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SKABİYEZLİ HASTALARIN AİLELERİNİN YAŞAM KALİTESİNİN DEĞERLENDİRİLMESİ

Year 2025, Volume: 26 Issue: 1, 16 - 20, 27.01.2025
https://doi.org/10.18229/kocatepetip.1456538

Abstract

AMAÇ: Skabiyez, deriye yerleşen ve şiddetli kaşıntıya neden olan Sarcoptes scabiei akarının neden olduğu bulaşıcı bir cilt hastalığıdır. Kronik cilt hastalıkları sadece hastayı değil, aynı zamanda dolaylı olarak aile üyelerini ve eşlerini de etkiler. Bu çalışmada amaç, dermatoloji polikliniğine başvuran skabiyez tanılı hastaların partner/eşlerinin yaşam kalitelerinin değerlendirilmesidir.
GEREÇ VE YÖNTEM: Bu kesitsel çalışmaya, dermatoloji polikliniğine başvurup, çalışmaya katılmayı kabul eden skabiyez tanısı alan 18 yaş üstü hastalar ve partner/eşleri dahil edilmiştir. Hastaların sosyodemografik özelliklerini incelemek için sosyodemografik veri formu ve ailelerin yaşam kalitesini değerlendirmek için Aile Dermatoloji Yaşam Kalite İndeksi (Family Dermatology Life Quality Index, FDLQI) formu doldurtuldu.
BULGULAR: Çalışmaya skabiyez tanılı 25 erkek ve 25 kadın hasta ve hastaların 18 yaş üstünde 50 partner/eşi katılmıştır. Hastaların yaş ortalaması 50±11,34 olarak saptandı. Hastaların 24’ünün (%48) partner/eşinde benzer şekilde geceleri artan gündüz azalan kaşıntı mevcuttu. Hastaların yarısından çoğunda geceleri uyku bozukluğu mevcuttu (32 hasta, %64). Toplam FDLQI skoru erkek hastaların partner/eşinde 14,64±6,73 iken kadın hastaların partner/eşinde 10,08±7,26 olarak saptandı. Bu skorlar arasında istatistiksel olarak anlamlı farklılık vardı. Buna göre erkek skabiyez hastalarının partner/eşinde yaşam kalitesinde daha fazla etkilenme olduğu sonucuna ulaşıldı.
SONUÇ: Skabiyez, tanısı konulduğunda rahatlıkla tedavi edilebilir bir hastalık olduğu halde, kronik inflamatuar pek çok dermatoz ile benzer şekilde yaşam kalitesini etkilemektedir. Bu da bize bulaşıcı paraziter bir hastalığın tedavi edilmediği taktirde hem hastayı hem de aile bireylerini özellikle eş/partnerleri önemli derecede etkileyebileceğini göstermektedir.

Ethical Statement

Çalışma için yerel etik kurul (AFSU 2011-KAEK-2/2023/3) onayı alındı. Bu çalışma Helsinki Deklarasyonu'nun etik standartlarına uygun olarak gerçekleştirilmiştir. Çalışmaya katılan tüm katılımcılardan bilgilendirilmiş onam formu alındı.

References

  • 1. Burkhart CG. Scabies: an epidemiologic reassessment. Ann Int Med.1983;98:498–503.
  • 2. Stamm LV, Strowd LC. Ignoring the "Itch": The Global Health Problem of Scabies. Am J Trop Med Hyg. 2017;97(6):1647-9.
  • 3. Swe PM, Christian LD, Lu HC, Sriprakash KS, Fischer K. Complement inhibition by Sarcoptes scabiei protects Streptococcus pyogenes - An in vitro study to unravel the molecular mechanisms behind the poorly understood predilection of S. pyogenes to infect mite-induced skin lesions. PLoS Negl Trop Dis. 2017;11(3):e0005437.
  • 4. Vos T, Abajobir AA, Abate KH, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017;390(10100):1211–59.
  • 5. Jannic A, Bernigaud C, Brenaut E, Chosidow O. Scabies Itch. Dermatol Clin. 2018;36(3):301-8.
  • 6. Worth C, Heukelbach J, Fengler G, et al. Impaired quality of life in adults and children with scabies from an impoverished community in Brazil. Int J Dermatol. 2012;51(3):275–82.
  • 7. Mitchell E, Bell S, Thean LJ, et al. Community perspectives on scabies, impetigo and mass drug administration in Fiji: a qualitative study. PLoS Negl Trop Dis. 2020;14(12):e0008825.
  • 8. Newton DC, McCabe MP. Sexually transmitted infections: impact on individuals and their relationships. J Health Psychol. 2008; 13: 864–9.
  • 9. Basra MK, Finlay AY. The family impact of skin diseases: the Greater Patient concept. Br J Dermatol. 2007;156(5):929-37.
  • 10. Basra MK, Sue-Ho R, Finlay AY. The Family Dermatology Life Quality Index: measuring the secondary impact of skin disease. Br J Dermatol. 2007;156(3):528-38.
  • 11. Yılmaz Ö, Türkeli A, Yüksel H. Aile Dermatoloji Yaşam Kalitesi İndeksinin FDLQI Türkçe Geçerlilik ve Güvenilirliği, Allerjik Hastalıklar ve Klinik İmmünolojide Tedavi Sempozyumu 2011, Turkey.
  • 12. Nair PA, Vora RV, Jivani NB, Gandhi SS. A Study of Clinical Profile and Quality of Life in Patients with Scabies at a Rural Tertiary Care Centre. J Clin Diagn Res. 2016;10(10):WC01-WC05.
  • 13. Lake SJ, Engelman D, Sokana O, et al. Health-related quality of life impact of scabies in the Solomon Islands. Trans R Soc Trop Med Hyg. 2022;116(2):148-56.
  • 14. Jin-gang A, Sheng-xiang X, Sheng-bin X, et al. Quality of life of patients with scabies. J Eur Acad Dermatol Venereol. 2010;24(10):1187-91.
  • 15. Rees J, O'Boyle C, MacDonagh R. Quality of life: impact of chronic illness on the partner. J R Soc Med. 2001;94(11):563-66.
  • 16. Ben-Gashir MA, Seed PT, Hay RJ. Are quality of family life and disease severity related in childhood atopic dermatitis? J Eur Acad Dermatol Venereol. 2002;16:455-62.
  • 17. Żychowska M, Reich A, Maj J, Jankowska-Konsur A, Szepietowski JC. Impact of Childhood Psoriasis on Caregivers' Quality of Life, Measured with Family Dermatology Life Quality Index. Acta Derm Venereol. 2020;100(15):adv00244.
  • 18. Ghodsi SZ, Asadi A, Ghandi N, et al. Family impact of pemphigus disease in an Iranian population using the Family Dermatology Life Quality Index. Int J Womens Dermatol. 2020;6(5):409-13.
  • 19. Kilic N, Kilic M. Investigation of Quality of Life of Patients with Atopic Dermatitis and Quality of Life, Psychiatric Symptomatology, and Caregiver Burden of Their Mothers. Children (Basel). 2023;10(9):1487.
  • 20. Min M, Malhi JK, Chambers CJ, Sivamani R. Impact of Pediatric Dermatologic Conditions on Child and Parent Quality of Life. Cureus. 2023;15(7):e42068.
  • 21. Putterman E, Patel DP, Andrade G, et al. Severity of disease and quality of life in parents of children with alopecia areata, totalis, and universalis: A prospective, cross-sectional study. J Am Acad Dermatol. 2019;80(5):1389-94.
  • 22. Andrade G, Rangu S, Provini L, Putterman E, Gauthier A, Castelo-Soccio L. Childhood vitiligo impacts emotional health of parents: a prospective, cross-sectional study of quality of life for primary caregivers. J Patient Rep Outcomes. 2020;4(1):20.

EVALUATING THE QUALITY OF LIFE OF THE FAMILIES OF PATIENTS WITH SCABIASIS

Year 2025, Volume: 26 Issue: 1, 16 - 20, 27.01.2025
https://doi.org/10.18229/kocatepetip.1456538

Abstract

OBJECTIVE: Scabies is an infectious skin disease caused by the Sarcoptes scabiei mite, which burrows into the skin and causes severe itching. Chronic skin diseases not only affect the patient but also indirectly their family members and partners. The aim of this study is to evaluate the quality of life of the patients’ partners diagnosed with scabies who apply to the dermatology outpatient clinic.
MATERIAL AND METHODS: This cross-sectional study included patients over 18 years of age diagnosed with scabies who applied to the dermatology outpatient clinic and agreed to participate in the study, and their partners. A sociodemographic data form was filled out to examine the sociodemographic characteristics of the patients, and a Family Dermatology Life Quality Index (FDLQI) form was filled out to evaluate the quality of life of the families.
RESULTS: 25 male and 25 female patients diagnosed with scabies and 50 partners of the patients over the age of 18 participated in the study. The mean age of the patients was 50±11.34. The partners of 24 (48%) of the patients had similar itching that increased at night and decreased during the day. More than half of the patients had sleep disturbances at night (32 patients, 64%). The total FDLQI score was found to be 14.64±6.73 in the partners of male patients, while it was 10.08±7.26 in the partners of female patients. There was a statistically significant difference between these scores. Accordingly, it was concluded that the quality of life was more affected in the partners of male scabies patients.
CONCLUSIONS: Although scabies is a disease that can be easily treated once diagnosed, it affects the quality of life in a similar way to many chronic inflammatory dermatoses. This shows us that an infectious parasitic disease, if left untreated, can significantly affect both the patient and family members, especially partners.

References

  • 1. Burkhart CG. Scabies: an epidemiologic reassessment. Ann Int Med.1983;98:498–503.
  • 2. Stamm LV, Strowd LC. Ignoring the "Itch": The Global Health Problem of Scabies. Am J Trop Med Hyg. 2017;97(6):1647-9.
  • 3. Swe PM, Christian LD, Lu HC, Sriprakash KS, Fischer K. Complement inhibition by Sarcoptes scabiei protects Streptococcus pyogenes - An in vitro study to unravel the molecular mechanisms behind the poorly understood predilection of S. pyogenes to infect mite-induced skin lesions. PLoS Negl Trop Dis. 2017;11(3):e0005437.
  • 4. Vos T, Abajobir AA, Abate KH, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017;390(10100):1211–59.
  • 5. Jannic A, Bernigaud C, Brenaut E, Chosidow O. Scabies Itch. Dermatol Clin. 2018;36(3):301-8.
  • 6. Worth C, Heukelbach J, Fengler G, et al. Impaired quality of life in adults and children with scabies from an impoverished community in Brazil. Int J Dermatol. 2012;51(3):275–82.
  • 7. Mitchell E, Bell S, Thean LJ, et al. Community perspectives on scabies, impetigo and mass drug administration in Fiji: a qualitative study. PLoS Negl Trop Dis. 2020;14(12):e0008825.
  • 8. Newton DC, McCabe MP. Sexually transmitted infections: impact on individuals and their relationships. J Health Psychol. 2008; 13: 864–9.
  • 9. Basra MK, Finlay AY. The family impact of skin diseases: the Greater Patient concept. Br J Dermatol. 2007;156(5):929-37.
  • 10. Basra MK, Sue-Ho R, Finlay AY. The Family Dermatology Life Quality Index: measuring the secondary impact of skin disease. Br J Dermatol. 2007;156(3):528-38.
  • 11. Yılmaz Ö, Türkeli A, Yüksel H. Aile Dermatoloji Yaşam Kalitesi İndeksinin FDLQI Türkçe Geçerlilik ve Güvenilirliği, Allerjik Hastalıklar ve Klinik İmmünolojide Tedavi Sempozyumu 2011, Turkey.
  • 12. Nair PA, Vora RV, Jivani NB, Gandhi SS. A Study of Clinical Profile and Quality of Life in Patients with Scabies at a Rural Tertiary Care Centre. J Clin Diagn Res. 2016;10(10):WC01-WC05.
  • 13. Lake SJ, Engelman D, Sokana O, et al. Health-related quality of life impact of scabies in the Solomon Islands. Trans R Soc Trop Med Hyg. 2022;116(2):148-56.
  • 14. Jin-gang A, Sheng-xiang X, Sheng-bin X, et al. Quality of life of patients with scabies. J Eur Acad Dermatol Venereol. 2010;24(10):1187-91.
  • 15. Rees J, O'Boyle C, MacDonagh R. Quality of life: impact of chronic illness on the partner. J R Soc Med. 2001;94(11):563-66.
  • 16. Ben-Gashir MA, Seed PT, Hay RJ. Are quality of family life and disease severity related in childhood atopic dermatitis? J Eur Acad Dermatol Venereol. 2002;16:455-62.
  • 17. Żychowska M, Reich A, Maj J, Jankowska-Konsur A, Szepietowski JC. Impact of Childhood Psoriasis on Caregivers' Quality of Life, Measured with Family Dermatology Life Quality Index. Acta Derm Venereol. 2020;100(15):adv00244.
  • 18. Ghodsi SZ, Asadi A, Ghandi N, et al. Family impact of pemphigus disease in an Iranian population using the Family Dermatology Life Quality Index. Int J Womens Dermatol. 2020;6(5):409-13.
  • 19. Kilic N, Kilic M. Investigation of Quality of Life of Patients with Atopic Dermatitis and Quality of Life, Psychiatric Symptomatology, and Caregiver Burden of Their Mothers. Children (Basel). 2023;10(9):1487.
  • 20. Min M, Malhi JK, Chambers CJ, Sivamani R. Impact of Pediatric Dermatologic Conditions on Child and Parent Quality of Life. Cureus. 2023;15(7):e42068.
  • 21. Putterman E, Patel DP, Andrade G, et al. Severity of disease and quality of life in parents of children with alopecia areata, totalis, and universalis: A prospective, cross-sectional study. J Am Acad Dermatol. 2019;80(5):1389-94.
  • 22. Andrade G, Rangu S, Provini L, Putterman E, Gauthier A, Castelo-Soccio L. Childhood vitiligo impacts emotional health of parents: a prospective, cross-sectional study of quality of life for primary caregivers. J Patient Rep Outcomes. 2020;4(1):20.
There are 22 citations in total.

Details

Primary Language Turkish
Subjects Dermatology
Journal Section Articles
Authors

Gulhan Gurel 0000-0001-5716-8750

Bahar Süncak 0009-0003-8113-1466

Nagihan Özdemir 0009-0003-9290-1534

Publication Date January 27, 2025
Submission Date March 21, 2024
Acceptance Date August 2, 2024
Published in Issue Year 2025 Volume: 26 Issue: 1

Cite

APA Gurel, G., Süncak, B., & Özdemir, N. (2025). SKABİYEZLİ HASTALARIN AİLELERİNİN YAŞAM KALİTESİNİN DEĞERLENDİRİLMESİ. Kocatepe Tıp Dergisi, 26(1), 16-20. https://doi.org/10.18229/kocatepetip.1456538
AMA Gurel G, Süncak B, Özdemir N. SKABİYEZLİ HASTALARIN AİLELERİNİN YAŞAM KALİTESİNİN DEĞERLENDİRİLMESİ. KTD. January 2025;26(1):16-20. doi:10.18229/kocatepetip.1456538
Chicago Gurel, Gulhan, Bahar Süncak, and Nagihan Özdemir. “SKABİYEZLİ HASTALARIN AİLELERİNİN YAŞAM KALİTESİNİN DEĞERLENDİRİLMESİ”. Kocatepe Tıp Dergisi 26, no. 1 (January 2025): 16-20. https://doi.org/10.18229/kocatepetip.1456538.
EndNote Gurel G, Süncak B, Özdemir N (January 1, 2025) SKABİYEZLİ HASTALARIN AİLELERİNİN YAŞAM KALİTESİNİN DEĞERLENDİRİLMESİ. Kocatepe Tıp Dergisi 26 1 16–20.
IEEE G. Gurel, B. Süncak, and N. Özdemir, “SKABİYEZLİ HASTALARIN AİLELERİNİN YAŞAM KALİTESİNİN DEĞERLENDİRİLMESİ”, KTD, vol. 26, no. 1, pp. 16–20, 2025, doi: 10.18229/kocatepetip.1456538.
ISNAD Gurel, Gulhan et al. “SKABİYEZLİ HASTALARIN AİLELERİNİN YAŞAM KALİTESİNİN DEĞERLENDİRİLMESİ”. Kocatepe Tıp Dergisi 26/1 (January 2025), 16-20. https://doi.org/10.18229/kocatepetip.1456538.
JAMA Gurel G, Süncak B, Özdemir N. SKABİYEZLİ HASTALARIN AİLELERİNİN YAŞAM KALİTESİNİN DEĞERLENDİRİLMESİ. KTD. 2025;26:16–20.
MLA Gurel, Gulhan et al. “SKABİYEZLİ HASTALARIN AİLELERİNİN YAŞAM KALİTESİNİN DEĞERLENDİRİLMESİ”. Kocatepe Tıp Dergisi, vol. 26, no. 1, 2025, pp. 16-20, doi:10.18229/kocatepetip.1456538.
Vancouver Gurel G, Süncak B, Özdemir N. SKABİYEZLİ HASTALARIN AİLELERİNİN YAŞAM KALİTESİNİN DEĞERLENDİRİLMESİ. KTD. 2025;26(1):16-20.

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