乾癬患者における治療満足度調査  [in Japanese] The Results of a Satisfaction Survey Concerning Treatment for Psoriasis Patients  [in Japanese]

Access this Article

Author(s)

Abstract

目的:乾癬患者自身が,現在行われている治療をどのように評価しているのかを調査し,患者の治療に対するニーズを把握し,それを治療に反映させることにより,患者の治療満足度を向上させるために,治療効果,治療満足度,QOLなどに基づいた患者満足度調査を実施した.方法:18項目の患者記入欄と医師記入欄からなるアンケート調査表を作成し,8施設で試験を実施した.結果:アンケート調査表の回収が可能であった8施設262名の回答を集計した結果,現在の乾癬治療の総合満足度は,「満足」と「やや満足」の合計(満足率)が49%と改善の余地が認められた.現在の症状に対する治療効果の満足度では,「気になる」と「少し気になる」の合計(気になる率)が最も高かったのは「外観」であり,以下「ふけの量」,「かゆみ」の順であった.また,社会生活・心理面で「気になる率」が最も高かったのは「旅行・海水浴・水泳・温泉での人目」であった.また「高い治療効果を望む」という回答は男性あるいは重症患者に多く,「副作用は望まない」という回答は女性に多かった.さらに患者が改善を求める項目は属性により異なることから,患者個々の属性を十分に理解した治療の必要性が明らかになり,特に治療に関する情報提供,患者の社会生活や心理面への支援が重要であることが示唆された.

Objective : We wanted to evaluate how the psoriasis patients themselves evaluated their present treatment, in order to grasp the patient needs for treatment of, and to use the results of survey to develop future treatment, thus, improving the treatment satisfaction of patients. With these objectives in mind, we surveyed the degree of treatment satisfaction of patients based on treatment effectiveness, the degree of treatment satisfaction, QOL, and so on. Method : We drafted a questionnaire to be completed by patients and physicians with 18 questions and conducted this survey at the eight medical institutes. Result : We had 262 respondents to the questionnaire at the eight institutes and summarized their replies. The total of the respondents who were "satisfied" or "somewhat satisfied" with the present treatment of psoriasis (this total is defined as general degree of satisfaction) was 49%, which means that there remains room for improvement. We also surveyed satisfaction about treatment effectiveness against the present symptoms. The respondents who were "worried" or "somewhat worried" (this total is defined as degree of worry) mentioned "appearance" first of all, followed by "dandruff amount" and "itch". In the social life and psychological aspect, the highest "degree of worry" was that the patients wanted to avoid the eyes of others when they are traveling, sea bathing, swimming, visiting hot springs, etc. where they meet many strangers. Most of the respondents who "wanted high effectiveness of treatment" were men and severely affected patients, while most of the respondents who "did not want side effect" were women. Furthermore, patients with different profiles wanted different items to be improved. This result clarifies the necessity of treatments which take the profile of individual patient into full account. It also suggests the importance of giving patients full information about treatment and assisting them in their social life and psychological adjustment.

Journal

  • The Japanese Journal of Dermatology

    The Japanese Journal of Dermatology 113(14), 2059-2069, 2003-12-20

    Japanese Dermatological Association

References:  20

Cited by:  17

Codes

  • NII Article ID (NAID)
    10020430043
  • NII NACSIS-CAT ID (NCID)
    AN00196602
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    0021499X
  • NDL Article ID
    025122042
  • NDL Call No.
    Z19-202
  • Data Source
    CJP  CJPref  NDL  J-STAGE 
Page Top