Qualidade de vida e localização da lesão em pacientes dermatológicos

Ludwig, Marion; Oliveira, Margareth da Silva; Müller, Marisa Campio; Moraes, João Feliz Duarte de

doi:10.1590/s0365-05962009000200007

Cited by 36 publications

(32 citation statements)

References 13 publications

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“…Some authors report the social isolation that people with skin problems face due to the association made between skin disease and infection or lack of care. 8 The interpretation of the data obtained in this study confirms the significant impact of leprosy on patients' quality of life, as indicated by the high scores obtained with the application of the DLQI-BRA questionnaire. This questionnaire on quality of life has been used as a parameter of severity in various dermatoses in more than 130 published articles.…”

Section: Discussionsupporting

confidence: 82%

“…After all, there are numerous reports of patients who left work and Several studies highlight the psychosocial impact of the dermatosis, reporting situations of discrimination or other stigmatizing experiences related to problems of self-esteem, social isolation and rejection. 8 Quality of life is assessed according to the individual's perception of himself and his life. It is important to consider that the dermatosis is one of the aspects that can influence quality of life and that patients with the same disease but with different personal characteristics may suffer different losses.…”

Section: Discussionmentioning

confidence: 99%

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Perfil dos pacientes acometidos pela hanseníase atendidos no Ambulatório de Dermatologia do Hospital Evangélico de Curitiba

Budel

Raymundo

Costa

et al. 2011

An. Bras. Dermatol.

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BACKGROUND: Leprosy or Hansen's disease is a chronic infectious disease with worldwide distribution. Although it is a curable disease, it remains as a public health problem, with Brazil being the second most endemic country in the world. The skin lesions and neural damage, which lead to physical disabilities, affect the patients' self-esteem, cause a decrease in quality of life and interfere in the patients' lives. OBJECTIVE: Identify the profile of the patients affected by leprosy seen at the Outpatient Clinic of Dermatology of Hospital Evangélico de Curitiba and characterize the levels of quality of life of the sample in the week prior to the survey by means of the Dermatology Life Quality Index questionnaire. METHOD: Application of the Dermatology Life Quality Index to 22 patients diagnosed with leprosy in the period from May to October 2009. RESULTS: Among the 22 patients who participated in the study, 55% were male and 45% were female, with a mean age of 50.2 years. The scores obtained with the Dermatology Life Quality Index ranged from 1 to 25 points, with a mean of 10.23. Most of the patients (50%) had scores in the range severe or very severe; 31.8% of the patients obtained scores in the range mild or moderate, and 18.2% of the patients reported that there was no impairment of their quality of life. CONCLUSION: The profile of the patients affected by leprosy in this study were men, with a mean age of 50 years and presenting the multibacillary form of the disease. The application of the Dermatology Life Quality Index questionnaire allowed us to verify that the score severe or very severe for quality of life was predominant in the sample, with higher impact on women and no significant difference concerning pauci or multibacillary leprosy. Keywords: Dermatology; Indicators of quality of life; Leprosy Resumo: FUNDAMENTOS: A hanseníase é uma enfermidade infecto-contagiosa, com distribuição mundial. Apesar de curável, permanece como um problema de saúde pública, sendo o Brasil o segundo país mais endêmico do mundo. As lesões cutâneas e o acometimento neural, que levam às principais incapacidades físicas, pioram a autoestima dos doentes, levam a uma queda da qualidade de vida e interferem na vida dos mesmos. OBJETIVO: Traçar um perfil dos pacientes acometidos pela hanseníase, atendidos no Ambulatório de Dermatologia do Hospital Evangélico de Curitiba, e caracterizar os níveis de qualidade de vida da amostra na semana prévia à pesquisa, por meio do questionário Dermatology Life Quality Index. MÉTODO: Aplicação do Dermatology Life Quality Index em 22 pacientes diagnosticados com hanseníase no período de maio a outubro de 2009. RESULTADOS: Em meio aos 22 pacientes que participaram do estudo, encontraram-se 55% do sexo masculino e 45% do sexo feminino, com idade média de 50,2 anos. Os escores obtidos na aplicação do Dermatology Life Quality Index variaram de 1 a 25 pontos, sendo a média 10,23. A maioria dos pacientes (50%) apresentou escore na dimensão do grave ou muito grave; 31,8% dos pacientes, do leve...

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Perfil dos pacientes acometidos pela hanseníase atendidos no Ambulatório de Dermatologia do Hospital Evangélico de Curitiba

Budel

Raymundo

Costa

et al. 2011

An. Bras. Dermatol.

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“…Facial eczema could indicate a more negative influence of AD, as shown in the child cohort by the impact on self-rated health compared to non-CAM users. It may constitute a significant disease burden for the patient, and previous studies have documented that facial skin disease affects quality of life significantly more in a negative direction than other locations [13, 23-25], which could be speculated to drive CAM use. Facial eczema is challenging and not always satisfyingly treated by conventional treatments, therefore patients with facial eczema may be willing to try any possible solution.…”

Section: Discussionmentioning

confidence: 99%

Use of Complementary and Alternative Therapies in Outpatients with Atopic Dermatitis from a Dermatological University Department

et al. 2019

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Background: Treatment of atopic dermatitis (AD) may be challenging, therefore some patients seek complementary and alternative medications (CAM). We determined prevalence and predictors for CAM use in a hospital cohort of AD patients. Material and Methods: Between January 1, 2012, and December 31, 2017, AD patients referred to the dermatological outpatient clinic at Bispebjerg Hospital were included in the study. Information on CAM use, demographics and disease characteristics were obtained by questionnaire, and associations were determined by χ² and t test separately for children (< 16 years) and adults (≥16 years). Results: In total 441 filled in the questionnaire on AD, and 433 patients responded to the questions about CAM use: 198 children and 235 adults. A total of 137 (31.6%) had used one or more CAM. CAM use in children was significantly associated with prior use of ≥2 conventional treatments (p = 0.047) and topical calcineurin inhibitors (p = 0.021), a higher number of affected eczema sites (p < 0.001) including more frequent affection of the face and extremities, a higher SCORAD score (p = 0.045), and low mean overall self-rated health (p = 0.003). CAM use in adults was significantly associated with lower age of onset of AD (p = 0.004), comorbid allergic rhinoconjunctivitis (p = 0.039), frequent use of moisturizing cream (p = 0.024), facial and neck eczema (p = 0.005) and high educational level (p = 0.043). Conclusion: CAM use is frequent in both children and adult AD patients. CAM users are characterized by long disease duration, a significant disease burden and by having a longer education. The high prevalence of CAM may indicate that patients’ expectations regarding treatment of AD are not redeemed in the conventional health care system.

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“…In more than one-third of individuals with a dermatological problem, efficient treatment of skin lesions has been linked to effective management of related psychological stressors [13]. Skin disorders might pose negative social outcome as body image is very important, specifically within certain ages [14,15]. Vitiligo might bear an adverse clinical presentation both in short-and long-term over the life of the patients [7,16].…”

Section: Introductionmentioning

confidence: 99%

“…As there is one study that reported worse quality of life among children with vitiligo, compared to those with atopic dermatitis [26], Bilgic et al [27] have also reported that for prepubertal children, severity of vitiligo correlated with severity of depression, while in adolescents, lower levels of life quality have been reported especially if the lesions were located in body parts that were visible to others. In cases with lesions located in visible body regions, it has been reported that stigma related to the disorder might pose an increased risk for developing a psychiatric illness or a disorder, along with lower levels of quality of life, assessed [7,14,28].…”

Section: Introductionmentioning

confidence: 99%

Quality of life, depression, and anxiety in Turkish children with vitiligo and their parents

Önen

Kundak

Erkuran

et al. 2018

Psychiatry and Clinical Psychopharmacology

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Qualidade de vida e localização da lesão em pacientes dermatológicos

Cited by 36 publications

References 13 publications

Perfil dos pacientes acometidos pela hanseníase atendidos no Ambulatório de Dermatologia do Hospital Evangélico de Curitiba

Perfil dos pacientes acometidos pela hanseníase atendidos no Ambulatório de Dermatologia do Hospital Evangélico de Curitiba

Use of Complementary and Alternative Therapies in Outpatients with Atopic Dermatitis from a Dermatological University Department

Quality of life, depression, and anxiety in Turkish children with vitiligo and their parents

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