Fernandes Maria Luiza da Matta Felisberto, Kawachi Ichiro, Corrêa-Faria Patrícia, Paiva Saul Martins, Pordeus Isabela Almeida
Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Department of Social and Behavioral Sciences, School of Public Health, Harvard University, Boston, MA, USA.
Braz Oral Res. 2016;30. doi: 10.1590/1807-3107BOR-2016.vol30.0021. Epub 2016 Feb 23.
The aim of this study was to assess the impact of oral conditions of children with sickle cell disease (SCD) on their parents' quality of life (QoL). A cross-sectional study was performed with parents of outpatients suffering from SCD at a hematology referral center in Belo Horizonte, MG. A qualified dentist performed an intraoral exam. The Family Impact Scale (FIS) was used to assess the parents' perception of QoL. The parents answered some questions regarding sociodemographic and medical information about their children. The dmft/DMFT score, DAI, gum bleeding and SCD severity were evaluated in terms of their impacts on the overall mean FIS scores and subscale scores. The chance of more frequent impacts was greater in parents of adolescents (OR = 2.04; 95%CI = 1.2, 3.4) than of younger children. Dental caries (dmft/DMFT ≥ 1) had a negative impact on the QoL of parents of younger children and adolescents (p < 0.05 and p < 0.01, respectively). Among the parents of younger children, dental caries and SCD severity significantly affected the subscales for parental activities (PA) and parental emotions (PE) (p < 0.01, p < 0.05, respectively). Among parents of adolescents, dental caries (DMFT) and severe malocclusion adversely affected the PE and PA subscales (p < 0.01, p < 0.05, respectively). SCD severity affected the overall FIS score among young children's parents (p < 0.05). In conclusion, dental caries, age and SCD severity were associated with a negative impact on the QoL of parents of children with SCD.
本研究的目的是评估镰状细胞病(SCD)患儿的口腔状况对其父母生活质量(QoL)的影响。在米纳斯吉拉斯州贝洛奥里藏特市的一家血液学转诊中心,对患有SCD的门诊患儿的父母进行了一项横断面研究。一名合格的牙医进行了口腔检查。使用家庭影响量表(FIS)来评估父母对生活质量的认知。父母回答了一些关于其子女的社会人口统计学和医学信息的问题。根据dmft/DMFT评分、龋失补牙指数(DAI)、牙龈出血和SCD严重程度对总体平均FIS评分和子量表评分的影响进行了评估。青少年父母受到更频繁影响的可能性(OR = 2.04;95%CI = 1.2,3.4)高于年幼儿童的父母。龋齿(dmft/DMFT≥1)对年幼儿童和青少年父母的生活质量有负面影响(分别为p < 0.05和p < 0.01)。在年幼儿童的父母中,龋齿和SCD严重程度显著影响父母活动(PA)和父母情绪(PE)子量表(分别为p < 0.01,p < 0.05)。在青少年父母中,龋齿(DMFT)和严重错牙合对PE和PA子量表有不利影响(分别为p < 0.01,p < 0.05)。SCD严重程度影响年幼儿童父母的总体FIS评分(p < 0.05)。总之,龋齿、年龄和SCD严重程度与对SCD患儿父母生活质量的负面影响相关。