摘要
目的:探讨银屑病对患者生活质量的影响状况及对生活质量主要影响因素的分析。方法:采用皮肤病生活质量指数(dermatology life quality index,DLQI)和银屑病无能指数(psoriasis disability index,PDI)量表调查72例银屑病患者,记录患者的一般情况;同时采用银屑病面积和严重程度指数(psoriasis area and severity index,PASI)评分评判患者病情的严重程度,采用方差分析比较不同病情严重程度患者间生活质量的差异。结果:DLQI与PDI调查结果均显示银屑病患者在工作学习方面的分值(DLQI:1.69±1.31,PDI:2.92±2.61)最高,受到影响最大;PDI量表显示男性患者总分平均值高于女性患者,差异有统计学意义(t=2.73,P<0.05),DLQI与PDI量表均显示重度(PASI>10)患者的总分平均值高于轻度(0<PASI≤5)患者,差异有统计学意义(DLOQ:t=0.72;PDI:t=1.45,P值均<0.05)。结论:银屑病为一种身心性疾病,患者在工作学习方面受到的影响较明显;与患者生活质量最为相关的是病情的严重程度,病情严重程度越高的患者生活质量受到的影响越大。
Objective:To study the quality of life of patients with psoriasis and the influencing factors of patients' quality of life. Methods: The Dermatology Life Quality Index ( DLQI ) and Psoriasis Disability Index (PDI) were adopted to evaluate the life quality in 72 patients with psoriasis. Severity of psoriasis was assessed by the Psoriasis Area Severity Index (PASI). The impact of severity of psoriasis on quality of life in psoriasis patients was analyzed by variance analysis. Results : The aspect of work and study in patients had the highest scores in both DLQI ( 1.69 ± 1.31 ) and PDI(2.92±2.61 ) ;The PDI scores were significantly higher in males than those in females (t = 2.73, P 〈 0. 05 ), the DLQI and PDI scores were also higher in severe patients (PASI 〉 10) than those in mild patients (0 〈 PASI ≤ 5 ) ( DLQI : t = 0.72 ; PDI : t = 1.45 ; both P 〈 0. 05 ). Con- clusion:Psoriasis is a physical and mental disorders, it affects the quality of life of patients especially their work and study. The most important influencing factor is the severity of the disease. The more severe the disease is, the greater impact on the patients.
出处
《皮肤性病诊疗学杂志》
2013年第5期314-317,共4页
Journal of Diagnosis and Therapy on Dermato-venereology
关键词
银屑病
生活质量
影响因素
Psoriasis
Life quality
Influencing factors