Effects of skin care and makeup under instructions from dermatologists on the quality of life of female patients with acne vulgaris
Effects of skin care and makeup under instructions from dermatologists on the quality of life of female patients with acne vulgaris
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DOI：
10.1111/j.1346-8138.2006.00174.x
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发表时间：
2006-11-01
影响因子：
3.1
通讯作者：
Kubota, Yasuo
中科院分区：
文献类型：
--
作者：
Matsuoka, Yoshie;Yoneda, Kozo;Kubota, Yasuo
寻常型痤疮对患者的生活质量(QOL)和生活质量有多方面的影响，包括社会行为和身体不满。粉刺典型地累及面部，可能会加剧这种症状。我们调查了在不恶化传统痤疮治疗的情况下，皮肤护理和化妆的使用是否会影响受影响患者的生活质量。本研究选取50例女性痤疮患者为研究对象。25名患者接受了如何使用护肤和化妆品的指导，而25名患者没有接受皮肤科医生的具体指导。在为期4周的研究期间，两组患者都接受了治疗痤疮的常规外用和/或口服药物治疗。两组在痤疮严重程度的临床改善方面均无明显差异。两个有效的生活质量调查问卷，世界卫生组织(WHO)QOL26和皮肤病生活质量指数(DLQI)在首次就诊时和4周后进行。接受指导的患者在WHOQOL26中的心理领域和总体领域的平均得分显著提高，而没有指导的患者只有总体得分显著提高。有指导的患者DLQI总均分和除工作/学校外的所有领域均有显著改善，无指导的患者DLQI总分和除治疗不适外的所有领域均有显著改善。因此，女性痤疮患者使用护肤和化妆品的说明并没有恶化痤疮治疗，并有效地影响了患者的生活质量。因此，我们建议使用护肤品和化妆品的说明补充传统的痤疮药物治疗。
Acne vulgaris significantly affects patients' quality of life (QOL) and their lives in various ways, including social behavior and body dissatisfaction. This may be heightened by acne's typical involvement of the face. We investigated whether the use of skin care and makeup could influence the QOL of affected patients without deteriorating conventional acne treatments. Fifty female patients with acne were recruited for our study. Twenty-five patients were instructed how to use skin care and cosmetics, while 25 patients received no specific instructions from dermatologists. Both groups received conventional topical and/or oral medication for acne during the study period for 4 weeks. Both groups did not show any significant difference in clinical improvement of acne severity. Two validated QOL questionnaires, World Health Organization (WHO)QOL26 and the Dermatology Life Quality Index (DLQI) were administered to all patients at first visit and 4 weeks later. The mean scores of psychological and overall domains in WHOQOL26 for patients with instructions were improved significantly, while only the overall score was significantly improved for patients without instructions. The total mean scores and all domains except work/school in DLQI for patients with instructions were improved significantly, while the total scores and all domains except discomfort for treatment in DLQI were significantly improved for patients without instructions. Thus, instructions on the use of skin care and cosmetics for female acne patients did not deteriorate acne treatment and influenced patients' QOL effectively. We therefore suggest that instructions for using skin care and cosmetics complement conventional medical treatments for acne.