Psoriasis hastalarında sigara içme durumu ile yaşam kalitesi arasındaki ilişkide hastalık şiddetinin aracı etkisi

Year 2022, Volume: 47 Issue: 2, 792 - 799, 30.06.2022

Mustafa Tosun , Gülnur İlgün , Nurperihan Tosun

https://doi.org/10.17826/cumj.1088577

Abstract

Amaç: Bu çalışmada, psoriasis hastalarında sigara kullanımı ile yaşam kalitesi arasındaki ilişkinin incelenmesi ve bu ilişkide hastalık şiddetinin aracı rolünün araştırılması amaçlanmıştır.
Gereç ve Yöntem: Çalışmada 268 psoriasis hastasına kolayda örnekleme yöntemi ile ulaşılmıştır. Çalışmada hastaların yaşam kaliteleri “dermatoloji yaşam kalite indeksi (DLQI)” ve hastalık şiddetleri ise “psoriasis alan ve şiddet indeksi (PASI)” ile ölçülmüştür. Ayrıca bağımsız değişkenin (sigara içme) bağımlı değişken (yaşam kalitesi) üzerindeki etkisi, hem doğrudan etkisi hem de aracı değişken (hastalık şiddeti) aracılığıyla dolaylı etkisi süreç analizi ile incelenmiştir.
Bulgular: Sigara kullanma durumu cinsiyete, yaşa, medeni durumuna, mesleğe ve gelir gruplarına göre istatistiksel olarak anlamlı farklılık göstermektedir. Kadınların %17,02'si ve erkeklerin %44,09'u sigara içmektedir. Bekârların %19.74'ü ve evlilerin %33.85'i sigara içmektedir. İşsizlerin %20'si ve çalışanların %39,13'ü sigara içmektedir. Düşük gelirlilerin %17,76'sı, orta gelirlilerin %50,91'i ve yüksek gelirlilerin %40,98'i sigara içmektedir. Çalışmada temel olarak psoriasis hastalığında sigara içmenin yaşam kalitesi üzerinde doğrudan bir etkisinin olmadığı, ancak sigara içmenin hastalık şiddeti aracılığıyla yaşam kalitesi üzerinde dolaylı tam bir etkisinin olduğunu bulunmuştur.
Sonuç: Çalışmada sigara içmenin hem hastalık şiddeti aracılığıyla yaşam kalitesini olumsuz etkilediği bulunmuştur. Buna göre hastalar sigara içmenin hastalıkları üzerindeki etkisi konusunda bilgilendirilmesi önerilmektedir.

Keywords

Psoriasis, Sigara, Yaşam Kalitesi

Mediating effect of disease severity on the relationship between smoking status and quality of life in psoriasis patients

Abstract

Purpose: The aim of this study was to examine the relationship between smoking and quality of life and to investigate the mediating role of disease severity on this relationship in psoriasis patients.
Materials and Methods: In the study, 268 psoriasis patients were reached by the convenience sampling method. In the study, patients' quality of life was measured with “dermatology quality of life index (DLQI)” and disease severity was measured with “psoriasis area and severity index (PASI)”. The effect of the independent variable (smoking) on the dependent variable (quality of life), both directly and indirectly through the mediating variable (disease severity), was examined by process analysis.
Results: Smoking status shows statistically significant differences according to gender, age, marital status, occupation, and income groups. 17.02% of women and 44.09% of men smoke. 19.74% of single and 33.85% of married smoke. 20% of unemployed and 39.13% of employees smoke. 17.76% of low-income, 50.91% of middle-income, and 40.98% of high-income people smoke. This cross-sectional study revealed that smoking in psoriasis has no direct effect on the quality of life, but that smoking has a full indirect effect on the quality of life through disease severity.
Conclusion: In the study, it was found that smoking negatively affects the quality of life through both disease severity. Accordingly, it is recommended that patients be informed about the effect of smoking on their diseases.

Keywords

Psoriasis, Smoking, Quality of Life

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