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多学科唇腭裂团队护理对单侧唇腭裂儿童口腔健康生活质量的影响:聚焦早期干预与间断治疗

Impact of Multidisciplinary Cleft Team Care on Oral Health Quality of Life in Children With Unilateral Cleft Lip and Palate: A Focus on Early Intervention vs. Sporadic Treatment.

作者信息

Ajami Shabnam, Ebrahimi Nezhad Mahtab, Bahraini Faezeh, Nadjmi Nasser, Zeraatkar Maryam

机构信息

Orthodontic Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Department of Cranio-Maxillofacial Surgery, Faculty of Medicine and Health Science, University Hospital, University of Antwerp, Antwerp, Belgium.

出版信息

Int J Dent. 2025 Mar 19;2025:1642111. doi: 10.1155/ijod/1642111. eCollection 2025.

Abstract

This is a study evaluating oral health-related quality of life (OHRQoL) using the Farsi version of Early Childhood Oral Health Impact Scale (F-ECOHIS) in children with unilateral cleft lip and palate (UCLP) who were treated at a multi-disciplinary cleft center, adopted from another surgeon, and the ones did not have clefts and were treated at that dental clinic. Cross-sectional study. The study was conducted at the Lip and Palate Cleft Clinic (Orthodontic Research Center, Shiraz University of Medical Sciences). The participants were enrolled from the Lip and Palate Cleft Clinic and the Department of Pediatric Dentistry. The OHRQoL of preschool children and their caregivers. The total score of (ECOHIS) in all subscales of both domains of child impact and family impact was statistically lower for the study group than the other groups. Two by two comparisons showed significant differences between the team-managed and non-team groups ( < 0.001). In any domain subscale, there were no gender differences among the three groups ( > 0.05). The team-managed group obtained better scores in all subscales in comparison to the control and the non-team patient groups; however, since randomization and a controlled surgical method were not possible, the improvements in quality-of-life scores cannot be directly related to the surgical method.

摘要

这是一项使用法尔斯语版幼儿口腔健康影响量表(F-ECOHIS)评估单侧唇腭裂(UCLP)患儿口腔健康相关生活质量(OHRQoL)的研究。这些患儿在一家多学科腭裂中心接受治疗,由另一位外科医生接收,而未患腭裂的患儿则在该牙科诊所接受治疗。横断面研究。该研究在唇腭裂诊所(设拉子医科大学正畸研究中心)进行。参与者从唇腭裂诊所和儿童牙科部门招募。研究对象为学龄前儿童及其照顾者。研究组在儿童影响和家庭影响两个领域所有子量表中的(ECOHIS)总分在统计学上低于其他组。两两比较显示团队管理组和非团队管理组之间存在显著差异(<0.001)。在任何领域子量表中,三组之间均无性别差异(>0.05)。与对照组和非团队管理患者组相比,团队管理组在所有子量表中得分更高;然而,由于无法进行随机分组和采用对照手术方法,生活质量得分的改善不能直接归因于手术方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b39/11944874/2aedc527d17e/IJD2025-1642111.001.jpg

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