龋齿及其在全身麻醉下治疗对儿童及其家庭的影响。
The impact of dental caries and its treatment under general anaesthetic on children and their families.
机构信息
School of Clinical Dentistry, University of Sheffield, Sheffield, UK.
出版信息
Eur Arch Paediatr Dent. 2021 Aug;22(4):567-574. doi: 10.1007/s40368-020-00591-1. Epub 2020 Dec 5.
OBJECTIVE
To assess the impact of dental caries and treatment under general anaesthetic (GA) on the everyday lives of children and their families, using child-reported measures of quality of life (QoL) and oral health-related quality of life (OHRQoL).
METHOD
Participants, aged 5-16 years old having treatment for dental caries under GA, were recruited from new patient clinics at Charles Clifford Dental Hospital, Sheffield. OHRQoL was measured before and 3-months after treatment using the Caries Impacts and Experiences Questionnaire for Children (CARIES-QC). Overall QoL was measured using the Child Health Utility 9D (CHU9D). Parents/caregivers completed the Family Impact Scale (FIS).
RESULTS
Eighty five parent-child dyads completed the study. There was statistically significant improvement in OHRQoL (mean interval score difference in CARIES-QC = 4.43, p < 0.001) and QoL (mean score difference in CHU9D = 2.48, p < 0.001) following treatment, with moderate to large effect sizes. There was statistically significant improvement in FIS scores (mean score difference = 5.48, p = 0.03).
CONCLUSIONS
Treatment under GA was associated with improvement in QoL and OHRQoL as reported by children, and reduced impacts on the family. This work highlights the importance of GA services in reducing the caries-related impacts experienced by children. Further work is needed investigate the impact of clinical, environmental and individual factors.
目的
使用儿童报告的生活质量（QoL）和口腔健康相关生活质量（OHRQoL）指标，评估儿童及其家庭的龋齿和全身麻醉（GA）下治疗对日常生活的影响。
方法
参与者为年龄在 5-16 岁之间，因龋齿接受 GA 治疗的新患者，从谢菲尔德查尔斯克利福德牙科医院的新患者诊所招募。治疗前和治疗后 3 个月使用儿童龋齿影响和体验问卷（CARIES-QC）测量 OHRQoL。使用儿童健康效用 9D 量表（CHU9D）测量整体 QoL。父母/照顾者完成家庭影响量表（FIS）。
结果
85 对父母-孩子完成了研究。治疗后 OHRQoL（CARIES-QC 平均间隔评分差异 = 4.43，p < 0.001）和 QoL（CHU9D 平均评分差异 = 2.48，p < 0.001）有统计学显著改善，具有中到大的效应量。FIS 评分有统计学显著改善（平均评分差异 = 5.48，p = 0.03）。
结论
GA 下的治疗与儿童报告的 QoL 和 OHRQoL 的改善有关，并减少了对家庭的影响。这项工作强调了 GA 服务在减轻儿童龋齿相关影响方面的重要性。需要进一步研究临床、环境和个体因素的影响。
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