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A hipossialia em pacientes polimedicados
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Authors
Advisor(s)
Abstract(s)
Introdução: A polimedicação pode manifestar efeitos adversos na cavidade oral como hipossialia e/ou xerostomia, que podem refletir impacto na qualidade de vida relacionada com a saúde oral dos indivíduos.
Objetivos: Avaliar a prevalência de hipossialia e os fatores de risco associados nos pacientes polimedicados, relacionando com variáveis sociodemográficas, autoperceção e severidade da xerostomia e autoperceção da qualidade de vida relacionada com saúde oral.
Materiais e Métodos: Uma amostra de 40 indivíduos polimedicados selecionada aleatoriamente compareceu nas consultas de MDPCA II da Clínica Dentária Egas Moniz, e consentiu a participação no estudo. Foi aplicado um questionário composto por variáveis sociodemográficas, dados referentes à polimedicação, Summated Xerostomy Inventory (SXI-PL) e The short version of the Oral Health Impact Profile Questionnaire (OHIP-14sp). Executou-se a sialometria para obtenção das taxas de fluxo salivar não estimulado (TFSNE) e estimulado (TFSE). Os dados recolhidos foram submetidos a análise estatística através do SPSS®.
Resultados: A hipossialia foi mais prevalente no grupo ≥65 anos (27,5%), feminino (27,5%), caucasiana (45%), escolaridade até ao 1º Ciclo (20%), rendimento familiar mensal entre 1 e 2 salários mínimos (20%), reformados(as) (32,5%), casados(as)/ união de facto (32,5%) e não fumadores (45%). Não foi encontrada associação (p >0,05) da prevalência de hipossialia com variáveis sociodemográficas nem com polimedicação. Observou-se maior impacto na xerostomia (8,60±2,56) e na qualidade de vida relacionada com saúde oral (16,0±15,8) no grupo com hipossialia. Verificou-se impacto significativo (p=0,002) da xerostomia na qualidade de vida relacionada com saúde oral. Não se observou associação (p >0,05) da polimedicação com a qualidade de vida relacionada com saúde oral.
Conclusão: Compete ao Médico Dentista proceder ao diagnóstico precoce em pacientes com hipossialia associada à polimedicação, delineando estratégias preventivas que promovam o bem-estar e qualidade de vida relacionada com saúde oral do indivíduo.
Introduction: Polymedication can manifest side effects in the oral cavity such as hyposialia and/or xerostomia, which may reflect an impact on individuals’ oral health-related quality of life. Objectives: Assess the prevalence of hyposialia and the associated risk factors in polymedicated patients, relating it with sociodemographic variables, self-perception and severity of xerostomia and self-perception of oral health-related quality of life. Materials and Methods: A sample of 40 polymedicated individuals randomly selected attended MDPCA II appointments at Clínica Dentária Egas Moniz and consented to participate in the study. A questionnaire composed of sociodemographic variables, data related to polymedication, Summated Xerostomy Inventory (SXI-PL) and The short version of the Oral Health Impact Profile Questionnaire (OHIP-14sp) was applied. Sialometry was performed to obtain unstimulated (TFSNE) and stimulated (TFSE) salivary flow rates. The collected data were submitted to statistical analysis using SPSS®. Results: The prevalence of hyposialia was higher among the group ≥65 years (27,5%), female (27,5%), Caucasian (45%), education until primary school (20%), monthly family income between 1 and 2 minimum wages (20%), retired (32,5%), married/ cohabitation (32,5%) and non-smokers (45%). There was no association (p >0,05) of the prevalence of hyposialia with sociodemographic variables or with polymedication. There was a greater impact on xerostomia (8,60±2,56) and on oral health-related quality of life (16,0±15,8) in the group with hyposialia. There was a significant impact (p=0,002) of xerostomia on oral health-related quality of life. There was no association (p >0,05) between polymedication and oral health-related quality of life. Conclusion: The Dentist have the responsibility to proceed to early diagnosis in patients with hyposialia associated with polymedication, outlining preventive strategies that promote individual’s well-being and oral health-related quality of life.
Introduction: Polymedication can manifest side effects in the oral cavity such as hyposialia and/or xerostomia, which may reflect an impact on individuals’ oral health-related quality of life. Objectives: Assess the prevalence of hyposialia and the associated risk factors in polymedicated patients, relating it with sociodemographic variables, self-perception and severity of xerostomia and self-perception of oral health-related quality of life. Materials and Methods: A sample of 40 polymedicated individuals randomly selected attended MDPCA II appointments at Clínica Dentária Egas Moniz and consented to participate in the study. A questionnaire composed of sociodemographic variables, data related to polymedication, Summated Xerostomy Inventory (SXI-PL) and The short version of the Oral Health Impact Profile Questionnaire (OHIP-14sp) was applied. Sialometry was performed to obtain unstimulated (TFSNE) and stimulated (TFSE) salivary flow rates. The collected data were submitted to statistical analysis using SPSS®. Results: The prevalence of hyposialia was higher among the group ≥65 years (27,5%), female (27,5%), Caucasian (45%), education until primary school (20%), monthly family income between 1 and 2 minimum wages (20%), retired (32,5%), married/ cohabitation (32,5%) and non-smokers (45%). There was no association (p >0,05) of the prevalence of hyposialia with sociodemographic variables or with polymedication. There was a greater impact on xerostomia (8,60±2,56) and on oral health-related quality of life (16,0±15,8) in the group with hyposialia. There was a significant impact (p=0,002) of xerostomia on oral health-related quality of life. There was no association (p >0,05) between polymedication and oral health-related quality of life. Conclusion: The Dentist have the responsibility to proceed to early diagnosis in patients with hyposialia associated with polymedication, outlining preventive strategies that promote individual’s well-being and oral health-related quality of life.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Hipossialia Xerostomia Polimedicação Qualidade de vida relacionada com saúde oral