澳大利亚脑瘫儿童和青少年的牙科护理与服务：口腔健康相关生活质量的综合调查
Dental care and services of children and young people with cerebral palsy in Australia: A comprehensive survey of oral health-related quality of life.
作者信息
Lansdown Karen, Bulkeley Kim, McGrath Margaret, Irving Michelle, Zagreanu Claudia, Smithers-Sheedy Hayley
机构信息
Department of Oral Health, School of Clinical Sciences, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.
School of Dentistry, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
出版信息
Spec Care Dentist. 2025 Jan-Feb;45(1):e13098. doi: 10.1111/scd.13098.
AIMS
To investigate caregiver-reported dental care experiences and oral health-related quality of life (OHRQoL) of children and young people with cerebral palsy (CP).
METHODS
Between May and August 2023, caregivers of children and young people from three Australian states were invited to complete questionnaires, including the Child Oral Health Impact Profile (COHIP-SF 19).
RESULTS
Sixty-eight caregivers participated in the survey. Most children and young people had spastic CP (69.1%) with unilateral spasticity most common (51.1%). The COHIP-SF 19 average score was 51.9% ± 12.4, indicating moderate OHRQoL. Gender, communication, oral health daily routine, participation in dental exams and treatment, special arrangements needed to attend the practice, and urgent dental care due to pain or other problem(s) all significantly impacted OHRQoL (p < 0.05).
CONCLUSION
OHRQoL of children and young people with CP is moderately impacted, as indicated by the COHIP-SF 19 scores. To improve OHRQoL in this population group, it is crucial to prioritize key factors such as upskilling dental professionals and creating more inclusive dental environments.
目的
调查照顾者报告的脑瘫（CP）儿童和青少年的牙科护理经历及与口腔健康相关的生活质量（OHRQoL）。
方法
在2023年5月至8月期间，邀请来自澳大利亚三个州的儿童和青少年的照顾者填写问卷，包括儿童口腔健康影响概况（COHIP-SF 19）。
结果
68名照顾者参与了调查。大多数儿童和青少年患有痉挛型脑瘫（69.1%），其中单侧痉挛最为常见（51.1%）。COHIP-SF 19的平均得分为51.9%±12.4，表明OHRQoL为中度。性别、沟通、口腔健康日常习惯、参加牙科检查和治疗、前往诊所所需的特殊安排以及因疼痛或其他问题而进行的紧急牙科护理均对OHRQoL有显著影响（p<0.05）。
结论
如COHIP-SF 19评分所示，CP儿童和青少年的OHRQoL受到中度影响。为改善该人群的OHRQoL，关键是要优先考虑一些关键因素，如提高牙科专业人员的技能以及营造更具包容性的牙科环境。
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