Self-Care Management Education Using a Pocketbook on Illness Perception Improvement in Psoriasis Patients
DOI:
https://doi.org/10.21776/ub.jkb.2025.033.03.5Keywords:
Illness perception, pocketbook, psoriasis, self-care managementAbstract
Psoriasis is an autoimmune disease affecting the integumentary and organ systems. It impacts daily activities and degrades self-esteem. Meanwhile, there is a minimum amount of literature about self-care management education for Psoriasis. Pocketbooks can be used as an alternate learning tool for self-care management by making them more portable among patients. The aims are to foster a positive perception of illness and self-determination regarding Psoriasis. This study evaluated the effectiveness of providing self-care management education using a pocketbook on the illness perception of Psoriasis. The research employed a mixed-methods design, combining quasi-experimental and qualitative approaches. The study involves 30 participants diagnosed with Psoriasis. Participants are divided into two groups: a control and an intervention group. The Brief Illness Perception Questionnaire (B-IPQ) was utilized to assess the participants' perceptions of their illness before and after the intervention. A paired t-test was used to compare pre-test and post-test scores within each group. A two-sample t-test was employed to compare the mean differences between the control and intervention groups. The significance level was set at a p-value of 0.05. The interview data were transcribed verbatim using thematic analysis. The study indicates a difference in the illness perception of patients between control and intervention groups with a significance value of 0.000. Patients report that understanding triggers and management strategies allow for better health. Pocketbook is a practical education approach improving illness perceptions of Psoriasis. Recognizing triggers and adopting management techniques, patients are able to take steps to deal with flare-ups and improve their well-being.
Downloads
References
1. Zhou S and Yao Z. Roles of Infection in Psoriasis. International Journal of Molecular Sciences. 2022; 23(13): 1-18.
2. Sato Y, Ogawa E, Okuyama R. Role of Innate Immune Cells in Psoriasis. International Journal of Molecular Sciences. 2020; 21(18): 1-17.
3. Parisi R, Symmons DPM, Griffiths CEM, Ashcroft DM, and Identification and Management of Psoriasis and Associated Comorbidities (IMPACT) Project Team. Global Epidemiology of Psoriasis: A Systematic Review of Incidence and Prevalence. Journal of Investigative Dermatology. 2013; 133: 377-385.
4. Damiani G, Bragazzi NL, Karimkhani Aksut C, et al. The Global, Regional, and National Burden of Psoriasis: Results and Insights from the Global Burden of Disease 2019 Study. Frontiers in Medicine. 2021; 8: 1-12.
5. Pasande S. Psoriasis in Resource-Limited Setting: A Case Report in a Remote Area in Indonesia. International Journal of Research in Medical Science. 2022; 10(9): 2011-2015.
6. Krisnarto E, Novitasari A, and Aulirahma DM. Faktor Prediktor Kualitas Hidup Pasien Psoriasis: Studi Cross Sectional. Jurnal Kedokteran Muhammadiyah. 2016; 5(1): 43–51.
7. Balak DMW, Gerdes S, Parodi A, and Salgado-Boquete L. Long-Term Safety of Oral Systemic Therapies for Psoriasis: A Comprehensive Review of the Literature. Dermatology and Therapy. 2020; 10(4): 589-613.
8. Tiemensma J, Kaptein AA, Pereira AM, Smit JWA, Romijn JA, and Biermasz NR. Negative Illness Perceptions are Associated with Impaired Quality of Life in Patients after Long-Term Remission of Cushing's Syndrome. European Journal of Endocrinology. 2011; 165(4): 527–535.
9. Palagini L, Zerbinati L, Balestrieri M, et al. Poor Sleep Quality May Contribute to Dysfunctional Illness Perception, Physical and Emotional Distress in Hospitalised Patients: Results of a National Survey of the Italian Society of Consultation‐Liaison Psychiatry. Journal of Sleep Research. 2022; 32(1).
10. Muscat P, Weinman J, Farrugia E, Camilleri L, and Chilcot J. Illness Perceptions Predict Mortality in Patients with Predialysis Chronic Kidney Disease: A Prospective Observational Study. BMC Nephrology. 2020; 21(1): 1-8.
11. Probosiwi N, Akrom A, Hidayati T, and Saputri GZ. Effects of Modified Brief Counseling-5a on Illness Perception, Compliance with Medication, and Fasting Blood Sugar Levels of Diabetes Mellitus Patients. Pharmaciana. 2020; 10(1): 43-50.
12. Sari DP, Hany A, Christian M, Amalia A, et al. Correlation between Perception with the Need for Structured Education for Psoriasis Patients During the Pandemic COVID-19. Journal of Nursing Science Update. 2020; 10(1): 2829-2832.
13. Chairani R. Pocketbook as a Media of Health Education to Improve Healthy Behavior in Street Teenagers. International Journal of Current Science Research and Review 2022; 5(4): 1318-1322.
14. Permatasari ADW. The Effect of Pocketbooks as Nutrition Counseling Media on Knowledge and Attitudes of Prospective Bride and Groom. Eduvest - Journal of Universal Studies 2022; 2(8): 1-8.
15. Zimmerman E and Woolf S. Understanding the Relationship between Education and Health. National Academic of Medicine Perspectives 2014; 4(6): 1-25.
16. Pourreza A, Alipour V, Arabloo J, Bayati M, and Ahadinezhad B. Health Production and Determinants of Health Systems Performance in Who Eastern Mediterranean Region. Eastern Mediterranean Health Journal 2017; 23(5): 368-374.
17. Rachman RA, Noviati E, and Kurniawan R. Efektifitas Edukasi Health Belief Models dalam Perubahan Perilaku Pasien Hipertensi: Literatur Review. Healthcare Nursing Journal. 2021; 3(1): 71–80.
18. Hidayat R, Kasiman S, and Siregar CT. Pengaruh Edukasi Perawatan Diri (Self Care) terhadap Aktivitas Sehari-hari Pasien Gagal Jantung Kongestif. [Repository]. Universitas Sumatera Utara, Medan 2021.
19. Ziliwu YS, Niman S, and Susilowati Y. Pengaruh Dukungan Edukasi Perawat terhadap Self Care Pasien Congestive Heart Failure: Studi Literature. BIMIKI (Berkala Ilmiah Mahasiswa Ilmu Keperawatan Indonesia). 2021; 9(2): 64-73.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Jurnal Kedokteran Brawijaya

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with this journal agree to the following terms:- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).