Ocena wybranych aspektów jakości życia pacjentów z łuszczycą za pomocą kwestionariusza WHOQOL-100
© Borgis - Nowa Medycyna 3/2008, s. 4-11
*Anna Bronikowska-Kolasa1, 2, Adam Borzęcki1, Anna Szponar1, 3, Jerzy Maciąg1, 2, Wojciech Cielica2
Streszczenie
Introduction:Psoriasis is a chronicle, inflammatory and proliferative cutaneous disease with multi factorial pathogenesis. Recently published papers have shown an important effect of skin condition on patients quality of life.
Aim of the study: Estimation of quality of life in psoriatic patients using WHOQOL-100, treated in the Chair and Department of Dermatology, Venereology and Pediatric Dermatology University of Medical Sciences in Lublin, in Dermatology Ward in I Military Hospital in Lublin and in Non-Public Health Care Unit "MED- LASER” in Lublin.
Material and methods: A method of diagnostic probe with use of questionnaire WHOQOL-100 in its Polish language version was employed. One hundred and ten psoriatic patients were examined. Almost all of them underwent hospitalization, because of skin lesions aggravation. WHOQOL-100 was applied to asses the impact of psoriasis on patient quality of life. Patient´s clinical state was assessed with the use of Psoriasis Area and Severity Index. Sociodemographic questionnaire was also used in this study.
Results and conclusions: In this study, where the quality of life was assessed on the basis of the WHOQOL-100 questionnaire, the global quality of life assessed by the patients ranged with the average value of 13.18 ± 2.53. The highest level of life quality among the patients examined was reported in the level of independence and in social relations. The quality of life in the remaining areas was significantly lower reaching the lowest values in the area of spirituality/religiousness/personal beliefs and psychological aspects.
Quality of life depended on gender and age. Clinical considerations have the biggest influence on the quality of life of psoriasis-affected patients. A close analysis of the PASI values revealed that the patients with most severe psoriasis had the lowest quality of life (PASI>15). The study performed also revealed a significantly lower quality of life in the group of patients with joint lesions as compared with patients who suffered from other types of psoriasis. In addition to joint lesions, itching is also a factor which decreases the quality of life of psoriasis patients.
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