کیفیت زندگی مرتبط با بهداشت دهان و دندان و شاخص دندان های پوسیده، از بین رفته و پر شده در کودکان مبتلا به اختلال نقص توجه و بیش فعالی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 Assistant professor of pediatric dentistry, Faculty of Dentistry, Golestan University of Medical Sciences, Gorgan, Iran.

2 Dentist, Golestan University of Medical Sciences, Gorgan, Iran.

3 Assistant professor of child and adolescent psychiatry, Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

4 Assistant professor in nutrition, Faculty member of Medicine, Ischemic Disorders Research Center, Golestan University of Medical Sciences, Gorgan, Iran.

5 Assistant professor of psychiatry, Golestan Research Center of Psychiatry (GRCP), Golestan University of Medical Sciences, Gorgan, Iran.

6 Associate professor of child and adolescent psychiatry, Golestan Research Center of Psychiatry (GRCP), Golestan University of Medical Sciences, Gorgan, Iran.

7 Department of Biostatistics, Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran.

DOI:10.22038/JFMH.2024.75951.3093

چکیده

مقدمه: کودکان مبتلا به اختلال نقص توجه و بیش فعالی نوعی سهل انگاری در انجام وظایف و فعالیت های روزمره خود دارند که بر حفظ سلامت دهان و دندان نیز تأثیر می گذارد. با توجه به کیفیت پایین زندگی در این کودکان، تردید وجود دارد که کیفیت زندگی مرتبط با سلامت دهان (OHRQoL) در مقایسه با کودکان سالم تحت تأثیر قرار گیرد.
روش‌ کار: در این مطالعه 106 کودک ADHD درمان نشده مراجعه‌کننده به کلینیک بیمارستان طالقانی شهر گرگان در سال 98-97 به روش نمونه‌گیری در دسترس انتخاب شدند. داده ها با استفاده از پرسشنامه تأثیرات دهانی کودک بر عملکرد روزانه (کودک-OIDP) و پرسشنامه معاینه بالینی جمع آوری شد. داده ها با استفاده از نرم افزارSPSS-18، شاخصهای آمار توصیفی، آزمون من-ویتنی، آزمون شاپیرو-ویلک و آزمون همبستگی اسپیرمن تحلیل شدند.
یافته‌ها: شایع‌ترین مشکل خوداظهاری کودکان ADHD پوسیدگی (6/88%) و پس از آن درد، رویش و حساسیت دندان بود. نمره OHRQoL این کودکان 12.79 بود که OIDP به دست آورد. شاخص و نمره پوسیدگی این کودکان 6.62 بود که با شاخص دندانهای پوسیده، از بین رفته و پر شده  (DMFT) به دست آمد. همبستگی بین DMFT کل و شاخص  OIDP مثبت و معنادار بود (r=0.256، P=0.008). بین نمره کل DMFT و سطح تحصیلات والدین (r=-0.271، P=0.005) و (r=0.283، P=0.003) همبستگی معکوس معنادار وجود داشت.
نتیجه گیری: بین سلامت دهان و دندان و شاخص پوسیدگی دندان رابطه معناداری وجود دارد. سلامت دهان و دندان بهتر و شاخص پوسیدگی، از دست دادن و پر شدن دندان ها با کیفیت زندگی بالاتر مرتبط است.

کلیدواژه‌ها


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