Positive change in hand care habits using therapeutic patient education in chronic hand eczema

Autor: Emmanuel Questel, F. Giordano-Labadie, Daniel Redoules, Michel Simon, Marie Tauber, Paul Carle, Siham Lourari, Emilie Bérard
Přispěvatelé: CHU Toulouse [Toulouse], Unité différenciation épidermique et auto-immunité rhumatoïde (UDEAR), Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Institut National de la Santé et de la Recherche Médicale (INSERM), Epidémiologie et analyses en santé publique : risques, maladies chroniques et handicaps (LEASP), Laboratoire de Pharmacochimie Pierre Fabre Dermo-Cosmétique, Centre de Recherche Pierre Fabre (Centre de R&D Pierre Fabre), PIERRE FABRE-PIERRE FABRE
Rok vydání: 2019
Předmět:
Male
MESH: Combined Modality Therapy
skin protection
medicine.medical_treatment
MESH: Eczema / psychology
Health Behavior
Anti-Inflammatory Agents
Eczema
Efficiency
Severity of Illness Index
030207 dermatology & venereal diseases
0302 clinical medicine
[SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases
Adrenal Cortex Hormones
MESH: Anti-Inflammatory Agents / therapeutic use
Immunology and Allergy
Health Status Indicators
Hand Hygiene
030212 general & internal medicine
Prospective Studies
MESH: Treatment Outcome
MESH: Middle Aged
MESH: Follow-Up Studies
Dermatology Life Quality Index
Middle Aged
Combined Modality Therapy
therapeutic patient education
MESH: Administration
Cutaneous
3. Good health
Treatment Outcome
MESH: Hand Hygiene / methods
Chronic hand eczema
MESH: Adrenal Cortex Hormones / therapeutic use
Female
chronic hand eczema
Topical steroid
MESH: Hand Dermatoses / therapy
Adult
Hand washing
medicine.medical_specialty
Dermatology
Hand Dermatoses
Administration
Cutaneous
03 medical and health sciences
Quality of life (healthcare)
Patient Education as Topic
MESH: Health Status Indicators
MESH: Severity of Illness Index
Therapeutic patient education
Intervention (counseling)
medicine
Humans
hand care behaviours
Medical prescription
MESH: Patient Education as Topic / methods
MESH: Health Behavior
MESH: Hand Dermatoses / psychology
MESH: Humans
business.industry
MESH: Chronic Disease
MESH: Quality of Life
MESH: Adult
MESH: Efficiency
MESH: Eczema / diagnosis
MESH: Male
MESH: Prospective Studies
MESH: Eczema / therapy
Chronic Disease
Physical therapy
Quality of Life
business
MESH: Female
MESH: Hand Dermatoses / diagnosis
Follow-Up Studies
Zdroj: Contact Dermatitis
Contact Dermatitis, Wiley, 2020, 82 (1), pp.10-17. ⟨10.1111/cod.13390⟩
ISSN: 1600-0536
0105-1873
DOI: 10.1111/cod.13390⟩
Popis: International audience; Background: Chronic hand eczema (CHE) is a major burden for patients. Mainte-nance treatment involves prevention measures limiting detrimental behaviour and aggravating factors. Objective: To evaluate the effect of a standardised care program including therapeu-tic patient education (TPE) on hand care behaviours, clinical severity, quality of life, and work productivity.Methods: A single-centre study was conducted prospectively. Together with the pre-scription of a topical steroid, patients participated in individual TPE sessions. Evalua-tions were performed initially and repeated three months after the therapeutic intervention. They included a structured analysis of hand care behaviours, the assess-ment of the mTLSS (modified Total Lesion Symptom Score), DLQI (Dermatology Life Quality Index), and WPAI (Work Productivity and Activity Impairment). Results: Seventy-one patients were included (30 men, 42.3%). Three months after completion of the standardised care program, hand care behaviours such as hand washing and rinsing, hand drying, wearing protective gloves, using moisturizing cre-ams, and following specific treatments and recommendations for CHE improved sig-nificantly in the 58 patients who completed the study and were associated with a significant improvement in the mTLSS, DLQI, and WPAI scores. Conclusions: TPE helps patients change their hand care behaviours and adopt skin protection measures, and may improve CHE severity, quality of life, and work productivity.
Databáze: OpenAIRE
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