背景:虽然治疗是治疗炎性皮肤病的决定性治疗部分,辅助皮肤护理包括适当的清洁,保湿,光保护同样重要。清洗,治疗,保湿,和光保护(CTMP)构成皮肤病的整体护肤常规的四个主要组成部分。然而,患者对病情的理解不足,医生资源有限,在繁忙的皮肤科咨询期间,对患者进行教育的时间不足是在现实世界中建立整体护肤程序的主要障碍。
目的:本研究旨在确定实施整体护肤常规的关键挑战,并为医生提供实用指导,以改善痤疮的管理,特应性皮炎,酒渣鼻,和敏感皮肤综合征.
方法:由来自澳大利亚的九名皮肤科医生组成的专家小组,中国,香港,台湾,印度,菲律宾,新加坡,韩国,和泰国召开会议,以达成共识声明,以刺激现实世界在痤疮中采用整体护肤常规,酒渣鼻,特应性皮炎,和敏感性皮肤综合征使用德尔菲法。
结果:共识被定义为≥80%的小组评级声明为≥8或中位评级≥8。对最终声明进行了整理,以制定共识建议,以鼓励采用整体护肤程序。
结论:促进对患者皮肤状况的教育,培训支持人员进行患者咨询,并提供医生培训机会是鼓励现实世界采用CTMP作为整体护肤常规的关键策略。应在所有皮肤科患者中考虑此处提出的共识建议,以实现改善治疗结果和患者满意度的最终目标。
BACKGROUND: While treatment is a definitive therapeutic component in the management of inflammatory skin conditions, adjunctive skin care comprising of appropriate cleansing, moisturization, and photoprotection are just as important. Cleansing, treatment, moisturization, and photoprotection (CTMP) constitute the four major components of holistic skincare routine for dermatological conditions. However, inadequate patient understanding of the condition, limited resources for physicians, and insufficient time for patient education during busy dermatological consultations are the main obstacles to establishing a holistic skincare routine in the real world.
OBJECTIVE: This study aimed to identify key challenges in the implementation of a holistic skincare routine, and offer practical guidance to physicians to improve adoption in the management of acne, atopic dermatitis, rosacea, and sensitive skin syndrome.
METHODS: An expert panel comprising of nine dermatologists from Australia, China, Hong Kong, Taiwan, India, Philippines, Singapore, South Korea, and Thailand convened to develop consensus statements to stimulate real-world adoption of holistic skincare routine in acne, rosacea, atopic dermatitis, and sensitive skin syndrome using the Delphi approach.
RESULTS: Consensus was defined as ≥80% of panel rating statement as ≥8 or median rating of ≥8. The final statements were collated to develop consensus recommendations to encourage adoption of holistic skincare routine.
CONCLUSIONS: Promoting patient education on the skin condition, training support staff in patient counseling, and offering physician training opportunities are the key strategies to encourage real-world adoption of CTMP as a holistic skincare routine. The consensus recommendations presented here should be considered in all dermatology patients to accomplish the ultimate goals of improved treatment outcomes and patient satisfaction.