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口腔健康促进方案对青少年口腔健康相关生活质量的影响:系统评价。

Effects of oral health promotion programmes on adolescents' oral health-related quality of life: A systematic review.

机构信息

Postgraduate Program in Dentistry, Fluminense Federal University, Nova Friburgo, Brazil.

Department of Specific Formation, School of Dentistry, Fluminense Federal University, Nova Friburgo, Brazil.

出版信息

Int J Dent Hyg. 2020 Aug;18(3):228-237. doi: 10.1111/idh.12440. Epub 2020 May 15.

DOI:10.1111/idh.12440
PMID:32348613
Abstract

OBJECTIVE

To evaluate the effects of oral health promotion programmes (OHPP) on adolescents' oral health-related quality of life (OHRQoL).

METHODS

An electronic search was performed in five databases (MEDLINE via PubMed, Scopus, Virtual Health Library, Web of Science, Cochrane, Grey Literature databases), and specific indexers were used in the manual search. Clinical/community trials, cross-sectional or cohort studies, published in any language, were included. Studies meeting the inclusion criteria were analysed for quality and bias risk.

RESULTS

From a total of 2343 abstracts, 4 articles were selected for quality evaluation including 2 studies classified with low, 1 with moderate and 1 with high methodological quality. The qualitative synthesis showed some methodological biases and heterogeneous interventions. Effective OHPP improve OHRQoL. The association of educational and dental care strategies generated greater positive effects on OHRQoL than those related only to treatment or isolated educational practices.

CONCLUSION

Although studies showed positive effects of OHPP on adolescents' OHRQoL, both their shortage and low methodological quality indicates the need for developing other well-designed studies to investigate the present question. Record number in PROSPERO database (CRD42018084434).

摘要

目的

评估口腔健康促进计划(OHPP)对青少年口腔健康相关生活质量(OHRQoL)的影响。

方法

在五个数据库(通过 PubMed 的 MEDLINE、Scopus、虚拟健康图书馆、Web of Science、Cochrane、灰色文献数据库)中进行电子检索,并在手工检索中使用特定索引。纳入任何语言发表的临床/社区试验、横断面或队列研究。对符合纳入标准的研究进行质量和偏倚风险分析。

结果

从总共 2343 篇摘要中,选择了 4 篇文章进行质量评估,其中 2 项研究被归类为低质量,1 项为中质量,1 项为高质量。定性综合分析显示存在一些方法学偏倚和干预措施的异质性。有效的 OHPP 可改善 OHRQoL。教育和牙科保健策略的结合比仅与治疗或孤立的教育实践相关的策略产生更大的积极影响。

结论

尽管研究表明 OHPP 对青少年 OHRQoL 有积极影响,但它们的缺乏和低方法学质量表明需要制定其他精心设计的研究来调查目前的问题。PROSPERO 数据库中的记录号(CRD42018084434)。

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