QUALITY-OF-LIFE OF PERSONS WITH ONYCHOMYCOSIS

被引:99
作者
LUBECK, DP
PATRICK, DL
MCNULTY, P
FIFER, SK
BIRNBAUM, J
机构
[1] SYSTEMETR, SANTA BARBARA, CA USA
[2] SANDOZ PHARMACEUT CORP, S HANOVER, NJ USA
[3] STANFORD UNIV, MED CTR, SCH MED, DEPT MED, STANFORD, CA 94305 USA
[4] UNIV WASHINGTON, SCH PUBL HLTH, SEATTLE, WA 98195 USA
关键词
NAIL INFECTION; ONYCHOMYCOSIS; QUALITY OF LIFE;
D O I
10.1007/BF00449429
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Onychomycosis is a fungal infection of the nails which, although unsightly in appearance, is often considered to be a cosmetic problem. This research reports on the development and performance of a quality-of-life instrument to measure the impact of this disease on the patients' mental and general health, social functioning, pain, and self-confidence. In telephone interviews, 680 members of a health maintenance organization (299 with onychomycosis and 381 without) were asked a battery of items regarding quality of life (mental and social functioning, self-esteem, pain) and specific problems and symptoms related with one's nails. Persons with onychomycosis had significantly poorer ratings compared with the healthy persons with respect to general health (p = 0.02) and bodily pain p < 0.001). Persons with onychomycosis also had significantly (p < 0.05) poorer ratings for mental health, social functioning, health concern, physical appearance, and functional limitations associated with activities involving standing on one's feet or working with one's fingers. This study is the first to document the impact of onychomycosis on an individual's quality of life. Persons with onychomycosis may adapt to this condition, but they continue to experience embarrassment and discomfort that reduces their quality of life.
引用
收藏
页码:341 / 348
页数:8
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