TY - JOUR
T1 - The quality-of-life impact of Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) on patients' lives
T2 - an interpretative descriptive qualitative study
AU - O'Reilly, Pauline
AU - Walsh, Sarah
AU - Bunker, Christopher B.
AU - Ryan, Sheila
AU - Natella, Pierre André
AU - Colin, Audrey
AU - Simpson, Jacqueline
AU - Barry, Louise A.
AU - Meskell, Pauline
AU - Dodiuk-Gad, Roni
AU - Coffey, Alice
AU - Savarimalai, Rajamanikandan
AU - Fortune, Donal G.
AU - Ingen-Housz-Oro, Saskia
N1 - Publisher Copyright:
© The Author(s) 2024. Published by Oxford University Press on behalf of British Association of Dermatologists.
PY - 2024/12/23
Y1 - 2024/12/23
N2 - BACKGROUND: Much has been documented about the physical sequelae of Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN). While less documented, it is recognized that patients can have long-lasting psychological sequelae. There is a lack of qualitative research on the quality of life (QoL) experiences of adults who have been diagnosed with SJS/TEN. OBJECTIVES: To explore the experiences of adults who had SJS/TEN and how these experiences relate to their QoL. METHODS: Using an interpretative descriptive qualitative study, a purposive sample of 18 adults with SJS/TEN were interviewed using in-depth semi-structured interviews. Data were analysed using content analysis. RESULTS: Two themes were constructed, each with two categories. Theme 1 (Psychosocial Impacts) included the categories 'The self and others' and 'A changed perspective on life'. Theme 2 (Chronicity of Sequelae) comprised the categories 'Multi-organ involvement' and 'Further consequences of TEN'. CONCLUSIONS: Findings highlighted that SJS/TEN had a significant impact on the different QoL experiences of participants including psychological, physical, social, educational and occupational. Many expressed challenges they faced following discharge from hospital, including gaps in psychological care, navigating disjointed care pathways and lack of coordinated care. If SJS/TEN is viewed as a chronic condition, it is important that researchers and clinicians study the long-term effects of SJS/TEN on people's lives to aid in developing a plan of care to enhance the QoL for this cohort. Psychological and QoL assessments following discharge from hospital require consideration.
AB - BACKGROUND: Much has been documented about the physical sequelae of Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN). While less documented, it is recognized that patients can have long-lasting psychological sequelae. There is a lack of qualitative research on the quality of life (QoL) experiences of adults who have been diagnosed with SJS/TEN. OBJECTIVES: To explore the experiences of adults who had SJS/TEN and how these experiences relate to their QoL. METHODS: Using an interpretative descriptive qualitative study, a purposive sample of 18 adults with SJS/TEN were interviewed using in-depth semi-structured interviews. Data were analysed using content analysis. RESULTS: Two themes were constructed, each with two categories. Theme 1 (Psychosocial Impacts) included the categories 'The self and others' and 'A changed perspective on life'. Theme 2 (Chronicity of Sequelae) comprised the categories 'Multi-organ involvement' and 'Further consequences of TEN'. CONCLUSIONS: Findings highlighted that SJS/TEN had a significant impact on the different QoL experiences of participants including psychological, physical, social, educational and occupational. Many expressed challenges they faced following discharge from hospital, including gaps in psychological care, navigating disjointed care pathways and lack of coordinated care. If SJS/TEN is viewed as a chronic condition, it is important that researchers and clinicians study the long-term effects of SJS/TEN on people's lives to aid in developing a plan of care to enhance the QoL for this cohort. Psychological and QoL assessments following discharge from hospital require consideration.
UR - http://www.scopus.com/inward/record.url?scp=85214319868&partnerID=8YFLogxK
U2 - 10.1093/bjd/ljae334
DO - 10.1093/bjd/ljae334
M3 - Article
C2 - 39162027
AN - SCOPUS:85214319868
SN - 0007-0963
VL - 192
SP - 85
EP - 91
JO - British Journal of Dermatology
JF - British Journal of Dermatology
IS - 1
ER -