Protocolo de autocuidado para pacientes con psoriasis desde la farmacia comunitaria

Autores/as

DOI:

https://doi.org/10.60103/phc.v25i3.805

Palabras clave:

autocuidado; psoriasis; farmacia comunitaria; calidad de vida; adherencia terapéutica

Resumen

Introducción: Debido a la baja calidad de vida y adherencia al tratamiento de los pacientes con psoriasis se plantea desarrollar un protocolo de empoderamiento que conduzca a un mayor conocimiento del autocuidado en pacientes con esta patología, acorde a sus necesidades, siendo importante el papel del farmacéutico para la mejora de ambos. 

Método: Se administró el test Morisky Green-4 items y el cuestionario Dermatology Life Quality Index a 40 pacientes con psoriasis que acudían a una farmacia comunitaria. Con estos datos, la información de las guías clínicas y la colaboración con un dermatólogo, se diseñó un protocolo de autocuidado.

Resultados: Se observó falta de adherencia en el 100% de los pacientes y una calidad de vida leve/moderada (5,3±4,2), en las preguntas relacionadas con: los síntomas cutáneos afectan mucho/muy al 50% de los pacientes y la sensación de vergüenza y dificultad con su tratamiento entre poco y mucho en el 60%. Con estos resultados se diseñaron dos dípticos. A los 3 meses la calidad de vida mejoró a 3,98±2,05, p=0,048, y se observó falta de adherencia en el 70% de los pacientes.

Conclusiones: Los protocolos de autocuidado son necesarios para mejorar la calidad de vida de los pacientes crónicos. El papel del farmacéutico es importante a través de un protocolo de autocuidado en pacientes con psoriasis, ayudando a mejorar la adherencia al tratamiento y la calidad de vida.

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Jonkman N, Schuurmans M, Jaarsma T, Shortridge-Baggett L, Hoes A, Trappenburg J. Self-management interventions: Proposal and validation of a new operational definition. J Clin Epidemiol. 2016; 80:34-42. doi:10.1016/j.jclinepi.2016.08.001

Barbanel D, Eldridge S, Griffiths C. Can a self-management programme delivered by a community pharmacist improve asthma control? A randomised trial. Thorax. 2003; 58(10):851-4. doi:10.1136/thorax.58.10.851

Chalder T, Wallace P, Wessely S. Self-help treatment of chronic fatigue in the community: A randomized controlled trial. British Journal of Health Psychology.1997; 2(3):189-97. doi:10.1111/j.2044-8287.1997.tb00535.x

Efraimsson E, Hillervik C, Ehrenberg A. Effects of COPD self-care management education at a nurse-led primary health care clinic. Scand J Caring Sci. 2008; 22(2):178-85. doi:10.1111/j.1471-6712.2007.00510.x

Goudswaard A, Stolk R, Zuithoff N, de Valk H, Rutten G. Long-term effects of self-management education for patients with Type 2 diabetes taking maximal oral hypoglycaemic therapy: a randomized trial in primary care. Diabet Med. 2004; 21(5):491-6. doi:10.1111/j.1464-5491.2004.01153.x

Heitkemper M, Jarrett M, Levy R, Cain K, Burr R, Feld A, et al. Self-management for women with irritable bowel syndrome. Clin Gastroenterol Hepatol. 2004; 2(7):585-96. doi:10.1016/S1542-3565(04)00242-3

Hill K, Mangovski-Alzamora S, Blouin M, Guyatt G, Heels-Ansdell D, Bragaglia P, et al. Disease-specific education in the primary care setting increases the knowledge of people with chronic obstructive pulmonary disease: A randomized controlled trial. Patient Educ Couns. 2010; 81(1):14-8. doi:10.1016/j.pec.2009.09.035

Striegel-Moore R, Wilson G, DeBar L, Perrin N, Lynch F, Rosselli F, et al. Cognitive Behavioral Guided Self-Help for the Treatment of Recurrent Binge Eating. Journal of consulting and clinical psychology. 2010; 78(3):312-21. doi:10.1037/a0018915

Waite P, McManus F, Shafran R. Cognitive behaviour therapy for low self-esteem: a preliminary randomized controlled trial in a primary care setting. J Behav Ther Exp Psychiatry. 2012; 43(4):1049-57. doi:10.1016/j.jbtep.2012.04.006

Watkins E, Taylor R, Byng R, Baeyens C, Read R, Pearson K, et al. Guided self-help concreteness training as an intervention for major depression in primary care: a Phase II randomized controlled trial. Psychological medicine. 2012; 42(7):1359-71. doi:10.1017/S0033291711002480

Williams C, Wilson P, Morrison J, McMahon A, Walker A, Allan L, et al. Guided self-help cognitive behavioural therapy for depression in primary care: a randomised controlled trial. PloS one. 2013; 8(1):e52735. doi:10.1371/journal.pone.0052735

Oliveira Mde F, Rocha Bde O, Duarte GV. Psoriasis: classical and emerging comorbidities. An Bras Dermatol. 2015; 90(1):9-20. doi: 10.1590/abd1806-4841.20153038

Tucker R, Stewart D. The role of community pharmacists in supporting self-management in patients with psoriasis. Int J Pharm Pract. 2017; 25(2):140-146. doi: 10.1111/ijpp.12298

Karapetyan S, Davtyan H, Khachikyan K, Hakobyan G. Impact of supplemental essential phospholipids on treatment outcome and quality of life of patients with psoriasis with moderate severity. Dermatol Ther. 2022; e15335. doi: 10.1111/dth.15335

Morisky DE, Green LW, Levine DM. Concurrent and predictive validity of a self-reported measure of medication adherence. Med Care. 1986; 24(1):67–74. doi:10.1097/00005650-198601000-00007

Thorneloe RJ, Bundy C, Griffiths CEM, Ashcroft DM, Cordingley L. Adherence to medication in patients with psoriasis: a systematic literature review. Br J Dermatol. 2013;168(1):20-31. doi:10.1111/bjd.12039

Luo Y, Chen J, Kuai L, Zhang Y, Ding X, Luo Y, et al. Chinese Herbal Medicine for Psoriasis: Evidence From 11 High-Quality Randomized Controlled Trials. Front Pharmacol. 2021; 11:599433. doi:0.3389/fphar.2020.599433

Nagpal N, Gordon-Elliott J, Lipner S. Comparison of quality of life and illness perception among patients with acne, eczema, and psoriasis. Dermatol Online J. 2019;15;25(5):13030/qt3fk3f989. doi:10.5070/D3255044060

Gordon-Elliott JS, Muskin PR. Managing the patient with psychiatric issues in dermatologic practice. Clin Dermatol. 2013;31(1):3-10. doi: 10.1016/j.clindermatol.2011.11.001

Zhao M, Gönczi L, Lakatos PL, Burisch J. The burden of inflammatory bowel disease in Europe in 2020. J Crohns Colitis. 2021;15(9):1573-1587. doi:10.1093/ecco-jcc/jjab029

Gupta M, Gupta K. Depression and suicidal ideation in dermatology patients with acne, alopecia areata, atopic dermatitis and psoriasis. Br J Dermatol. 1998;139(5):846-850. doi:10.1046/j.1365-2133.1998.02511.x

Stein Gold L, Corvari L. The roles of safety and compliance in determining effectiveness of topical therapy for psoriasis. Cutis. 2007; 79(1 Suppl 2):32-8.

Mason AR, Mason J, Cork M, Dooley G, Hancock H. Topical treatments for chronic plaque psoriasis. Cochrane Database Syst Rev. 2013;3:CD005028. doi:10.1002/14651858.CD005028.pub3

Alfageme Roldán F, Bermejo Hernando A, Calvo González JL, Marqués Sánchez P. Cost Effectiveness of Treatments of Psoriasis with a PASI 75 and one Period of 12 Weeks. Rev Esp Salud Publica. 2016; 90:E15.

Brown KK, Rehmus WE, Kimball AB. Determining the relative importance of patient motivations for nonadherence to topical corticosteroid therapy in psoriasis. J Am Acad Dermatol. 2006; 55:607-613. doi:10.1016/j.jaad.2005.12.021

Fouéré S, Adjadj L, Pawin H. How patients experience psoriasis: results from a European survey. J Eur Acad Dermatol Venereol. 2005;19 Suppl 3:2-6. doi:10.1111/j.1468-3083.2005.01329.x

Devaux S, Castela A, Archier E, Gallini A, Joly P, Misery L, et al. Adherence to topical treatment in psoriasis: a systematic literature review. J Eur Acad Dermatol Venereol. 2012; 26 Suppl 3:61-67. doi:10.1111/j.1468-3083.2012.04525.x

Svendsen MT, Andersen F, Andersen KH, Andersen KE. Can an app supporting psoriasis patients improve adherence to topical treatment? A single-blind randomized controlled trial. BMC Dermatol. 2018;18(1):2. doi:10.1186/s12895-018-0071-3

Svendsen MT, Andersen F, Andersen KH, Pottegård A, Johannessen H, Möller S, et al. A smartphone application supporting patients with psoriasis improves adherence to topical treatment: a randomized controlled trial. Br J Dermatol. 2018;179(5):1062. doi:10.1111/bjd.16667

Choi JW, Kim BR, Youn SW. Adherence to Topical Therapies for the Treatment of Psoriasis: Surveys of Physicians and Patients. Ann Dermatol. 2017; 29(5):559-564. doi:10.5021/ad.2017.29.5.559

Davis SA, Lin HC, Yu CH, Balkrishnan R, Feldman SR. Underuse of early follow-up visits: a missed opportunity to improve patients' adherence. J Drugs Dermatol 2014;13:833-836.

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Publicado

15-06-2023

Cómo citar

Paradas Palomo, T., Valverde Merino, M. I., Martinez Martinez, F., & Zarzuelo Romero, M. J. (2023). Protocolo de autocuidado para pacientes con psoriasis desde la farmacia comunitaria. Pharmaceutical Care España, 25(3), 30–43. https://doi.org/10.60103/phc.v25i3.805

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