A carregar...
Publicação
Estudo do perfil dos pacientes com periodontite : abordagens de self-report no diagnóstico e tratamento
| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| 2.67 MB | Adobe PDF |
Autores
Resumo(s)
Objetivo: Este trabalho tem como objetivo explorar o perfil dos pacientes que vivem com periodontite durante o processo de diagnóstico e tratamento, através de 4 questionários válidos diferentes, em 4 momentos distintos do seu tratamento periodontal.
Materiais e métodos: De Dezembro a Julho, 83 pacientes participaram neste estudo realizado na Clínica Dentária Universitária da Egas Moniz School of Health & Science.
Avaliámos a evolução da perceção da doença e do seu tratamento periodontal através do Brief Illness Perception Questionnaire (IPQ), do Oral Health Impact Profile (OHIP-14), do Self Management Ability Questionnaire (SMAQ-12) e da Oral Health Values Scale (OHVS), 3 a 4 vezes, em diferentes momentos do tratamento periodontal. Os pacientes participaram de forma voluntária e anónima, após terem assinado o consentimento informado.
Resultados: A amostra final incluiu 80 pacientes (39 mulheres, 41 homens, idade média de 56,05 ± 14,68 anos). Verificou-se que a maioria apresentava periodontite avançada (estádios III e IV). Ao longo do tratamento, observou-se um aumento significativo do impacto da doença na qualidade de vida (OHIP-14) sobretudo nas fases iniciais, um aumento da perceção da gravidade da doença (Brief-IPQ) e uma melhoria progressiva da capacidade de autogestão (SMAQ-12). Os valores atribuídos à saúde oral (OHVS) permaneceram estáveis. As análises de correlação evidenciaram relações significativas entre os questionários, destacando que os pacientes com maior perceção da gravidade da doença tendiam a desenvolver melhor capacidade de autogestão e a relatar maior impacto da doença na sua qualidade de vida.
Conclusão: A periodontite não deve ser considerada apenas como uma doença inflamatória crónica de consequências funcionais e estéticas, mas também como uma condição que afeta profundamente a qualidade de vida, a perceção e o comportamento dos pacientes. Os questionários de self-report mostraram-se ferramentas úteis para complementar o diagnóstico clínico, personalizar a abordagem terapêutica e identificar pacientes mais vulneráveis. Assim, uma abordagem centrada no doente, valorizando a sua perceção e a sua capacidade de autogestão, é fundamental para garantir um tratamento mais eficaz, duradouro e humanizado.
Objective: The aim of this study is to explore the profile of patients living with periodontitis during the diagnostic and treatment process, using four different validated questionnaires at four distinct moments of their periodontal treatment. Materials and methods: From December to july, 83 patients will have participated in this study conducted at the University Dental Clinic of Egas Moniz School of Health & Science. We assessed the evolution of patients’ perception of the disease and its periodontal treatment through the Brief Illness Perception Questionnaire (IPQ), the Oral Health Impact Profile (OHIP-14), the Self-Management Ability Questionnaire (SMAQ- 12), and the Oral Health Values Scale (OHVS), administered three to four times at four different stages of periodontal treatment. Patients participated voluntarily and anonymously, after signing the informed consent form. Results: The final sample included 80 patients (39 females, 41 males, mean age 56.05 ± 14.68 years). Most presented with advanced periodontitis (Stages III and IV). Throughout the course of treatment, a significant increase in the impact of the disease on quality of life (OHIP-14) was observed, particularly in the initial phases, along with an increase in the perception of disease severity (Brief-IPQ) and a progressive improvement in selfmanagement capacity (SMAQ-12). The values attributed to oral health (OHVS) remained stable. Correlation analyses revealed significant relationships between the questionnaires, highlighting that patients with a greater perception of disease severity tend to develop better self-management capacity and to report a greater impact of the disease on their quality of life. Conclusion: Periodontitis should not be regarded solely as a chronic inflammatory disease with functional and aesthetic consequences, but also as a condition that profoundly affects patients’ quality of life, perception, and behavior. Self-report questionnaires proved to be useful tools to complement clinical diagnosis, personalize therapeutic approaches, and identify more vulnerable patients. Therefore, a patientcentered approach, valuing patients’ perception and self-management capacity, is essential to ensure a more effective, long-lasting, and humanized treatment.
Objective: The aim of this study is to explore the profile of patients living with periodontitis during the diagnostic and treatment process, using four different validated questionnaires at four distinct moments of their periodontal treatment. Materials and methods: From December to july, 83 patients will have participated in this study conducted at the University Dental Clinic of Egas Moniz School of Health & Science. We assessed the evolution of patients’ perception of the disease and its periodontal treatment through the Brief Illness Perception Questionnaire (IPQ), the Oral Health Impact Profile (OHIP-14), the Self-Management Ability Questionnaire (SMAQ- 12), and the Oral Health Values Scale (OHVS), administered three to four times at four different stages of periodontal treatment. Patients participated voluntarily and anonymously, after signing the informed consent form. Results: The final sample included 80 patients (39 females, 41 males, mean age 56.05 ± 14.68 years). Most presented with advanced periodontitis (Stages III and IV). Throughout the course of treatment, a significant increase in the impact of the disease on quality of life (OHIP-14) was observed, particularly in the initial phases, along with an increase in the perception of disease severity (Brief-IPQ) and a progressive improvement in selfmanagement capacity (SMAQ-12). The values attributed to oral health (OHVS) remained stable. Correlation analyses revealed significant relationships between the questionnaires, highlighting that patients with a greater perception of disease severity tend to develop better self-management capacity and to report a greater impact of the disease on their quality of life. Conclusion: Periodontitis should not be regarded solely as a chronic inflammatory disease with functional and aesthetic consequences, but also as a condition that profoundly affects patients’ quality of life, perception, and behavior. Self-report questionnaires proved to be useful tools to complement clinical diagnosis, personalize therapeutic approaches, and identify more vulnerable patients. Therefore, a patientcentered approach, valuing patients’ perception and self-management capacity, is essential to ensure a more effective, long-lasting, and humanized treatment.
Descrição
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Palavras-chave
Diagnóstico Periodontite Self–Report Tratamento não cirúrgico