American Journal of Medicine and Medical Sciences

p-ISSN: 2165-901X    e-ISSN: 2165-9036

2023;  13(9): 1300-1301

doi:10.5923/j.ajmms.20231309.26

Received: Sep. 11, 2023; Accepted: Sep. 21, 2023; Published: Sep. 23, 2023

 

Estimation of Quality of Life in Patients with Psoriasis

Ermatov Nizom1, Tashkenbaeva Umida2, Khajiev Dilshod3

1Head of the Hygiene of Children, Teenagers and Nutrition Department, Tashkent Medical Academy, Tashkent, Uzbekistan

2Head of the Department of Dermatovenerology, Tashkent Medical Academy, Tashkent, Uzbekistan

3Researcher of the Hygiene of Children, Teenagers and Nutrition Department, Tashkent Medical Academy, Tashkent, Uzbekistan

Correspondence to: Ermatov Nizom, Head of the Hygiene of Children, Teenagers and Nutrition Department, Tashkent Medical Academy, Tashkent, Uzbekistan.

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Copyright © 2023 The Author(s). Published by Scientific & Academic Publishing.

This work is licensed under the Creative Commons Attribution International License (CC BY).
http://creativecommons.org/licenses/by/4.0/

Abstract

The article presents the results of the analysis of indicators of the quality of life of patients with psoriasis in the main group and in the control group of healthy people. In two groups, the profile of the quality of life was studied, revealing the main directions of their life problems: physical and mental health, social functioning, and more. The quantitative characteristics of the physical, emotional and social components of the quality of life of the respondents are shown. It was emphasized that it is necessary to develop a set of preventive and rehabilitation measures to improve the quality of life of patients.

Keywords: Patients with psoriasis, Quality of life, SF-36 questionnaire, Psycho-emotional state

Cite this paper: Ermatov Nizom, Tashkenbaeva Umida, Khajiev Dilshod, Estimation of Quality of Life in Patients with Psoriasis, American Journal of Medicine and Medical Sciences, Vol. 13 No. 9, 2023, pp. 1300-1301. doi: 10.5923/j.ajmms.20231309.26.

Article Outline

1. Introduction
2. Purpose of the Research
3. Materials and Methods
4. Results and Discussion
5. Conclusions

1. Introduction

Psoriasis is a genetic, autoimmune inflammatory disease of the skin and joints, in which inflammation within the lesion causes basal keratinocyte stem cells to hyperproliferate [1,3].
Analysis of the quality of life of patients with psoriasis depending on gender showed the presence of significant differences between the quality of life of men and women. Moderate statistically significant correlations were found between gender and general indicators of quality of life, so women suffering from psoriasis rated their quality of life lower than men [2].
Studying the quality of life in various diseases is an urgent problem in the treatment of patients. The study of quality of life is closely related to human health and is based on a person’s subjective feelings [6].
Patients with psoriasis express concern about the presence of rashes on the skin of the trunk, limbs, and scalp; they are nervous, anxious, experience difficulties in social contacts, and serious restrictions in life: at work, when communicating with other people, on vacation [11-17].
The SF-36 (Medical Outcomes Study Short-Form 36) questionnaire is a standardized questionnaire widely used in the study in the population. It helps most patients assess various components of their life during the course of the disease, and the quality of life of patients has been assessed using this questionnaire in various studies [4,5].

2. Purpose of the Research

The purpose of the study is to study and analyze the quality of life of patients with psoriasis using the SF-36 questionnaire.

3. Materials and Methods

The SF-36 Quality of Life Questionnaire was performed and compared between psoriasis patients (80) and healthy controls (80). For the quality of life study, each question on the SF-36 questionnaire was scored and calculated on each scale. Questions were asked on 8 scales. Includes physical activity - (PA), Based on the role of physical activity in a person's life - (PL), Pain scale - (PS), General health - (GH), Vitality scale - (VS), Scale calculated and analyzed scales reflecting social activity - (SA), mental state - (MS).

4. Results and Discussion

Data were collected based on quality of life indicators of sick people and healthy people in each group. When studying the age indicators of patients, 10% of them were patients under 18 years old, 30.6% were patients from 20 to 39 years old, 59.4% were patients over 40 years old. In the second group, 38.6% were patients from 20 to 39 years old, 61.5% were over 40 years old.
During the examination, the questionnaire showed that the physical and mental state of the patients at the time of the examination was significantly lower (Table 1).
Table 1. Indicators of the SF-36 questionnaire of the physical and psychological components of health
     
In the group of patients, 40 points out of 80 points were calculated as the average score, and the results were very close to 50 points, of which PL-51.5, GH-65.5; VS-54.6; scale scores are very close to 50 points, which is a very low result. Since psoriasis patients are very sensitive to the feelings of people around them, they rate their emotional state low compared to healthy people (patients PL 55.2, MS-56.2; healthy PL-86.8, MS-82.8).
The overall Physical component (Physicalhealth-PH) among patients compared to the psychological component (MentalHealth-MH) is much higher (56.2: 45.6) shows that they feel much depressed and therefore they are unstable to stressful situations, but compared to for healthy people they have low values (PH -75.5, MH - 78.7) (Figure 1).
Figure 1. Comparisons of the general physical and mental components among sick and healthy people

5. Conclusions

All average indicators on 8 scales of the SF-36 questionnaire of physical and psychological components of health among sick people are much lower than people in the healthy group. This affects their physical condition, activity, social component of life, general physical condition, low psychological state, high likelihood of stress and depression. Especially damage to exposed skin areas affects the emotional state and psychological status of patients with psoriasis, influencing the choice of clothing, daily and professional activities.
Therefore, the help of psychotherapy and drug therapy of patients is recommended. The psychotherapy is prescribed in combination with medication, patients' anxiety levels quickly decrease, vitality increases, and the patient's emotional state improves. This improves the effectiveness of patient care.

References

[1]  Kabisova, E. N. The impact of psoriasis and psoriatic arthritis on the quality of life of patients / E. N. Kabisova, A. B. Badrieva. - Text: direct // Young scientist. - 2021. - No. 27 (369). - pp. 88-89.
[2]  Quality of life of patients suffering from psoriasis / A. I. Yakubovich, N. N. Novitskaya, I. G. Sergeeva, L. S. Saldamaeva // Current issues of dermatovenerology: materials of a scientific and practical conference. -Irkutsk, 2006. -pp. 78–84.
[3]  Clinical dermatology, acne-like and apulosquamous dermatoses. Thomas P. Habif from 2014. –pp.224.
[4]  Lilian Linsva Fernando Martins Karvalyu SF-36 total score as a single measure of health-related quality of life: Scoping review SAGE Open Medicine, Volume 4: 1–12; 2016; 4: 2050312116671725. DOI: 10.1177/2050312116671725.
[5]  Lukyanova EM. Assessment of quality of life in pediatrics. Good clinical practice. 2002; 4: 34-42.
[6]  Ware J.E., Snow K.K., Kosinski M., Gandek B. SF-36 Health Survey. Manual and interpretation guide //The Health Institute, New England Medical Center. Boston, Mass.
[7]  Ermatov N. J., Bobomuratov T. A., Sagdullaeva M. A. Prolonged newborns and prolong pregnancy: A modern view on the problem //International Journal of Health and Medical Sciences. – 2022. – Т. 5. – №. 1. – pp. 26-30.
[8]  Ermatov N. J., Bobomurodov T. A., Sagdullaeva M. A. Hygiene analysis of risk factors affecting the growth and development of pre-term children // Art of Medicine. International Medical Scientific Journal. – 2022. – Т. 2. – №. 3.
[9]  Ermatov N. J., Khamraev N. R. Results of life quality assessment in rehabilitation treatment of children with traumatic brain injury // Modern Science: Current Issues, Achievements and Innovations. – 2022. – pp. 212-214.
[10]  Ermatov N. J., Rustamov B. B. Studying of nutrition value of red palm oil of" premium caratino"(republic of uzbekistan) // International Scientific Review of the Problems and Prospects of Modern Science and Education. – 2017. – pp. 79-80.
[11]  Ermatov, N. J., & Abdulkhakov, I. U. (2021). Influence of diet and other risk factors on endocrine system diseases. Asian Journal of Multidimensional Research, 10(8), 182-189.
[12]  Sagdullaeva M. A., Ermatov N. J., Bobomuratov T. A. Prolonged Newborns and Prolonged Pregnancy: A Modern View on the Problem // International Journal of Health Medical Sciences. – 2022. – №. 5. – pp. 1.
[13]  Sagdullaeva M. A., Ermatov N. J., Bobomurodov T. A. Hygienic analysis of the morbidity of premature children // A new day in medicine. -Tashkent. – 2022. – №. 10. – pp. 48.