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Publication
Avaliação do grau de conhecimento de profissionais de saúde em Portugal acerca da dor e DTM
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| 1.87 MB | Adobe PDF |
Authors
Abstract(s)
Introdução: As Disfunções Temporomandibulares (DTMs) são um conjunto de distúrbios que envolvem os músculos mastigatórios, a articulação temporomandibular e estruturas associadas. Aproximadamente 10% da população adulta sofre de dor orofacial relacionada com DTM, tornando o conhecimento sobre avaliação, diagnóstico e tratamento destas condições essencial para profissionais de saúde.
Objetivos: Avaliar o conhecimento dos profissionais de saúde em Portugal sobre dor, relacionando-o com dados demográficos e abordando o envolvimento pré e pós-graduado com Dor e DTM, atitudes, conhecimentos e abordagens aos pacientes. Assim, identificar lacunas no conhecimento e propor estratégias de formação contínua de maneira melhorar a qualidade de vida dos pacientes que possuem DTM e dor orofacial.
Materiais e Métodos: De fevereiro a julho de 2023, foi conduzido um estudo transversal descritivo a 206 profissionais de saúde em Portugal, incluindo Médicos Dentistas, Fisioterapeutas e Terapeutas da fala, utilizando um questionário online composto por questões sociodemográficas, questões relacionadas com a prática de DTM e dor orofacial e pelo Questionário Neurofisiológico da Dor (QND) que originou um Score individual de 0 a 12, com o objetivo de avaliar o grau de conhecimento dos inquiridos. Para análise estatística, foram utilizadas medidas de tendência central.
Resultados: Foram obtidas 121 respostas de Médicos Dentistas, 37 respostas de Fisioterapeutas e 48 respostas de Terapeutas da fala, obtendo respetivamente, 8.33, 9.46 e 7.85 pontos em 12 no QND. Observamos que Médicos Dentistas mostraram maior conhecimento na identificação de fatores etiológicos, sinais/sintomas e tratamento, enquanto os Fisioterapeutas enfrentaram mais dificuldades nestas áreas em comparação com os demais profissionais.
Conclusão: A necessidade de implementar medidas de educação contínua e colaboração interprofissional entre os profissionais de saúde para melhorar o conhecimento e o atendimento relacionados às DTMs e à dor orofacial em Portugal é a recomendação do nosso trabalho. Desta forma irá ser possível integrar e potenciar o tratamento do paciente.
Introduction: Temporomandibular Disorders (TMDs) encompass a range of issues involving the jaw muscles, temporomandibular joint , and related structures. Approximately 10% of the adult population experiences orofacial pain related to TMDs, underscoring the importance of knowledge regarding assessment, diagnosis, and treatment of these conditions for healthcare professionals. Objectives: Assessing the knowledge of healthcare professionals in Portugal regarding pain, correlating it with demographic data, and addressing their pre and post-graduate involvement with pain and TMD, as well as attitudes, knowledge, and management of patients. Our goal is to assess knowledge gaps and suggest education strategies to enhance the quality of life for patients dealing with TMD and orofacial pain. Materials and Methods: From February to July 2023, a descriptive cross-sectional study was conducted involving 206 healthcare professionals in Portugal, including dentists, physiotherapists, and speech therapists. We used an online questionnaire comprising sociodemographic questions and questions related to the practice of TMD and orofacial pain. The Neurophysiological Pain Questionnaire (NPQ) was also administered, resulting in an individual score ranging from 0 to 12, with the aim of assessing the respondents' level of knowledge. For statistical analysis, measures of central tendency were employed. Results: We obtained 121 responses from dentists, 37 responses from physiotherapists, and 48 responses from speech therapists, yielding respective scores of 8.33, 9.46, and 7.85 out of 12 on the NPQ. Additionally, it was observed that dentists demonstrated greater knowledge in identifying etiological factors, signs/symptoms, and treatment in comparison to other professionals, with physiotherapists displaying greater difficulties in these areas when compared to all others. Conclusion: The necessity to implement measures of continuous education and interprofessional collaboration among healthcare professionals to enhance knowledge and care related to TMDs and orofacial pain in Portugal is the recommendation of our work. This way, it will be possible to integrate and enhance patient treatment.
Introduction: Temporomandibular Disorders (TMDs) encompass a range of issues involving the jaw muscles, temporomandibular joint , and related structures. Approximately 10% of the adult population experiences orofacial pain related to TMDs, underscoring the importance of knowledge regarding assessment, diagnosis, and treatment of these conditions for healthcare professionals. Objectives: Assessing the knowledge of healthcare professionals in Portugal regarding pain, correlating it with demographic data, and addressing their pre and post-graduate involvement with pain and TMD, as well as attitudes, knowledge, and management of patients. Our goal is to assess knowledge gaps and suggest education strategies to enhance the quality of life for patients dealing with TMD and orofacial pain. Materials and Methods: From February to July 2023, a descriptive cross-sectional study was conducted involving 206 healthcare professionals in Portugal, including dentists, physiotherapists, and speech therapists. We used an online questionnaire comprising sociodemographic questions and questions related to the practice of TMD and orofacial pain. The Neurophysiological Pain Questionnaire (NPQ) was also administered, resulting in an individual score ranging from 0 to 12, with the aim of assessing the respondents' level of knowledge. For statistical analysis, measures of central tendency were employed. Results: We obtained 121 responses from dentists, 37 responses from physiotherapists, and 48 responses from speech therapists, yielding respective scores of 8.33, 9.46, and 7.85 out of 12 on the NPQ. Additionally, it was observed that dentists demonstrated greater knowledge in identifying etiological factors, signs/symptoms, and treatment in comparison to other professionals, with physiotherapists displaying greater difficulties in these areas when compared to all others. Conclusion: The necessity to implement measures of continuous education and interprofessional collaboration among healthcare professionals to enhance knowledge and care related to TMDs and orofacial pain in Portugal is the recommendation of our work. This way, it will be possible to integrate and enhance patient treatment.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Dor orofacial Disfunção temporomandibular Médicos dentistas Questionário neurofisiológico da dor