ABSTRACT
Objetivo: Identificar as condições de saúde bucal, o acesso aos serviços odontológicos e analisar o cuidado em saúde bucal ofertado aos pacientes oncológicos pediátricos assistidos no Hospital Napoleão Laureano, em João Pessoa/PB. Materiais e Métodos: Procedeu-se um estudo transversal, cuja coleta de dados se deu mediante exame clínico, uso de questionário e realização de entrevista. Realizou-se análise descritiva dos dados, em valores absolutos e percentuais, e por meio da análise de conteúdo. Resultados: Dos 61 pacientes que compuseram a amostra, 52,5% eram do sexo masculino e a idade média foi de 9,7 anos. O ceod e CPOD médios foram, respectivamente, 2,8 ±3,3 e 1,7±1,5, verificando-se que 21,3% dos pacientes (n=13) nunca tinham ido ao dentista e o principal motivo de consulta dos demais foram revisões (26,2%, n=16). Para 41% dos pacientes (n=26), o último acesso à consulta odontológica ocorreu em consultório particular e 47,5% dos pacientes (n=29) já haviam recebido orientações sobre escovação dental. Na abordagem qualitativa, houve relatos de dificuldade no acesso físico aos serviços de saúde. Conclusão: Os pacientes oncopediátricos paraibanos apresentaram condição de saúde bucal satisfatória, buscaram a atenção odontológica para revisões, foram orientados quanto à escovação dental, estando eles satisfeitos com o atendimento odontológico ofertado. (AU)
Objective: To identify oral health conditions, access to dental services and analyze the oral health care offered to pediatric oncology patients assisted at the Hospital Napoleão Laureano, João Pessoa / PB. Material and Methods: A cross-sectional study was carried out, whose data collection was through clinical examination, questionnaire use and interviewing. A descriptive analysis of the data was performed, in absolute and percentage values, and through content analysis. Results: Of the 61 patients that composed the sample, 52.5% were male, with a mean age of 9.7 years, and mean of dmft and DMFT verified were 2.8 (± 3.3) and 1.7 (± 1.5), respectively. 21.3% of the patients (n = 13) had never been to the dentist and the main reason for consulting the others were revisions (26.2%, n = 16). 41% of the patients (n = 26) reported that the last dental office to which they had access was private and 47.5% of the patients (n = 29) had already received dental brushing guidelines. In the qualitative approach, there were reports of difficulties in physical access to health services. Conclusion: The pediatric oncology patients studied presented a satisfactory oral health condition, seeking dental care for reviews, were instructed on toothbrushing, being satisfied with the dental care offered. (AU)
Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Adolescent , Dental Care , Oral HygieneABSTRACT
Objective: To evaluate the indicators of quality of life (QoL) of children and adolescents with cancer and to evaluate the QoL of participants regarding oral health. Material and Methods: The modified Autoquestionnaire Qualité de Vie Enfant Imagé (AUQEI), with scores ranging from 0 to 78 and a cut-off value of 48, was the instrument used in this study. Questions were added regarding oral health, with scores ranging from 0 to 18. The study consisted of two groups: group 1 (case) consisted of 24 children and adolescents with cancer, and group 2 (control) consisted of 30 healthy children and adolescents aged 6 to 15 years old. A chi-square test was performed using the SPSS program, version 18.0, to determine whether health conditions were related to QoL. Results: We observed that 69.25% of participants had scores representing a satisfactory QoL, with a mean score of 54.3 (51.7 for the group of children and adolescents with cancer and 56.5 for the healthy group). The results of the present study showed a value of p=0.016, suggesting that the disease condition is related to lower QoL scores. The Mann-Whitney test showed that the healthy group showed significantly better indicators in the oral health domain. Conclusion: The children and adolescents under study showed satisfactory overall QoL standards; however, when comparing the cancer group to the healthy group, we observed that cancer is associated with lower QoL indicators.
Subject(s)
Humans , Male , Female , Child , Adolescent , Medical Oncology , Neoplasms , Oral Health , Pediatrics , Quality of Life/psychology , Adolescent , Brazil , Chi-Square Distribution , Child , Statistics, NonparametricABSTRACT
To investigate the access to dental care and the oral health care provided to cancer patients aged zero to 19 years old; to detect possible difficulties hindering the delivery of oral health care; and to identify the main oral complications associated with anticancer treatment.Material and Methods:Interviews were conducted with 84 children and adolescents (or their caregivers) who were treated at Napoleão Laureano Hospital, João Pessoa County, Paraíba, Brazil; the interviews were recorded in audio files. The data were analyzed based on systematic reading of the interviews according to the content analysis technique.Results:Six categories were established: Access to health care services, which was reported as posing difficulties by only 16.6% of the sample; Access to the hospital, considering that 40.4% of the participants reported traveling to the hospital in cars provided by the city government; Dental care, which was procured at basic health units (BHUs) by 52.3% of the participants; Conceptions on oral health care, in which 64.2% of the participants mentioned cariogenic diets and/or poor oral hygiene; Quality of life perception, whereby 70.2% of the interviewees reported to be satisfied or very satisfied and 63.0% rated their quality of life good or very good; and Health problems derived from treatment, with nausea being the most mentioned (27.2%).Conclusion:The patients did not meet difficulties in the procurement of dental care, which was most often sought at BHUs; they were satisfied or very satisfied with their health and rated their quality of life as good or very good...
Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Child, Preschool , Child , Adolescent , National Health Strategies , Neoplasms , Pediatrics , Quality of Life , Oral Health/education , Brazil , Interviews as Topic , Qualitative ResearchABSTRACT
Objetivo: Conhecer os principais fatores que influenciam na avaliação dos serviços odontológicos ofertados a pacientes oncológicos pediátricos e fornecer aos gestores um meio de apoio às decisões que proporcione melhorias na qualidade do atendimento. Material e métodos: A amostra foi composta por 35 pacientes na faixa etária de 3 a 19 anos, sendo os dados coletados por meio de entrevista semiestruturada com os pacientes ou cuidadores. Para a implementação do modelo de decisão baseado em árvore de decisão, utilizou-se a ferramenta de software Waikato Environment for Knowledge Analysis (WEKA20), versão 3.7.8. Resultados: A variável principal para uma percepção ruim do atendimento foi a ?dificuldade em ter acesso ao serviço odontológico?. Considerando os que não tiveram dificuldade, o ?local do atendimento odontológico? (público, privado ou no próprio hospital) se mostrou determinante para uma boa percepção. Considerações finais: A dificuldade em ter acesso ao atendimento odontológico levou a uma avaliação ruim do serviço, enquanto entre os pacientes que não experienciaram esta dificuldade o local do atendimento proporcionou diferentes percepções, dependendo elas de outras variáveis. Portanto, a árvore de decisão se constitui em um modelo de apoio à decisão que possibilita a redução da subjetividade do gestor nas decisões, maximizando a probabilidade de acerto.
Objetivo: Conocer los principales factores que influyen en la evaluación de los servicios dentales que se ofrecen a los pacientes de oncología pediátrica y proporcionar a los directores herramientas de apoyo a la decisión con el objetivo de mejorar la calidad de la atención. Métodos: La muestra estuvo constituida por 35 pacientes cuyas edades estaban entre 2 a 19 años, y los datos recogidos a través de entrevistas semi-estructuradas con los pacientes o cuidadores. Para poner en práctica la decisión basada en el modelo de árbol de decisión se utilizó la herramienta de software Waikato Medio Ambiente para el Análisis del Conocimiento (WEKA20), versión 3.7.8. Resultados: La variable principal de una mala percepción del servicio fue la ?dificultad de acceso a la atención dental?. Teniendo en cuenta ninguna dificultad, el ?cuidado dental local? (público, privado o en el hospital) resultó decisiva para una buena percepción. Consideraciones finales: La dificultad en el acceso a la atención dental condujo a una mala evaluación del servicio, mientras que entre los pacientes que no experimentaron esta dificultad, el local donde fue efectuado la atención proporciono percepciones diferentes, dependiendo de otras variables. Por lo tanto, el árbol de decisión constituye un modelo de apoyo a la decisión que permite la reducción de la subjetividad del gerente en las decisiones, maximizando las posibilidades de éxito.
Objective: Assess the main factors that influence the evaluation of dental services offered to pediatric oncology patients and provide managers with means for supporting their decisions in order to improve the quality of health care offered. Material and Methods: It was considered a sample composed of 35 patients aged 2?19 in which was collected a set of data through semi-structured interviews with these patients or their caregivers. A decision model based on decision tree was implemented in Waikato Environment for Knowledge Analysis (WEKA20) software tool, version 3.7.8. Results: Takingthe obtained decision model in consideration, the main variable or factor that has been influenced a bad perception of the service from patients was the ?difficulty in accessing the dental care service?. Within those that have accessed the dental care service, the variable ?local dental care (public, private or on the hospital)? has been shown to be decisive for a good perception. Conclusions: The main result of this work was that bad evaluation of health care service offered is caused mainly by due difficulties in accessing the service itself. Beside it, when the patients have access to the service, the service place has provided different user perceptions depending on other variables. As a result, the obtained decision-tree based decision model allows managers to reduce subjectivity in their decisions while maximizing the chances of success of their decisions.