Effect of self- care management program on quality of life and disease severity among patients with psoriasis / Ghada Mahmoud Mohammed Nabhan ; Supervised Labiba Abdelkader Mohammed , Amel Gomaa Abdelnaby

Thesis (Ph.D.) - Cairo University - Faculty of Nursing - Department of Surgical Nursing

Psoriasis is a major significant worldwide health problem. It is a chronic recurrent immune -mediated inflammatory skin disease with fluctuating disease severity. It is linked with social stigmatization, pain, discomfort, physical disability and psychological stress which affect quality of life and disease severity, therefore self-care management program is crucial for patient and health care provider. Aim: To evaluate the effect of self- care management program on quality of life and disease severity among patients with psoriasis. Design: A time series design was used. Sample: a convenient sample consisting of 70 adult male and female patients were selected. Setting: The study was carried out in dermatology outpatient clinic at a governmental hospital in Cairo, Egypt. Tools: Data were collected through four tools; Semi Structured Interview Questionnaire, Quality of Life Questionnaire, Dermatology Life Quality Index Questionnaire and Psoriasis Area and Severity Index. Results: There were statistical significant difference evidenced on dermatology quality of life between study and control groups at three times of assessment post implementation of self-care management program, at 4th weeks (t = 2.67, p = 0.01**), at 8th weeks (t = 10.79, p = 0.00**) and at 12th weeks (t = 7.90, p = 0.00**). Moreover, concerning disease severity at 4th weeks (t = 4.05, p = 0.00**), at 8th weeks (t = 4.82, p = 0.00**) and at 12th weeks (t = 8.78, p = 0.00**)

Issued also as CD