Impacto da educação em saúde bucal na incidência e gravidade de mucosite oral em pacientes oncopediátricos
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UFPB |
Texto Completo: | https://repositorio.ufpb.br/jspui/handle/123456789/24507 |
Resumo: | Oral health education is among the main preventive measures for oral mucositis (OM), which favors patients' self-care in the absence of the multi-professional team. The impact of educational interventions in oral health on the incidence and severity of OM in oncopediatric patients was evaluated, through a systematic literature review and meta-analysis (chapter 1) and a quasi-experimental study (chapter 2). The systematic review aimed to synthesize and qualify the scientific evidence on this topic available in the literature until August 2020. Searches were carried out in the main national and international databases, by two independent examiners. Primary studies were sought with samples composed of oncopediatric patients aged 0-19 years, who underwent oral health education, with the outcome MO. The evaluation of the quality of the studies was conducted with the ROBINS-I instrument and a qualitative and quantitative synthesis (meta-analysis, α=5%) was performed. Six articles were selected for qualitative synthesis and three for meta analysis. Despite the methodological heterogeneity of the six studies, all tended to an oral health education positive impact on OM. The meta-analysis demonstrated a lower chance of the outcome occurring in a group submitted to the intervention, compared to the control group (p=0.01). The quasi-experimental study, of the controlled historical cohort type, evaluated the effectiveness of an Educational and Preventive Program on the Oral Health (EPPOH) in reducing the incidence and severity of OM. Two paired groups of previously assisted oncopediatric patients were compared: submitted and not submitted to EPPOH, each with 14 individuals. Both groups were examined for six weeks using the modified Oral Assessment Guide (OAG), by calibrated examiners (k>0.8). The incidence of OM and its severe form in the groups were compared using the Chi-square test (α=5%). The relative risk and effectiveness of the EPPOH were calculated, with a power of 0.97. The difference between the total OAGs of the groups was measured by the Mann-Whitney test (α=5%). There was a higher incidence of OM in patients not submitted to the program (p<0.005) and a lower risk of being affected by OM by patients undergoing the intervention (RR 0.73; CI 0.60 - 0.92). EPPOH reduced the risk of patients developing OM by 1.4 times, with an effectiveness of 27%. There was a difference between the total OAG values (p=0.041). It was concluded that the EPPOH was effective in reducing the incidence of OM. This dissertation allows us to suggest that educational strategies in oral health are implemented in pediatric oncology centers in order to reducing the incidence and severity of OM. |
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Impacto da educação em saúde bucal na incidência e gravidade de mucosite oral em pacientes oncopediátricosEducação em saúde bucalMucositeOdontopediatriaHealth educationDentalMucositisPediatric dentistryCNPQ::CIENCIAS DA SAUDE::ODONTOLOGIAOral health education is among the main preventive measures for oral mucositis (OM), which favors patients' self-care in the absence of the multi-professional team. The impact of educational interventions in oral health on the incidence and severity of OM in oncopediatric patients was evaluated, through a systematic literature review and meta-analysis (chapter 1) and a quasi-experimental study (chapter 2). The systematic review aimed to synthesize and qualify the scientific evidence on this topic available in the literature until August 2020. Searches were carried out in the main national and international databases, by two independent examiners. Primary studies were sought with samples composed of oncopediatric patients aged 0-19 years, who underwent oral health education, with the outcome MO. The evaluation of the quality of the studies was conducted with the ROBINS-I instrument and a qualitative and quantitative synthesis (meta-analysis, α=5%) was performed. Six articles were selected for qualitative synthesis and three for meta analysis. Despite the methodological heterogeneity of the six studies, all tended to an oral health education positive impact on OM. The meta-analysis demonstrated a lower chance of the outcome occurring in a group submitted to the intervention, compared to the control group (p=0.01). The quasi-experimental study, of the controlled historical cohort type, evaluated the effectiveness of an Educational and Preventive Program on the Oral Health (EPPOH) in reducing the incidence and severity of OM. Two paired groups of previously assisted oncopediatric patients were compared: submitted and not submitted to EPPOH, each with 14 individuals. Both groups were examined for six weeks using the modified Oral Assessment Guide (OAG), by calibrated examiners (k>0.8). The incidence of OM and its severe form in the groups were compared using the Chi-square test (α=5%). The relative risk and effectiveness of the EPPOH were calculated, with a power of 0.97. The difference between the total OAGs of the groups was measured by the Mann-Whitney test (α=5%). There was a higher incidence of OM in patients not submitted to the program (p<0.005) and a lower risk of being affected by OM by patients undergoing the intervention (RR 0.73; CI 0.60 - 0.92). EPPOH reduced the risk of patients developing OM by 1.4 times, with an effectiveness of 27%. There was a difference between the total OAG values (p=0.041). It was concluded that the EPPOH was effective in reducing the incidence of OM. This dissertation allows us to suggest that educational strategies in oral health are implemented in pediatric oncology centers in order to reducing the incidence and severity of OM.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESA educação em saúde bucal está entre as principais medidas preventivas para mucosite oral (MO), favorecendo o autocuidado dos pacientes na ausência da equipe multiprofissional. Avaliou-se o impacto de intervenções educativas em saúde bucal na incidência e gravidade de MO em pacientes oncopediátricos, por intermédio de uma revisão sistemática da literatura com metanálise (capítulo 1) e de um estudo quase-experimental (capítulo 2). A revisão sistemática objetivou sintetizar e qualificar a evidência científica sobre esta temática disponível na literatura até agosto de 2020. Foram realizadas buscas nas principais bases de dados nacionais e internacionais, por dois examinadores independentes. Buscaram-se estudos primários com amostras compostas por pacientes oncopediátricos de 0-19 anos, submetidos à educação em saúde bucal, tendo como desfecho MO. A avaliação da qualidade dos estudos foi conduzida com o instrumento ROBINS-I e realizou-se síntese qualitativa e quantitativa (metanálise, α=5%). Seis artigos foram selecionados para síntese qualitativa e três para metanálise. Apesar da heterogeneidade metodológica dos seis estudos, todos apontaram para um impacto positivo da educação em saúde bucal frente a MO. A metanálise demonstrou uma menor chance de ocorrência do desfecho após a intervenção, em comparação com grupo controle (p=0,01). O estudo quase experimental, do tipo coorte histórica controlada, avaliou a efetividade de um Programa Educativo e Preventivo de Saúde Bucal (PEPSB) em reduzir a incidência e a gravidade de MO. Foram comparados dois grupos pareados de pacientes oncopediátricos previamente assistidos: submetidos e não submetidos ao PEPSB, cada um com 14 indivíduos. Os dois grupos foram examinados por seis semanas por meio do Guia de Avaliação Oral modificado (OAG), por examinadores calibrados (k>0,8). A incidência de MO e da sua forma grave nos grupos foi comparada por meio do teste Qui-quadrado (α=5%). O risco relativo e a efetividade do PEPSB foram calculados, com poder de 0,97. A diferença entre os OAGs totais dos grupos foi mensurada pelo teste de Mann-Whitney (α=5%).Observou-se maior incidência de MO em pacientes não submetidos à intervenção (p<0,005) e menor risco de acometimento pela MO pelos pacientes submetidos à mesma (RR 0,73; IC 0,60 – 0,92). O PEPSB reduziu o risco dos pacientes desenvolverem MO em 1,4 vezes, com efetividade de 27%. Houve diferença entre os valores de OAG total (p=0,041). Concluiu-se que o PEPSB foi efetivo em reduzir a incidência de MO. Esta dissertação permite sugerir que estratégias educativas em saúde bucal sejam implementadas nos centros de oncologia pediátrica, a fim de proporcionar a redução da incidência e gravidade da MO.Universidade Federal da ParaíbaBrasilOdontologiaPrograma de Pós-Graduação em OdontologiaUFPBSousa, Simone Alves dehttp://lattes.cnpq.br/8499404826503282Valença, Ana Maria Gondimhttp://lattes.cnpq.br/3186920393443928Bezerra, Paula Maria Maracajá2022-09-16T18:41:13Z2020-12-302022-09-16T18:41:13Z2020-12-10info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesishttps://repositorio.ufpb.br/jspui/handle/123456789/24507porAttribution-NoDerivs 3.0 Brazilhttp://creativecommons.org/licenses/by-nd/3.0/br/info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UFPBinstname:Universidade Federal da Paraíba (UFPB)instacron:UFPB2022-10-25T13:01:13Zoai:repositorio.ufpb.br:123456789/24507Biblioteca Digital de Teses e Dissertaçõeshttps://repositorio.ufpb.br/PUBhttp://tede.biblioteca.ufpb.br:8080/oai/requestdiretoria@ufpb.br|| diretoria@ufpb.bropendoar:2022-10-25T13:01:13Biblioteca Digital de Teses e Dissertações da UFPB - Universidade Federal da Paraíba (UFPB)false |
dc.title.none.fl_str_mv |
Impacto da educação em saúde bucal na incidência e gravidade de mucosite oral em pacientes oncopediátricos |
title |
Impacto da educação em saúde bucal na incidência e gravidade de mucosite oral em pacientes oncopediátricos |
spellingShingle |
Impacto da educação em saúde bucal na incidência e gravidade de mucosite oral em pacientes oncopediátricos Bezerra, Paula Maria Maracajá Educação em saúde bucal Mucosite Odontopediatria Health education Dental Mucositis Pediatric dentistry CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA |
title_short |
Impacto da educação em saúde bucal na incidência e gravidade de mucosite oral em pacientes oncopediátricos |
title_full |
Impacto da educação em saúde bucal na incidência e gravidade de mucosite oral em pacientes oncopediátricos |
title_fullStr |
Impacto da educação em saúde bucal na incidência e gravidade de mucosite oral em pacientes oncopediátricos |
title_full_unstemmed |
Impacto da educação em saúde bucal na incidência e gravidade de mucosite oral em pacientes oncopediátricos |
title_sort |
Impacto da educação em saúde bucal na incidência e gravidade de mucosite oral em pacientes oncopediátricos |
author |
Bezerra, Paula Maria Maracajá |
author_facet |
Bezerra, Paula Maria Maracajá |
author_role |
author |
dc.contributor.none.fl_str_mv |
Sousa, Simone Alves de http://lattes.cnpq.br/8499404826503282 Valença, Ana Maria Gondim http://lattes.cnpq.br/3186920393443928 |
dc.contributor.author.fl_str_mv |
Bezerra, Paula Maria Maracajá |
dc.subject.por.fl_str_mv |
Educação em saúde bucal Mucosite Odontopediatria Health education Dental Mucositis Pediatric dentistry CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA |
topic |
Educação em saúde bucal Mucosite Odontopediatria Health education Dental Mucositis Pediatric dentistry CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA |
description |
Oral health education is among the main preventive measures for oral mucositis (OM), which favors patients' self-care in the absence of the multi-professional team. The impact of educational interventions in oral health on the incidence and severity of OM in oncopediatric patients was evaluated, through a systematic literature review and meta-analysis (chapter 1) and a quasi-experimental study (chapter 2). The systematic review aimed to synthesize and qualify the scientific evidence on this topic available in the literature until August 2020. Searches were carried out in the main national and international databases, by two independent examiners. Primary studies were sought with samples composed of oncopediatric patients aged 0-19 years, who underwent oral health education, with the outcome MO. The evaluation of the quality of the studies was conducted with the ROBINS-I instrument and a qualitative and quantitative synthesis (meta-analysis, α=5%) was performed. Six articles were selected for qualitative synthesis and three for meta analysis. Despite the methodological heterogeneity of the six studies, all tended to an oral health education positive impact on OM. The meta-analysis demonstrated a lower chance of the outcome occurring in a group submitted to the intervention, compared to the control group (p=0.01). The quasi-experimental study, of the controlled historical cohort type, evaluated the effectiveness of an Educational and Preventive Program on the Oral Health (EPPOH) in reducing the incidence and severity of OM. Two paired groups of previously assisted oncopediatric patients were compared: submitted and not submitted to EPPOH, each with 14 individuals. Both groups were examined for six weeks using the modified Oral Assessment Guide (OAG), by calibrated examiners (k>0.8). The incidence of OM and its severe form in the groups were compared using the Chi-square test (α=5%). The relative risk and effectiveness of the EPPOH were calculated, with a power of 0.97. The difference between the total OAGs of the groups was measured by the Mann-Whitney test (α=5%). There was a higher incidence of OM in patients not submitted to the program (p<0.005) and a lower risk of being affected by OM by patients undergoing the intervention (RR 0.73; CI 0.60 - 0.92). EPPOH reduced the risk of patients developing OM by 1.4 times, with an effectiveness of 27%. There was a difference between the total OAG values (p=0.041). It was concluded that the EPPOH was effective in reducing the incidence of OM. This dissertation allows us to suggest that educational strategies in oral health are implemented in pediatric oncology centers in order to reducing the incidence and severity of OM. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-12-30 2020-12-10 2022-09-16T18:41:13Z 2022-09-16T18:41:13Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://repositorio.ufpb.br/jspui/handle/123456789/24507 |
url |
https://repositorio.ufpb.br/jspui/handle/123456789/24507 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
Attribution-NoDerivs 3.0 Brazil http://creativecommons.org/licenses/by-nd/3.0/br/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Attribution-NoDerivs 3.0 Brazil http://creativecommons.org/licenses/by-nd/3.0/br/ |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Universidade Federal da Paraíba Brasil Odontologia Programa de Pós-Graduação em Odontologia UFPB |
publisher.none.fl_str_mv |
Universidade Federal da Paraíba Brasil Odontologia Programa de Pós-Graduação em Odontologia UFPB |
dc.source.none.fl_str_mv |
reponame:Biblioteca Digital de Teses e Dissertações da UFPB instname:Universidade Federal da Paraíba (UFPB) instacron:UFPB |
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Universidade Federal da Paraíba (UFPB) |
instacron_str |
UFPB |
institution |
UFPB |
reponame_str |
Biblioteca Digital de Teses e Dissertações da UFPB |
collection |
Biblioteca Digital de Teses e Dissertações da UFPB |
repository.name.fl_str_mv |
Biblioteca Digital de Teses e Dissertações da UFPB - Universidade Federal da Paraíba (UFPB) |
repository.mail.fl_str_mv |
diretoria@ufpb.br|| diretoria@ufpb.br |
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1801842999842308096 |