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04 February 2019 : Clinical Research  

A Controlled Study of the Feasibility and Efficacy of a Cloud-Based Interactive Management Program Between Patients with Psoriasis and Physicians

Beibei Zhu1ABDE, Yanyan Wang1BDF, Xuan Zhou1ACD, Chunyan Cao1CE, Yan Zong1AF, Xiaodan Zhao1BD, Zuohong Sha1AC, Xiaoyun Zhao1BE, Shanhang Han2ACFG*

DOI: 10.12659/MSM.913304

Med Sci Monit 2019; 25:970-976

Abstract

BACKGROUND: Dermatology patients continue to receive improved treatment, but for patients with psoriasis, there have been few studies on ways to improve patient management by improving communication with patients and their dermatologists. This study aimed to investigate the feasibility and efficacy of cloud-based interactive patient and physician management of psoriasis.

MATERIAL AND METHODS: The cloud-based platform was created by professional software engineers to educate and manage patients with psoriasis in a single hospital, where patients and research staff had a network platform for sharing data. A total of 79 patients with psoriasis were included in this study and were randomly divided into the control group (n=39) and the intervention group (n=40). Patients in the control group were given a psoriasis nursing manual and underwent regular follow-up. Patients in the intervention group were managed using the cloud platform, with the same management as the control group. The Psoriasis Area Severity Index (PASI), the Self-Rating Anxiety Scale (SAS), the Dermatology Life Quality Index (DLQI), and the Symptom Checklist-90-Revised (SCL-90-R) were used.

RESULTS: Cloud-based interactive patient and physician management resulted in clinical improvement, and reduced the degree of anxiety in patients with psoriasis and improved their physical and mental health. Patients in the intervention group had an improved understanding of psoriasis treatment, resulting in an improved relationship with the medical staff and improved treatment compliance.

CONCLUSIONS: Cloud-based interactive patient and physician management improved the mental health and quality of life for patients with psoriasis and allowed patients to manage their disease more effectively.

Keywords: Mental Health, Psoriasis, Quality of Life, Adult, Aged, Cloud Computing, Health Communication, Longitudinal Studies, Middle Aged, Patient Portals, Physician-Patient Relations, Physicians, Research Design, Severity of Illness Index, Software

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750