Effect of Nursing Guidelines about Pruritus on Patients with Skin Diseases

Document Type : Original Article

Authors

1 Lecturer at Medical Surgical and Critical Care Nursing department, Faculty of Nursing, Beni- Suef University

2 Assistant professor of family and community health nursing, Faculty of nursing, Damietta university

3 Assistant professor of adult Medical-Surgical nursing, Faculty of nursing, South valley University, upper Egypt

4 Assistant professor of Department of Nursing, College of Applied Medical Sciences, Jouf University, Sakākā, Jouf, Saudi Arabia. Medical-Surgical Nursing Department, Faculty of Nursing, Menoufia University, Menoufia, Egypt.

5 Lecturer of community health nursing, faculty of nursing, Benha University

Abstract

Background: chronic pruritus is a common complaint among patients with skin diseases,
which impacts on the quality of life. Aim: to evaluate the effect of implementing nursing guidelines
about pruritus on patients with skin diseases. Design: A quasi-experimental research design was
used. Setting: The study was conducted at the department of Dermatology and the outpatient clinic
of dermatology at Beni-Suef University Hospital. Sample the study included a convenient sample
of 80 patients with chronic pruritus. Tools of data collection: Three tools were used. Tool (I): A
structured interview questionnaire included three parts; part 1. patients’ demographic characteristics
e.g., age, sex, education level, part 2:patients ’clinical data to assess health condition and part 3
patients ’level of knowledge about pruritus Tool (II): Pruritus area Severity Index (PASI) for
assessing severity of pruritus & tool (III): Dermatology Life Quality Index (DLQI) to assess the
health-related quality of life of adult patients suffering from a skin disease Results: nursing
guidelines implementation showed a significant difference on patients level of knowledge, Pruritus
area Severity Index and QOL among patients with skin diseases with p value = <0.05, Also there
was highly statistically significant correlation between Knowledge score, Dermatology life quality
Index (DLQI) and PASI score with p-value = <0.001 Conclusion: application of nursing guidelines
are appropriate way to improving patients level of knowledge, quality of life and decreasing
severity of chronic pruritus among patients with skin diseases. Recommendations: This study
recommend implementing nursing guidelines about pruritus as part of the routine primary care
service provided for patients with skin diseases.

Keywords