Follow up and education of psoriatic patients receiving systemic therapy - nurses perspective

Psorijaza se definira kao upalna bolest kože obilježena pojavom oštro ograničenih eritematoznih žarišta prekrivenih bjelkastim ljuskama. Uz kožu često zahvaća vlasište i nokte, a u nekim slučajevima može zahvatiti i zglobove što se očituje u obliku psorijatičnog artritisa. Pogađa sveukupno 1-3% svjetskog stanovništva. U Republici Hrvatskoj od psorijaze boluje oko 1,7% stanovništva. Svjetski dan psorijaze obilježava se svake godine 29. listopada. Suvremeno liječenje psorijaze temelji se na dokazima, a uključuje kliničko iskustvo, znanstvene dokaze kao i želje bolesnika prilikom odabira odgovarajuće terapije. Biološka terapija u liječenju psorijaze veliki je napredak u medicini u odnosu prema klasičnoj terapiji psorijaze zbog visoke učinkovitosti i sigurnosti novih lijekova. U ovom radu definirana je psorijaza, objašnjeni su uzroci nastanka bolesti, opisan tijek bolesti te klinička slika. Također su u radu opisane indikacije za uvođenje sustavne terapije, opisani su lijekovi koji se koriste te kako se apliciraju i njihove posebnosti kod liječenja psorijaze. Navedene su i uloge medicinske sestre u edukaciji i praćenju bolesnika na sustavnoj terapiji, te sestrinske dijagnoze.Psoriasis is defined as an inflammatory skin disease characterized by the appearance of sharply demarcated erythematous foci covered with whitish scales. In addition to the skin, it often affects the scalp and nails, and in some cases, it can also affect the joints, which manifests itself in the form of psoriatic arthritis. It affects a total of 1-3% of the world's population. In Croatia, about 1.7% of the population suffers from psoriasis. World Psoriasis Day is celebrated every year on October 29th. Modern treatment of psoriasis is based on evidence and includes clinical experience, scientific evidence as well as the wishes of patients when choosing the appropriate therapy. Biological therapy in the treatment of psoriasis is a major advance in medicine compared to classical psoriasis therapy due to the high efficacy and safety of new drugs. In this paper, psoriasis is defined, the causes of the disease are explained, the course of the disease and the clinical picture are described. The paper also describes the indications for the introduction of systemic therapy, describes the drugs used and how they are applied, and their specifics in the treatment of psoriasis. The roles of the nurse in the education and monitoring of patients on systemic therapy, as well as nursing diagnosis, are also mentioned