Journal
JOURNAL OF DERMATOLOGICAL TREATMENT
Volume 30, Issue 6, Pages 525-528Publisher
TAYLOR & FRANCIS LTD
DOI: 10.1080/09546634.2018.1476652
Keywords
Psoriasis; medication adherence; influence factors; health education
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Funding
- Shandong Medical University Skin Disease Hospital
- Jining City First People's Hospital
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Background: The medication adherence of psoriasis patients may be influenced by a series combined internal and external factors. Effective methods for improving adherence could improve treatment outcomes. Objective: To characterize medication adherence in psoriasis patients in China and to test an intervention to improve psoriasis patients' adherence. Methods: We investigated 200 patients with psoriasis using questionnaires to determine their medication adherence and the factors that influence adherence. In 117 patients, low medication adherence was identified; we randomized 96 of these patients into intervention group and control groups. The intervention group received health education during 6-month therapy. One-way analysis of variance (one-way ANOVA) was used to analyze the influence factors of medication adherence to further obtain the variables. Logistic regression was used to analyze these data. Results: Adherence of psoriasis patients was poor (41.5%). Factors associated with adherence included sociological characteristics, disease characteristics, medicine type, the cognitive level toward psoriasis, care indicators, and social environment. Patients in the intervention group exhibited greater adherence improvement (83.7%) compared with the control group (6.4%). Conclusions: Medication adherence of the psoriasis patients is poor but can be improved by a health education intervention.
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