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Archive

Winter 2016, Vol. 24 No. 4

Hong Kong J. Dermatol. Venereol. (2016) 24, 173-183


Original Article

Evaluation of patients' topical treatment adherence, psychosocial impact, satisfaction with disease control and disease knowledge among patients with psoriasis vulgaris: a pilot study in Hong Kong

評估銀屑病患者的局部治療依從性、心理影響、銀屑病控制滿意度和疾病知識:在香港的初步研究

CY Jeung 蔣頌儀 and KM Ho 何景文

Abstract

Objectives: The aims of the study were to evaluate patients' topical treatment adherence, psychosocial impact, satisfaction with disease control and disease knowledge among patients with psoriasis vulgaris in Hong Kong. More importantly, the relationship between adherence and factors that influence adherence in patients with psoriasis in our local setting was assessed. Methods: This was a cross-sectional descriptive study performed in two public dermatology centres. Adult patients with psoriasis vulgaris were invited for the study. Results: A total of 119 patients completed the study. Overall, 31 subjects (26%) adhered and 88 subjects (74%) did not adhere to topical treatment. The adherent group was >50 years old, retired and had disease onset after 40 years old. The three major reasons for non-adherence were (1) forgot to use medications; (2) no time to use medications and (3) medications too difficult to use. Greater satisfaction with the treatment was positively associated with adherence and the more knowledgeable patients were more prone to non-adherence. Conclusion: In order to enhance adherence, emphasis should not just be put on improving patients' knowledge, but also focusing more on patients who are younger, apparently more knowledgeable or with earlier disease onset. Also, it is recommended that physicians prescribe simple treatment regimens to their patients and spend more time in establishing good doctor-patient relationship for enhancement of adherence.

目標:這項研究的目的是評估在香港銀屑病患者的局部治療依從性、心理影響、銀屑病控制滿意度和疾病知識。更重要的是,評估依從性和影響依從性的因素之間的關係。方法:這是在兩所公立皮膚科中心進行的橫斷面描述性研究。成人尋常型銀屑病患者被邀請為研究對象。結果:共有119患者完成了研究。總體而言,31患者(26%)依從治療和88患者(74%)沒有依從治療。依從治療組是>50歲,退休和40歲以後發病的。不依從的三個主要原因是(1) 忘記使用藥物,(2) 沒有時間使用藥物和(3) 藥物太難使用。對治療滿意與依從性有正相關影響,但有知識的病患者是更容易沒有依從性。結論:為了提高依從性,重點不應該僅僅放在改善病人的知識,還要更多地關注那些年輕患者,顯然更有知識或早期發病的患者。此外,醫生應該處方簡單的藥物治療給他們的病人,並花更多的時間用於與他們建立良好的關係以增強依從性。

Keywords: Adherence, psoriasis

關鍵詞: 依從性、銀屑病