[Quality of life and sleep quality in patients with chronic pruritus].

Dermatologie (Heidelberg, Germany) Pub Date : 2024-08-01 Epub Date: 2024-06-24 DOI:10.1007/s00105-024-05373-0
Caroline Mann, Petra Staubach
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Abstract

Pruritus is defined as a symptom that leads to scratching. Clinically, a heterogeneous group of clinical pictures of different etiology must be considered. Pruritus is characterized by varying intensity and duration. Many patients and/or their social environment, which is influenced by this, cite the impact on sleep quality as an accompanying main symptom. The patient's quality of life is affected depending on the severity of the pruritus and often leads to comorbidity such as depressive disorders or sleep disorders as well as to an impact on psychosocial well-being if it becomes chronic. To date, in addition to the medical history, the established examination methods have been the determination of the disease burden by assessing disease activity, e.g., with validated disease-specific scores, plus the assessment of quality of life using a dermatological quality of life index (DLQI). The latest studies show that this is by no means sufficient to determine the severity of disease and, as a result, to identify adequate treatment options.

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[慢性瘙痒症患者的生活质量和睡眠质量]
瘙痒被定义为导致搔抓的症状。在临床上,必须考虑到不同病因引起的各种临床表现。瘙痒的强度和持续时间各不相同。许多患者和/或其社会环境受其影响,将影响睡眠质量作为伴随的主要症状。患者的生活质量会因瘙痒的严重程度而受到影响,并经常导致合并症,如抑郁障碍或睡眠障碍,如果瘙痒变成慢性,还会影响社会心理健康。迄今为止,除病史外,既定的检查方法还包括通过评估疾病活动性(如使用经验证的疾病特异性评分)来确定疾病负担,以及使用皮肤病生活质量指数(DLQI)评估生活质量。最新研究表明,这还不足以确定疾病的严重程度,因此也无法确定适当的治疗方案。
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