Annual BSc Research Seminar
Monday 17 January 2011
1 (12.45 for sandwiches) - 2pm
Seminar Room, PCPH, Upper 3rd Floor, Royal Free
Abisola Adeleye, Rochelle Brainerd, Nooriya Uddin
Background: Psoriasis is a chronic debilitating skin condition affecting 2% of the population. Its impact extends beyond the physical and can lead to reduced quality of life. Most people with psoriasis are seen and managed in general practice, however there is limited literature exploring patients’ view on their condition and the care they receive in primary care.
Aims: To explore patients’ perceptions of the condition, their experience of GP care and, critically, how they view other people’s reactions to themselves.
Methods: A qualitative design comprising face-to-face interviews with 11 participants. Purposive sampling of patients above the age of 18yrs, with varying severity of psoriasis was undertaken. The grounded theory methodology and thematic analysis was used to assess the data collected.
Results: Self-consciousness, poor self-image, shame and embarrassment was commonly expressed. Participants who were unable to conceal their psoriasis were often treated negatively by others. Care from GPs was often “superficial” and focused on their skin and nothing else. Participants who were actively involved in their management and had an accepting attitude towards their condition appeared to have better control of their condition.
Discussion: This study supports the notion that psoriasis is a condition which can have significant impacts on patients’ physical, psychological and social well-being. GPs should be aware that psoriasis can have a significant impact on patients’ psycho-social wellbeing, irrespective of severity or age. The role of GP’s in explaining the condition, sharing management and providing specific help in ‘empowering’ patients remains important but diffic ult to achieve.
Title: What influences pregnant women’s decisions about vaccination against swine flu (2009)? A qualitative study focusing on pregnant women - a group considered to be at high risk of complications of swine flu.
Background: Following the swine flu pandemic that began in April 2009, a vaccination programme against swine flu was introduced in the United Kingdom. Due to a high risk of infection with swine flu and of serious complications, vaccination has been recommended for pregnant women. However, reports reveal low predicted rates of uptake among pregnant women, due to concerns about the vaccine.
Methods: Sixteen women, pregnant during the swine flu outbreak, were selected from the patient database of a general practice. Recruitment involved postal invitation letters and information sheets, and interviews were held in the participants’ homes or in a consulting room at the practice.
Results: Four participants were vaccinated against swine flu. The decision about vaccination was greatly influenced by participants’ perceptions of the infection and the vaccines. Participants either felt that swine flu was scary or that it was nothing to worry about, mostly after seeking information about it. Information was commonly sought from healthcare professionals (HCPs) and the media. In some cases, HCPs gave information and advice which motivated participants to accept vaccination, but mostly, participants were dissatisfied with their HCPs. They wanted their HCPs to provide more information about swine flu, reassurance about the safety of the vaccines and a clear consensus of opinion about whether or not to accept vaccination.
Discussion: Reassurance from a doctor or midwife about the safety of vaccines in pregnancy was a key predictor of vaccine uptake. For vaccination in pregnancy to be effective in limiting complications from pandemic influenza, future pandemic preparedness plans should include dissemination of timely, accurate information to HCPs.
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