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使用儿童口腔疾病影响程度量表(Child-OIDP)进行治疗干预后坦桑尼亚学童生活质量的变化

Changes in the quality of life of Tanzanian school children after treatment interventions using the Child-OIDP.

作者信息

Mashoto Kijakazi O, Astrøm Anne N, Skeie Marit S, Masalu Joyce R

机构信息

Institute of Clinical Dentistry, University of Bergen, Bergen, Norway.

出版信息

Eur J Oral Sci. 2010 Dec;118(6):626-34. doi: 10.1111/j.1600-0722.2010.00776.x. Epub 2010 Sep 30.

Abstract

This study aimed to examine the evaluative properties of the Child Oral Impacts on Daily Performances (Child-OIDP) inventory and to estimate treatment-associated changes in the OIDP and self-reported oral health following atraumatic restorative treatment (ART) and oral health education (OHE). A total of 1,306 school attendees in Kilwa, Tanzania, completed the Child-OIDP inventory before, and 6 months after, treatment. The post-treatment questionnaire assessed change in perceived oral health. Complete baseline and follow-up data were obtained for 104, 117, and 1,085 participants who received, respectively, ART fillings (Group A), ART fillings and tooth extraction (Group B), and OHE only (Group C). The longitudinal validity, responsiveness, and treatment-associated changes were calculated using anova, effect sizes, and repeated general linear models (GLM). The follow-up prevalence was 73.8%. The mean changes in the OIDP total- and subscale scores were negative within those who reported 'worsened' oral health, and positive in subjects reporting 'improved' oral health. Effect sizes for the total OIDP score ranged from -0.2 within the category 'worsened' to 0.4 within the category 'improved'. Changes following treatment were more extensive in Group B compared with Groups A and C, and in Group C compared with Group A. The Child-OIDP showed promising evaluative properties and responsiveness to change following ART fillings, ART fillings and tooth extraction, and OHE.

摘要

本研究旨在检验儿童口腔问题对日常表现(Child-OIDP)量表的评估特性,并估计非创伤性修复治疗(ART)和口腔健康教育(OHE)后OIDP及自我报告的口腔健康状况与治疗相关的变化。坦桑尼亚基尔瓦的1306名在校学生在治疗前及治疗后6个月完成了Child-OIDP量表。治疗后的问卷评估了感知到的口腔健康变化。分别获得了接受ART补牙(A组)、ART补牙和拔牙(B组)以及仅接受OHE(C组)的104名、117名和1085名参与者的完整基线和随访数据。使用方差分析、效应量和重复一般线性模型(GLM)计算纵向效度、反应性以及与治疗相关的变化。随访患病率为73.8%。报告口腔健康“恶化”者的OIDP总分及各子量表得分的平均变化为负,报告口腔健康“改善”者的得分变化为正。OIDP总分的效应量范围从“恶化”类别中的-0.2到“改善”类别中的0.4。与A组和C组相比,B组治疗后的变化更广泛,与A组相比,C组的变化更广泛。Child-OIDP量表在ART补牙、ART补牙和拔牙以及OHE后显示出良好的评估特性和对变化的反应性。

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