Effects of systematic patient education in skin care and protection in a hand eczema clinic.

Corti, Michela AngelaMaria; Stirnimann, Regina; Borradori, Luca; Simon, Dagmar (2014). Effects of systematic patient education in skin care and protection in a hand eczema clinic. Dermatology, 228(3), pp. 220-224. Karger 10.1159/000357523

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BACKGROUND

Hand eczema has a high impact on patients' quality of life. The treatment focuses on improving skin barrier function.

OBJECTIVES

To evaluate the effects and acceptance of a novel educational program for patients with hand eczema.

METHODS

Retrospectively, the records of 36 patients who attended the prevention program and follow-up visits were analyzed. Physician global assessment (PGA) scores, acceptance and behavioral changes were assessed.

RESULTS

In 67% of patients, an improvement of the hand eczema could be attributed to the effects of our educational program. The mean PGA score significantly decreased from 3 before education to 2.2 during follow-up. Behavioral changes in both skin care and protection were reported in 81 and 86%, respectively. CONCLUSIONs: Our educational program had a positive effect on clinical outcome as well as adherence to skin care and protection measures. Its integration in a hand eczema clinic was feasible and well accepted by the patients.

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