Produção científica acerca qualidade de vida de pacientes com psoríase

Abstract

INTRODUCTION: Psoriasis is a chronic inflammatory condition characterized by epidermal hyperplasia and inappropriate immune activation, affecting the skin and joints, leading to multiple comorbidities, and impacting the quality of life. OBJECTIVE: To analyze the scientific production regarding the quality of life of patients with psoriasis. METHODOLOGY: This is an integrative literature review conducted in six (06) steps according to Mendes, Silveira & Galvão (2008). The study was conducted using the MEDLINE, BDENF, and LILACS databases accessed through BVS. RESULTS: Individuals with chronic diseases may experience altered quality of life as they need to modify habits and develop adaptive processes to the disease. The main impacts of psoriasis on quality of life include restrictions on daily activities with a loss of social and even family well-being, feelings of guilt and shame, an increased substantial risk of premature mortality and occurrences of psychiatric disorders, as well as suicidal thoughts. Concern for the quality of life of patients with dermatological conditions, such as psoriasis, led to the development of the Dermatology Life Quality Index-Relevant (DLQI-R). DISCUSSION: The impact of psoriasis may not be necessarily evident at its first clinical manifestation but rather when the individual recognizes the disease and its consequences in daily life. Psoriasis onset in adulthood is associated with stressful situations, challenges, and life changes such as a family member's illness, grief, divorce, excessive workload, and academic difficulties. Patients' perception of their physical appearance is linked to a greater impact on daily activities and social exclusion, potentially compromising daily activities and overall quality of life. CONCLUSION: The role of the nurse in treating people with psoriasis is of paramount importance, observing treatment adherence, identifying aspects that may hinder disease management, and providing necessary support, all with the patient's well-being in mind.