Hemofili Hastası Çocuk ve Gençlerde Ağız Sağlığının Yaşam Kalitesine Etkisi

Abstract

Amaç: Kanama problemlerinin tedavisinde ağız ve çevre dokularda meydana gelen sorunların giderilmesi önemli bir rol oynar. Bu çalışmanın amacı hemofili hastası çocuk ve ergenlerde ağız sağlığı ile ilgili yaşam kalitesinin değerlendirilmesidir. Gereç ve Yöntemler: POQL (pediatric oral health related quality of life-pediatrik ağız sağlığında yaşam kalitesi) ölçeği bu kesitsel çalışmada ağız sağlığında yaşam kalitesini ölçmek için kullanılmıştır. Ölçek sağlıklı 196 çocuk ve ergene uygulanmıştır; diğer taraftan hemofili hastası 64 çocuk ve gence uygulanmıştır. Veri toplama bölümleri demografik bilgilerden, POQL ölçeğinden ve ağız taramalarından meydana gelmiştir. SPSS 23.0 programı verilerin istatistiksel olarak analiz edilmesinde kullanılmıştır. Bulgular: DMFT ve çürük (Decay=D) skorları hemofili grubunda kontrol grubundan daha yüksek değerlere sahipti; sırasıyla DMFT ve D ortalamaları hemofili grubunda 7 ve 4,1 iken kontrol grubunda 4,7 ve 2,3 idi (p=0,0001 ve p=0,011). 8-14 yaş grubunda ve genç-ergen yaş grubunda ağız sağlığında yaşam kalitesi istatistiksel olarak anlamlı bir şekilde hemofili grubunda daha yüksekti, ortalama skorlar 8-14 yaş grubu için 34,0 (hemofili) ve 17,4 (kontrol) olarak hesaplanırken (p=0,0001), genç-ergen grubu için 37,1(hemofili) ve 26.0 (kontrol) olarak bulunmuştur (p=0,043). Sonuç: DMFT skorları ve POQL skorları göstermiştir hemofili hastası olan çocukların hem ağız sağlıkları hem de ağız sağlığı ile ilişkili yaşam kalitelerinin iyileştirilmeye ihtiyacı vardır.

Keywords

• hemofili
• çocuk
• adölesan
• kanamaya yatkınlık
• ağız sağlığı ile ilişkili yaşam kalitesi

Oral Health-Related Quality of Life of Children and Adolescents with Hemophilia

Abstract

Background: The problems arising from the teeth and the surrounding tissues in patients with hemophilia have an important role in the treatment planning of bleeding disorder. The aim of this study is to evaluate the oral health related quality of life of children and adolescents with hemophilia. Methods: POQL (pediatric oral health related quality of life) Instrument was used in this cross sectional study for quality of life measurement. The instrument was applied to children and adolescents with (n=64) or without (n=196) hemophilia. The data collected were consist of demographic data, POQL and screening part. SPSS 23.0 was used to analyze the data. Results: DMFT and decay (D) scores of patients with hemophilia were higher than the control group: mean values of hemophilia group are 7 and 4.1 vs. control group 4.7 and 2.3 are respectively (p=0.0001 and p=0.011). Among 8-14 age group and teen age group oral health related quality of life scores were significantly higher among hemophilia group, scores were 34.0 and 17.4 in 8-14 group (p=0.0001) and 37.1 and 26.0 in teen group (p=0.043), respectively. Conclusions: DMFT scores and POQL scores have shown that oral health related quality of life of children with hemophilia is worse than healthy controls.

Keywords

• hemophilia
• child
• adoscent
• hemorrhagic disorders
• oral health related quality of life

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