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银屑病与湿疹患者生活质量和经济负担的比较 被引量:15

On the quality of life and economic burden of psoriasis and eczema patients
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摘要 目的:比较银屑病和湿疹患者的一般情况、生活质量和疾病经济负担。方法:采用现况调查的方法,联合应用自行设计的患者一般情况调查表、SF-36和Skindex-29量表,对2011年6月~2012年3月在中国医学科学院皮肤病医院就诊的门诊和住院198例银屑病患者,和同时期在同医院就诊的117例湿疹患者进行问卷调查。结果:①共回收313份有效问卷,其中银屑病196例,男女比例为1.88∶1,湿疹117例,男女比例为1.25∶1,对吸烟、酗酒、睡眠影响、饮食受限、自杀倾向等社会行为进行比较,发现银屑病患者在吸烟、睡眠影响、自杀倾向的比例均高于湿疹患者,差异有统计学意义(P<0.01)。②应用SF-36量表和Skindex-29量表比较银屑病和湿疹患者的生活质量,发现银屑病患者生活质量比湿疹患者低,差异有统计学意义(P<0.01)。③银屑病的直接经济负担和间接经济负担都较湿疹严重。结论:银屑病和湿疹的一般情况与以前的研究结果类似,但在吸烟、自杀倾向等社会行为方面银屑病的比例显著高于湿疹患者。虽然同为皮肤病,但银屑病患者的生活质量比湿疹患者低很多,提示卫生工作者在银屑病的诊断治疗过程中应重视生活质量对患者的影响。银屑病患者的直接经济负担和间接经济负担都较湿疹患者严重,相关卫生决策部门应对银屑病患者的经济负担给予足够的关注。 Objective:To compare disease characteristics,quality of life and economic burden between patients with psoriasis and eczema. Methods:Total 198 patients with psoriasis and 117 patients of eczema were selected for questionnaire survey using SF-36 scale and Skindex-29 scale in Dermatology Hospital of the Chinese Academy of Medical Sciences from June 2011 to March 2012. Results: (1)A total of 313 questionnaires were valid,of which 196 cases were psoriasis with the male to female ratio is 1.88:1 ,and 117 cases in the control group with male to female ratio is 1.25:1. Psoriasis was compared with eczema in terms of the social behavior, such as smoking,drinking,sleeping,diet limitation,suicide tendency,et al. And we found that psoriasis had a higher percentage than eczema in smoking, sleeping,and suicidal tendency (P 〈 0.01).(2)Comparing the quality of life between patients with psoriasis and eczema by SF-36 and Skindex-29 scales,we found that patients with psoriasis had a lower quality of life than patients with eczema (P 〈 0.01 ).(3)The economic burden of psoriasis is more serious than that of the control group. Conclusion:The results of psoriasis and eczema were generally similar to the previous studies. However,psoriasis had a significantly higher proportion of smoking,drinking,suicidal tendencies. Although psoriasis and eczema were both skin diseases,the psoriasis had a much lower quality of life than the eczema, health workers should pay much attention to the quality of life of patients with psoriasis when in diagnosis and treatment. The economic burden of psoriasis was more severe than that of eczema. Therefore, health policy-making department should pay much more attention to psoriasis with severe economic burden.
出处 《南京医科大学学报(社会科学版)》 2013年第1期36-42,共7页 Journal of Nanjing Medical University(Social Sciences)
基金 江苏高校优势学科建设工程资助项目(PAPD)
关键词 银屑病 湿疹 生活质量 疾病经济负担 psoriasis eczema quality of life economic burden
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