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A psoriasis patient experience of a nurse-led phototherapy service in a Dublin hospital

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Background: Phototherapy remains a treatment option for moderate to severe psoriasis, generally after referral to secondary care. Objective: To examine the influence of socio-demographic and clinical factors on psoriasis patients' quality of life, response to treatment and to evaluate satisfaction of these patients with the service and education provided in a nurse-led phototherapy unit. Methods: A prospective, cohort design was used. A questionnaire was formulated and case notes were used to derive clinical data. PASI and DLQI were included. Results: The median patient age was 36 (range 16-89), 79.8% of patients achieved 90%+ improvement in their PASI and 92% patients achieved 50%+ improvement in their DLQI with an average number of 26 treatments. Few factors were associated with improvements in PASI or DLQI. PASI improved most in those without joint pain. Older patients had a lower DLQI. Patients were most satisfied with the dignity and respect shown to them. Patients were least satisfied with delays on the day of treatment for phototherapy. The nurses' knowledge was reassuring, and receiving education and samples of emollients was reported as beneficial. Conclusions: As a result of the study the authors aim to promote healthy lifestyle awareness as part of education sessions, expand the provision of moisturiser samples to patients and improve communication with regard to treatment delays. Findings may also suggest a cumulative negative impact on quality of life over the years: as age increased, the DLQI improvement decreased. Declaration of interest: None.
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Keywords: DLQI; PASI; PHOTOTHERAPY; PSORIASIS; SATISFACTION

Document Type: Research Article

Publication date: June 1, 2015

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  • Dermatological Nursing is the quarterly, peer-reviewed journal of the British Dermatological Nursing Group (BDNG) and the UK's only quality dermatological nursing journal. It aims to provide cutting-edge articles on the treatment and management of dermatological conditions and the care of patients with skin problems. While the focus is on dermatological nursing, the information included is relevant to other healthcare professionals.
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