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Pharmaceutical Care España

On-line version ISSN 2794-1140Print version ISSN 1139-6202

Abstract

PARADAS-PALOMO, Teresa; VALVERDE-MERINO, Maria Isabel; MARTINEZ-MARTINEZ, Fernando  and  ZARZUELO-ROMERO, Maria José. Self-care protocol for patients with psoriasis from community pharmacy. Pharm Care Esp. [online]. 2023, vol.25, n.3, pp.30-43.  Epub Jan 22, 2024. ISSN 2794-1140.  https://dx.doi.org/10.60103/phc.v25i3.805.

Introduction:

Due to the low quality of life and adherence to treatment of patients with psoriasis, it is proposed to develop an empowerment protocol that leads to greater knowledge of self-care in patients with this pathology, according to their needs, with the role of the pharmacist being important for the improvement of both.

Method:

The Morisky Green-4 items test and the Dermatology Life Quality Index questionnaire were administered to 40 patients with psoriasis who attended a community pharmacy. With these data, information from clinical guidelines and collaboration with a dermatologist, a self-care protocol was designed.

Results:

Lack of adherence was observed in 100% of the patients and a mild/moderate quality of life (5.3±4.2), in questions related to: skin symptoms affect a lot/very much 50% of the patients and feeling of embarrassment and difficulty with their treatment between a little and a lot in 60%. With these results, two diptychs were designed. Three months later, the quality of life improved to 3.98±2.05, p=0.048, and non-adherence was observed in 70% of the patients.

Conclusions:

Self-care protocols are necessary to improve quality of life of chronic patients. The role of the pharmacist is important through a self-care protocol in patients with psoriasis, helping to improve adherence to treatment and quality of life.

Keywords : Self-care; psoriasis; community pharmacy; quality of life; therapeutic adherence.

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