ABSTRACT
Background: The present study's objectives were to compare the perceptions of oral health-related quality of life (OHRQoL) among school children presents dental caries with that of caries-free school children, and to evaluate the subjective impact of atraumatic restorative treatment (ART) on the OHRQoL of school children. Design: Exploratory study. Setting: Public school in Piracicaba, Brazil. Materials and Methods: The sample was composed of 30 children in the age-group of 8-10 years. The children were divided into two groups: one with caries and other without caries. The information related to OHRQoL was obtained through the administration of the Child Perceptions Questionnaires (CPQ 8-10 ). To evaluate the impact of ART on the school children's OHRQoL, the CPQ 8-10 was re-administered 4 weeks after the initial treatment. For statistical analysis we used the nonparametric Wilcoxon test for two dependent variables (test and re-test groups) and the nonparametric Mann-Whitney test for independent variables (test and control groups). Results: It was observed that children with dental caries reported larger impact of oral health conditions on the quality of life when compared with the caries-free group, especially in the emotional and social well-being domains ( P≤.05). After the school children who presented with dental caries received ART, there was improvement in the median scores of CPQ 8-10 in all of the domains, but particularly in the functional limitation domain ( P≤.05). Conclusion: Dental caries exerts a strong influence on the OHRQoL of children. ART was shown to be a simple and painless caries management approach that could improve the OHRQoL of school children.
ABSTRACT
A não aderência e o não cumprimento ao tratamento medicamentoso são considerados graves problemas de saúde pública, podendo comprometer a eficácia da terapêutica. Assim, a presente pesquisa realizou um levantamento bibliográfico na base de dados Medline sobre a elaboração das bulas e seu efeito na compreensão do uso de medicamentos pelos pacientes. Observando os resultados foram constatados: dificuldade no entendimento das informações contidas nas bulas, as ilustrações auxiliam na compreensão, na aderência e no cumprimento ao tratamento e as ilustrações com informações escritas ou verbais são benéficas. Concluiu-se que uma linguagem de difícil compreensão e carregada de jargões técnicos, letras pequenas, ausência de ilustrações ou uso incorreto das mesmas nas bulas são elementos complicadores da aderência. Portanto, as informações contidas nas bulas devem ser claras, com linguagem de fácil compreensão, letras de tamanho adequado e devem detalhar como e quando administrar o medicamento; além disso, as ilustrações ajudam na compreensão do paciente e nos processos de aderência e cumprimento do tratamento medicamentoso.
The non-adherence to and non-compliance with the prescribed course of medication are considered serious public health problems that may threaten the effectiveness of therapy. This paper reports a literature search, in the Medline database, for data on the design of package inserts (drug information leaflets) and their effect on patient understanding of the use of medicines. The following points were noted among the results: users have difficulty in understanding the information in the leaflets, illustrations help the patient to understand, adhere to and comply with the treatment and illustrations with written or verbal information are beneficial. It was concluded that the incomprehensible language, full of technical jargon and small print, and the lack or misuse of pictures in these leaflets are factors that interfere with adherence. Therefore, the information contained in these inserts should be clear, expressed in plain language, printed in letters of adequate size and should detail how and when to take the drug; in addition, illustrations help the patient to understand the therapy and follow it correctly until the end of the prescribed period.