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A STUDY OF QUALITY OF LIFE AND BURDEN ON THE FAMILY IN CONTACT DERMATITIS.
DR SHILPA SONI
DEPT OF SKIN & VDMGMCH, JAIPUR.
INTRODUCTIONChronic skin diseases are among the most
common health problems worldwide and are
associated with a considerable burden and
impact over the quality of life of the person.
[1].
Quality of lifeThe term QOL is broad & is composed of
various domains like[2]
- physical well being,
- functional status,
- psychological well being,
- social functioning &
- health perceptions.
Burden on the familyThe burden of skin diseases is a multi
dimensional concept that encompasses[3]
financial burden
disturbed family routine
effect on : family leisure, family interaction, physical
health of other family members
effect on mental health of other members of the
patient.
Skin diseases are not usually life threatening,
however it is well known that the quality of patient's
life is affected and many factors including physiologic
and psychological factors contribute to this
impairment.[4]
Contact dermatitis is also one of dermatological
condition that hampers not only quality of individuals
life but also is a burden on the family.
The impact of Contact Dermatitis (CD) is
often underestimated[5]
Not life-threatening
minor degrees of contact dermatitis are accepted as
“part of the daily life”.
Being a chronic condition, Contact Dermatitis
can have profound effects on QOL and increase
burden[5]
Need to change occupation
Take prolonged sick leave
Limit leisure activities
Reduced ability or inability to perform household chores
Necessity to pursue time-consuming treatment
AimEvaluate impact of Contact Dermatitis on
QoL of affected individual.
Evaluate impact of Contact Dermatitis on
burden on family of affected individual.
Material and Methods- The study was conducted at M.G.M.C.H.,
Jaipur over a period of 6 months.
- Inclusion criteria:
Patients with history of dermatits of more than 6
months.
Patients of age group 18 – 60 years
Patients with positive patch test
Personal identification data and socio-
demographic data were collected from
subjects by using WHOQOL-BREF (Hindi
version) questionnaire.
‘Burden on the Family scale’ was applied to
find out the burden on the subject’s family.
RESULTS AND DISCUSSION
FGJJKBJHK
GENDER TOTAL PERCENTAGE
MALE 28 56%
FEMALE 22 44%
The male : female ratio = 1.3 : 1
The majority of our patients belong to the middle-age group i.e. 31 years to 50 years
Age group No. of patients %
20Y-30Y 11 22%
31Y-40Y 17 34%
41Y-50Y 17 34%
51Y-60Y 5 10%
Maximum patients in our study are married (96%)
MARITAL STATUS
Married 48 96%
Unmarried 2 4%
Separated / widow 0 0%
Majority of patients are literate.
EDUCATION
Illiterate 9 18%
UP TO 5th class 4 8%
5th – 10th 2 4%
10th -12th 8 16%
Graduate 27 54%
Maximum population is working population
OCCUPATION
UNEMPLOYED 11 22%
SEMISKILLED 7 14%
FARMER 8 16%
STUDENTS 7 14%
SKILLED 9 18%
SERVICE 8 16%
Most of the patients belong to middle-class families.
INCOME
UP TO 1000-5000 11 22%
5001-10000 20 40%
10001-20000 12 24%
MORE THAN 20000 7 14%
RESULT
QOL Median = 19
QOL scores no. of patients %
Low QOL 17 34%
Average QOL 19 38%
High QOL 14 28%
QOL is impaired in females as compared to males
QOL scores Total Male (28) Female(22)
Low QOL 17 7 (25%) 10 (45%)
Average QOL 19 12 (43%) 7 (32%)
High QOL 14 9 (32%) 5 (23%)
The burden on the family is mild to moderate in most of the patients.
BOF No. of patients
0-20 no/minimal 20 40%
21-40 mild – moderate
28 56%
41-60 moderate – sever
2 4%
> 60 severe 0 0%
DISCUSSIONIn our study of 50 patients of chronic contact
dermatitis, we found that QOL is average (19).
Our data showed female with chronic dermatitis had
poorer quality of life than male patients did. (Marjan Anvar et. al Effect of Convenient Dermatologic
intervention on Quality of Life in Patients with Chronic Eczematous Dermatitis Iranian Journal of Psychiatry and Behavioral Sciences (IJPBS), Volume 4, Number 2, Autumn and Winter 2010: 47-50
Moreover, they showed significant impairment in their
daily activities.
These results are in line with previous studies
supporting the gender difference in
psychological reactions to chronic skin
disease(5,6).
The main finding of this study is that a dual
psycho-dermatological treatment
significance. In conclusion, chronic contact
dermatitis has significant effect on quality of
life.
The burden on the family is mild – moderate
& none of the patient had severe.
REFERENCES1. Mhd. KA Basra, Mhd. S, Expert Rev Pharmacoeconomics Outcomes
Res.2009
2. Kiebert G, Sorensen SV, Revicki D, Fagan SC, Doyle JJ, Cohen J,
Fivenson D. Atopic dermatitis is associated with a decrement in
health-related quality of life. Int J Dermatol 2002; 41(3): 151-8.
3. Chren MM, Weinstock MA. Conceptual issues in measuring the
burden of skin diseases. J. invest. Dermatol. Symp. Proc.9,97-
100(2004)
4. Aberer E, Riedl A. Stigmatization. Consideration from a
theologicaldermatologic perspective Hautarzt 2004; 55(12): 1168-71.
5. R. Skoet, R. Zachariae, and T. Agner, “Contact dermatitis and
quality of life: a structured review of the literature,” British
Journal of Dermatology, vol. 149, no. 3, pp. 452–456, 2003.
6. Borimnejad L, Parsa Yekta Z, Nikbakht-Nasrabadi A, Firooz A.
Quality of life with vitiligo: comparison of male and female
Muslim patients in Iran. Gend Med 2006; 3(2): 124-30.
7. Holm EA, Esmann S, Jemec GB. Does visible atopic dermatitis
affects quality of life more in women than in men? Gend Med
2004; 1(2):125-30
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