Senso de coerência e sua relação com qualidade de vida relacionada à saúde bucal de gestantes
Autor(a) principal: | |
---|---|
Data de Publicação: | 2023 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional Manancial UFSM |
Texto Completo: | http://repositorio.ufsm.br/handle/1/29971 |
Resumo: | Pregnancy is a period in which a series of physical, hormonal and emotional changes occur in a woman's state of health, having a notable impact on her quality of life. As a consequence of these alterations, dental caries and gingivitis can develop, conditions that play an essential role in the self-perception of Quality of Life Related to Oral Health (OHRQoL). Psychosocial aspects have been gaining prominence in the literature in recent years as predictors of outcomes in oral health. The Sense of Coherence (SOC) is understood as what gives meaning to events, making an environment more flexible and motivating healthy behaviors by acting on habits that directly influence health and how we act in challenging situations, thus being able to reduce the severity of the consequences. diseases and justify how some individuals manage their lives even in challenging situations. In this context, the aim of this study was to assess whether SOC moderates the association between oral clinical conditions and OHRQoL during pregnancy. This study has a cross-sectional design, with a sample of pregnant women using the public health network. Sociodemographic, economic, psychosocial and behavioral data were collected using structured questionnaires. The Oral Health Impact Profile questionnaire (OHIP-14) was used to estimate OHRQoL. The SOC was collected using the Sense of Coherence instrument. Data regarding oral conditions were obtained through clinical examinations performed by previously trained and calibrated examiners. The main clinical variables considered were untreated caries (component C of the CPO-D) and gingivitis (assessed using the CPI). In addition to descriptive analysis, multilevel Poisson regression models were used to assess the moderating effect of SOC on the relationship between clinical oral conditions and OHRQoL. A total of 520 pregnant women were evaluated (93% response rate). The results were presented in Rate Ratio (RR) and 95% confidence intervals (95% CI). The SOC demonstrated a moderating effect on the relationship between clinical conditions and OHRQoL. In the adjusted model, among participants with caries and gingivitis, those who had low SOC had, respectively, a 2.43 and 3.39 times greater negative impact on OHRQoL, when compared to participants with high SOC, even after adjusting for sociodemographic variables and clinics. The findings of the present study demonstrated that SOC modified the negative effect of worse oral clinical conditions on poor OHRQoL among pregnant women, with a high level of SOC being a protective factor in adverse clinical conditions. |
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2023-08-17T17:21:15Z2023-08-17T17:21:15Z2023-07-28http://repositorio.ufsm.br/handle/1/29971Pregnancy is a period in which a series of physical, hormonal and emotional changes occur in a woman's state of health, having a notable impact on her quality of life. As a consequence of these alterations, dental caries and gingivitis can develop, conditions that play an essential role in the self-perception of Quality of Life Related to Oral Health (OHRQoL). Psychosocial aspects have been gaining prominence in the literature in recent years as predictors of outcomes in oral health. The Sense of Coherence (SOC) is understood as what gives meaning to events, making an environment more flexible and motivating healthy behaviors by acting on habits that directly influence health and how we act in challenging situations, thus being able to reduce the severity of the consequences. diseases and justify how some individuals manage their lives even in challenging situations. In this context, the aim of this study was to assess whether SOC moderates the association between oral clinical conditions and OHRQoL during pregnancy. This study has a cross-sectional design, with a sample of pregnant women using the public health network. Sociodemographic, economic, psychosocial and behavioral data were collected using structured questionnaires. The Oral Health Impact Profile questionnaire (OHIP-14) was used to estimate OHRQoL. The SOC was collected using the Sense of Coherence instrument. Data regarding oral conditions were obtained through clinical examinations performed by previously trained and calibrated examiners. The main clinical variables considered were untreated caries (component C of the CPO-D) and gingivitis (assessed using the CPI). In addition to descriptive analysis, multilevel Poisson regression models were used to assess the moderating effect of SOC on the relationship between clinical oral conditions and OHRQoL. A total of 520 pregnant women were evaluated (93% response rate). The results were presented in Rate Ratio (RR) and 95% confidence intervals (95% CI). The SOC demonstrated a moderating effect on the relationship between clinical conditions and OHRQoL. In the adjusted model, among participants with caries and gingivitis, those who had low SOC had, respectively, a 2.43 and 3.39 times greater negative impact on OHRQoL, when compared to participants with high SOC, even after adjusting for sociodemographic variables and clinics. The findings of the present study demonstrated that SOC modified the negative effect of worse oral clinical conditions on poor OHRQoL among pregnant women, with a high level of SOC being a protective factor in adverse clinical conditions.A gestação é um período em que ocorrem uma série de modificações físicas, hormonais e emocionais no estado de saúde da mulher, tendo notável impacto na qualidade de vida. Como consequência dessas alterações pode-se desenvolver a cárie dentária e gengivite, condições essas que exercem um papel essencial na autopercepção da Qualidade de Vida Relacionada a Saúde bucal (QVRSB). Os aspectos psicossociais vêm ganhando destaque na literatura nos últimos anos como preditores de desfechos em saúde bucal. O Senso de Coerência (SDC) é compreendido como o que dá sentido aos acontecimentos, tornando um ambiente mais flexível e motivando comportamentos saudáveis atuando nos hábitos que influenciam de forma direta a saúde e como agimos frente a situações desafiadoras, podendo assim diminuir a severidade das doenças e justificar como alguns indivíduos conseguem gerir suas vidas mesmo em situações desafiadoras. Neste contexto, o objetivo desse estudo foi avaliar se o SDC modera a associação entre condições clínicas bucais e QVRSB durante a gravidez. Esse estudo apresenta um delineamento transversal, com uma amostra de gestantes usuárias da rede pública de saúde. Os dados sociodemográficos, econômicos, psicossociais e comportamentais foram coletados por meio de questionários estruturados. O questionário Oral Health Impact Profile (OHIP-14) foi empregado para estimar a QVRSB. O SDC foi coletado pelo instrumento Sense of Coherence. Os dados a respeito das condições bucais foram obtidos por meio de exames clínicos realizados por examinadores previamente treinados e calibrados. As principais variáveis clínicas consideradas foram cárie não tratada (componente C do CPO-D) e gengivite (avaliada por meio do CPI). Além da análise descritiva, modelos de regressão de Poisson em multinível foram utilizados para avaliar o efeito moderador do SDC na relação entre condições bucais clínicas e QVRSB. Um total de 520 gestantes foram avaliadas (taxa de resposta de 93%). Os resultados foram apresentados em Rate Ratio (RR) e intervalos de confiança de 95% (IC 95%). O SDC demonstrou efeito moderador na relação entre condições clínicas e QVRSB. No modelo ajustado, entre as participantes com cárie e gengivite, aquelas que tinham baixo SDC teveeram respectivamente, impacto 2,43 e 3,39 vezes maior impacto negativo na QVRSB, quando comparadas a participantes com alto SDC, mesmo depois de ajuste por variáveis sociodemográficas e clínicas. Os achados do presente estudo demonstraram que o SDC modificou o efeito negativo de piores condições clínicas bucais na má QVRSB entre gestantes, sendo o alto nível de SDC um fator protetor em condições clínicas adversas.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESporUniversidade Federal de Santa MariaCentro de Ciências da SaúdePrograma de Pós-Graduação em Ciências OdontológicasUFSMBrasilOdontologiaAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessGestantesSaúde bucalQualidade de vidaSenso de coerênciaEstudo observacionalPregnant womenOral healthQuality of lifeSense of coherenceObservational studyCNPQ::CIENCIAS DA SAUDE::ODONTOLOGIASenso de coerência e sua relação com qualidade de vida relacionada à saúde bucal de gestantesSense of coherence and its relationship with quality of life related to oral health of pregnant womeninfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisEmmanuelli, Brunohttp://lattes.cnpq.br/8717083174145691Knorst, Jessica KlöcknerTuchtenhagen, Simonehttp://lattes.cnpq.br/0449073213290389Segatto, Maiara de Carvalho40020000000060060060060060096c5bf1a-e929-48e9-938f-37c39a14961384b6a91c-dfec-4f52-ac5d-aad8c34f1bebd77dca3f-c0af-43a3-a7a4-96c89abca7848be6fb0b-3136-46e0-990a-4b9a02ae0d14reponame:Repositório Institucional Manancial UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMORIGINALDIS_PPGCO_2023_SEGATTO_MAIARA.pdfDIS_PPGCO_2023_SEGATTO_MAIARA.pdfDissertação de mestradoapplication/pdf3019376http://repositorio.ufsm.br/bitstream/1/29971/1/DIS_PPGCO_2023_SEGATTO_MAIARA.pdfcb21ceb0002409c56ef9c1b702811a0aMD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8805http://repositorio.ufsm.br/bitstream/1/29971/2/license_rdf4460e5956bc1d1639be9ae6146a50347MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81956http://repositorio.ufsm.br/bitstream/1/29971/3/license.txt2f0571ecee68693bd5cd3f17c1e075dfMD531/299712023-08-17 14:21:15.221oai:repositorio.ufsm.br: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ório Institucionalhttp://repositorio.ufsm.br/PUBhttp://repositorio.ufsm.br/oai/requestouvidoria@ufsm.bropendoar:39132023-08-17T17:21:15Repositório Institucional Manancial UFSM - Universidade Federal de Santa Maria (UFSM)false |
dc.title.por.fl_str_mv |
Senso de coerência e sua relação com qualidade de vida relacionada à saúde bucal de gestantes |
dc.title.alternative.eng.fl_str_mv |
Sense of coherence and its relationship with quality of life related to oral health of pregnant women |
title |
Senso de coerência e sua relação com qualidade de vida relacionada à saúde bucal de gestantes |
spellingShingle |
Senso de coerência e sua relação com qualidade de vida relacionada à saúde bucal de gestantes Segatto, Maiara de Carvalho Gestantes Saúde bucal Qualidade de vida Senso de coerência Estudo observacional Pregnant women Oral health Quality of life Sense of coherence Observational study CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA |
title_short |
Senso de coerência e sua relação com qualidade de vida relacionada à saúde bucal de gestantes |
title_full |
Senso de coerência e sua relação com qualidade de vida relacionada à saúde bucal de gestantes |
title_fullStr |
Senso de coerência e sua relação com qualidade de vida relacionada à saúde bucal de gestantes |
title_full_unstemmed |
Senso de coerência e sua relação com qualidade de vida relacionada à saúde bucal de gestantes |
title_sort |
Senso de coerência e sua relação com qualidade de vida relacionada à saúde bucal de gestantes |
author |
Segatto, Maiara de Carvalho |
author_facet |
Segatto, Maiara de Carvalho |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Emmanuelli, Bruno |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/8717083174145691 |
dc.contributor.referee1.fl_str_mv |
Knorst, Jessica Klöckner |
dc.contributor.referee2.fl_str_mv |
Tuchtenhagen, Simone |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/0449073213290389 |
dc.contributor.author.fl_str_mv |
Segatto, Maiara de Carvalho |
contributor_str_mv |
Emmanuelli, Bruno Knorst, Jessica Klöckner Tuchtenhagen, Simone |
dc.subject.por.fl_str_mv |
Gestantes Saúde bucal Qualidade de vida Senso de coerência Estudo observacional |
topic |
Gestantes Saúde bucal Qualidade de vida Senso de coerência Estudo observacional Pregnant women Oral health Quality of life Sense of coherence Observational study CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA |
dc.subject.eng.fl_str_mv |
Pregnant women Oral health Quality of life Sense of coherence Observational study |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA |
description |
Pregnancy is a period in which a series of physical, hormonal and emotional changes occur in a woman's state of health, having a notable impact on her quality of life. As a consequence of these alterations, dental caries and gingivitis can develop, conditions that play an essential role in the self-perception of Quality of Life Related to Oral Health (OHRQoL). Psychosocial aspects have been gaining prominence in the literature in recent years as predictors of outcomes in oral health. The Sense of Coherence (SOC) is understood as what gives meaning to events, making an environment more flexible and motivating healthy behaviors by acting on habits that directly influence health and how we act in challenging situations, thus being able to reduce the severity of the consequences. diseases and justify how some individuals manage their lives even in challenging situations. In this context, the aim of this study was to assess whether SOC moderates the association between oral clinical conditions and OHRQoL during pregnancy. This study has a cross-sectional design, with a sample of pregnant women using the public health network. Sociodemographic, economic, psychosocial and behavioral data were collected using structured questionnaires. The Oral Health Impact Profile questionnaire (OHIP-14) was used to estimate OHRQoL. The SOC was collected using the Sense of Coherence instrument. Data regarding oral conditions were obtained through clinical examinations performed by previously trained and calibrated examiners. The main clinical variables considered were untreated caries (component C of the CPO-D) and gingivitis (assessed using the CPI). In addition to descriptive analysis, multilevel Poisson regression models were used to assess the moderating effect of SOC on the relationship between clinical oral conditions and OHRQoL. A total of 520 pregnant women were evaluated (93% response rate). The results were presented in Rate Ratio (RR) and 95% confidence intervals (95% CI). The SOC demonstrated a moderating effect on the relationship between clinical conditions and OHRQoL. In the adjusted model, among participants with caries and gingivitis, those who had low SOC had, respectively, a 2.43 and 3.39 times greater negative impact on OHRQoL, when compared to participants with high SOC, even after adjusting for sociodemographic variables and clinics. The findings of the present study demonstrated that SOC modified the negative effect of worse oral clinical conditions on poor OHRQoL among pregnant women, with a high level of SOC being a protective factor in adverse clinical conditions. |
publishDate |
2023 |
dc.date.accessioned.fl_str_mv |
2023-08-17T17:21:15Z |
dc.date.available.fl_str_mv |
2023-08-17T17:21:15Z |
dc.date.issued.fl_str_mv |
2023-07-28 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
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masterThesis |
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http://repositorio.ufsm.br/handle/1/29971 |
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http://repositorio.ufsm.br/handle/1/29971 |
dc.language.iso.fl_str_mv |
por |
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por |
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400200000000 |
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600 600 600 600 600 |
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Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
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openAccess |
dc.publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Centro de Ciências da Saúde |
dc.publisher.program.fl_str_mv |
Programa de Pós-Graduação em Ciências Odontológicas |
dc.publisher.initials.fl_str_mv |
UFSM |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Odontologia |
publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Centro de Ciências da Saúde |
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