Université François-Rabelais, Faculté de Médecine, Santé, Tours, France.
Université Champagne Ardenne, Faculté d'Odontologie de Reims, Reims, France.
Braz Oral Res. 2021 Mar 22;35:e050. doi: 10.1590/1807-3107bor-2021.vol35.0050. eCollection 2021.
Our study aimed to explore the views and experiences in oral health and oral-health-related quality of life (OHRQoL) of persons with schizophrenia (PWS) in order to expand the understanding of the factors that either limit or facilitate their healthcare pathway, which can ultimately optimize their oral health and/or OHRQoL. A qualitative study was conducted in France in the Côte d'Or department (530 000 in habitants) centered on PWS's perceived meanings regarding oral health or OHRQoL, and semi-structured individual interviews were used. A conventional content analysis approach was chosen in order to highlight unrevealed themes. A sample of 20 PWS (12 males; 8 females) with a median age was 45.8 (± 9.5) were recruited to assess views and experiences regarding OHRQoL, which were focused on three dimensions: an individual dimension related to experience of "oral symptoms", a second dimension related to experience of "stress and its management", and a third related to "Autonomy dimension in oral health". We showed that PWS clearly expressed their mental representations of oral health and OHRQoL. This study supports that PWS were able to define their needs and had the ability to discuss their oral health and OHRQoL. These finding could be used to support specific interventions for this population to better manage the negative impact of antipsychotics and help them to consult dentists on a regular basis.
我们的研究旨在探讨精神分裂症患者（PWS）对口腔健康和口腔健康相关生活质量（OHRQoL）的看法和体验，以加深对限制或促进其医疗保健途径的因素的理解，最终优化他们的口腔健康和/或 OHRQoL。本研究在法国科多尔省（530 000 居民）进行了一项定性研究，重点关注 PWS 对口腔健康或 OHRQoL 的感知意义，并采用半结构化个体访谈。选择了一种常规的内容分析方法来突出未揭示的主题。招募了 20 名 PWS（男性 12 名；女性 8 名），年龄中位数为 45.8（±9.5），以评估他们对 OHRQoL 的看法和体验，这些看法和体验主要集中在三个方面：与“口腔症状”体验相关的个体维度、与“压力及其管理”体验相关的第二个维度以及与“口腔健康自主性维度”相关的第三个维度。我们表明，PWS 清楚地表达了他们对口腔健康和 OHRQoL 的心理表征。这项研究支持 PWS 能够定义他们的需求，并具备讨论他们的口腔健康和 OHRQoL 的能力。这些发现可用于支持针对该人群的特定干预措施，以更好地管理抗精神病药物的负面影响，并帮助他们定期咨询牙医。
