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护理人员对唇带固定术作为唇腭裂缺陷术前骨科治疗方法的体验。

Caregivers' Experience with Lip Taping as a Presurgical Orthopedic Treatment for Cleft Lip and Palate Defects.

作者信息

Thair Athar, Abid Mushriq, Dziedzic Arkadiusz

机构信息

Orthodontic Department, College of Dentistry, University of Baghdad, Baghdad 10001, Iraq.

Department of Conservative Dentistry with Endodontics, Medical University of Siles, 40-055 Katowice, Poland.

出版信息

Children (Basel). 2024 Mar 10;11(3):332. doi: 10.3390/children11030332.

DOI:10.3390/children11030332
PMID:38539367
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10968742/
Abstract

BACKGROUND

This study aimed to assess caregivers' experiences and perceptions of applying lip taping as presurgical orthopedic therapy (PSO) for infants with a cleft lip and palate.

METHODS

A retrospective survey was conducted, inviting parents to respond to a series of structured questions between September 2022 and June 2023. The questionnaire focused on evaluating parents' experience with lip taping, a crucial component of PSO. Descriptive statistics and the Chi-square test were employed to analyze relationships between categorical variables.

RESULTS

Of the 157 participants, overall, 122 completed the survey, forming the dataset for analysis. A majority (90.0%) reported sufficient experience in using lip taping and no major difficulties with lip taping application. Caregivers with higher education levels exhibited a significantly positive correlation ( = 0.015). Additionally, 93.4% confirmed the efficacy of lip taping for premaxillary segment retraction, with this outcome being correlated with caregivers' knowledge and education ( = 0.008). Interestingly, caregivers' age also demonstrated a substantial association ( 0.020).

CONCLUSIONS

While a vast majority expressed positive experiences with lip taping as a presurgical treatment, continuous, tailored education on cleft lip and palate is imperative. This education should be directed towards caregivers and individuals offering direct support to parents of children with CLP, ensuring optimal care and preparation for surgical treatment.

摘要

背景

本研究旨在评估照顾者对唇裂和腭裂婴儿术前正畸治疗(PSO)中应用唇贴的体验和看法。

方法

进行了一项回顾性调查,邀请家长在2022年9月至2023年6月期间回答一系列结构化问题。问卷重点评估家长对唇贴的体验,唇贴是PSO的关键组成部分。采用描述性统计和卡方检验分析分类变量之间的关系。

结果

157名参与者中,总体上有122人完成了调查,形成了分析数据集。大多数(90.0%)报告在使用唇贴方面有足够的经验,且唇贴应用没有重大困难。受教育程度较高的照顾者表现出显著的正相关(=0.015)。此外,93.4%的人证实唇贴对上颌前部节段后缩有效,这一结果与照顾者的知识和教育程度相关(=0.008)。有趣的是,照顾者的年龄也显示出显著关联(0.020)。

结论

虽然绝大多数人对唇贴作为术前治疗表示有积极体验,但对唇裂和腭裂进行持续、量身定制的教育势在必行。这种教育应针对照顾者以及为唇腭裂患儿家长提供直接支持的个人,以确保为手术治疗提供最佳护理和准备。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/688a/10968742/1f3132f57117/children-11-00332-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/688a/10968742/eb3ea3040f1f/children-11-00332-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/688a/10968742/1f3132f57117/children-11-00332-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/688a/10968742/eb3ea3040f1f/children-11-00332-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/688a/10968742/1f3132f57117/children-11-00332-g002.jpg

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本文引用的文献

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The orthodontic management of patients with cleft lip and palate: from birth to the late mixed dentition.唇腭裂患者的正畸管理:从出生到混合牙列晚期。
Br Dent J. 2023 Jun;234(12):873-880. doi: 10.1038/s41415-023-5955-x. Epub 2023 Jun 23.
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The Perception and Experience of Parents of Children with Cleft Lip and Palate Concerning the Use Pre-Surgical Infant Orthopedics: A Questionnaire-Based Cross-Sectional Survey.唇腭裂患儿家长对术前婴儿正畸治疗的认知与体验:一项基于问卷调查的横断面研究
Children (Basel). 2022 Jul 15;9(7):1054. doi: 10.3390/children9071054.
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The Burden of Care in Nasoalveolar Molding Treatment in Cleft Patients.
腭裂患者鼻牙槽塑形治疗中的护理负担
Indian J Plast Surg. 2022 Mar 10;55(1):87-91. doi: 10.1055/s-0042-1744219. eCollection 2022 Feb.
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Mothers' knowledge and experience concerning presurgical orthopedic management for infants with cleft lip and palate.母亲们关于唇腭裂婴儿术前整形外科治疗的知识和经验。
J Orthod Sci. 2021 Jul 9;10:8. doi: 10.4103/jos.JOS_47_20. eCollection 2021.
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Orofacial clefts embryology, classification, epidemiology, and genetics.口面裂的胚胎学、分类、流行病学和遗传学。
Mutat Res Rev Mutat Res. 2021 Jan-Jun;787:108373. doi: 10.1016/j.mrrev.2021.108373. Epub 2021 Feb 28.
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2021, a year of hope?2021,充满希望的一年?
J Stomatol Oral Maxillofac Surg. 2021 Feb;122(1):1. doi: 10.1016/j.jormas.2020.12.009. Epub 2021 Jan 2.
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Effectiveness of a Novel 3D-Printed Nasoalveolar Molding Appliance (D-NAM) on Improving the Maxillary Arch Dimensions in Unilateral Cleft Lip and Palate Infants: A Randomized Controlled Trial.新型 3D 打印鼻牙槽塑形矫治器(D-NAM)改善单侧唇腭裂婴儿上颌弓宽度的效果:一项随机对照试验。
Cleft Palate Craniofac J. 2020 Dec;57(12):1370-1381. doi: 10.1177/1055665620954321. Epub 2020 Sep 10.
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War in the Middle East and the Incidence of Cleft Lip and Palate.中东战争与唇腭裂发病率
J Craniofac Surg. 2020 Jul-Aug;31(5):e486-e488. doi: 10.1097/SCS.0000000000006495.
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