with no difference.
Conclusion. Dermatological quality of life has proved to be a significant predictor of the overall quality of life. High levels of stress have been identified in patients with dermatological diseases, but there is no difference in the level of stress between those with rosacea, acne vulgaris or seborrheic dermatitis. Dermatological quality of life and stress proved to be significant predictors of overall quality of life. Because of its recurrent character, frequent unsatisfying results of treatment and a cosmetic problem, skin lesions can cause negative patients' psychosocial functioning. Quality of life outcomes represent an important approach by which physicians and patients can better assess the effects of treatments.
Keywords
kvaliteta života
stres
bolesti kože
lice
rozaceja
acne vulgaris
seboroički dermatitis
Keywords (english)
quality of life
dermatological diseases
face
stress
rosacea
acne vulgaris
seborrheic dermatitis
Language croatian URN:NBN urn:nbn:hr:127:073039 Study programme Title: dental medicine Type of resource Text File origin Born digital Access conditions Open access Terms of use Created on 2019-10-16 13:27:59
