Sağlık Bilimleri Fakültesi Öğrencilerinde Temporomandibular Bozukluk, Parafonksiyonel Oral Davranışlar, Sürekli Kaygı ve Yaşam Kalitesi Arasındaki İlişkilerin İncelenmesi

Yıl 2025, Cilt: 6 Sayı: 2, 179 - 191, 31.08.2025

Nazım Tolgahan Yıldız , Mehmet Canlı , Hikmet Kocaman

https://doi.org/10.58605/bingolsaglik.1689779

Öz

Bu çalışmanın amacı, sağlık bilimleri lisans öğrencilerinde temporomandibular bozukluk (TMB) prevalansını ve TMB, parafonksiyonel oral davranışlar (POBs), sürekli kaygı ve yaşam kalitesi arasındaki ilişkileri araştırmaktır. Çalışmaya 720 üniversite öğrencisi katılmıştır. Araştırmacılar tarafından hazırlanan iki bölümlü çevrimiçi anket öğrencilere e-posta yoluyla gönderilmiştir. Anketin ilk bölümü cinsiyet, yaş, lisans düzeyi, öğrenim görülen bölüm, TMB ve POB farkındalığı ile ilgili maddelerden oluşmuştur. İkinci bölümde ise POB'ların sıklığını değerlendiren Oral Davranışlar Kontrol Listesi (OBC); TMB'nin şiddetini ve varlığını tespit eden Fonseca Anamnestik İndeksi (FAI); sürekli kaygı düzeyini değerlendiren Durumluk-Sürekli Kaygı Envanterinin (STAI-Trait Anxiety) Sürekli Kaygı bölümü ve yaşam kalitesini değerlendiren Ağız Sağlığı Etki Profili-14 (OHIP-14) yer almıştır. Tüm öğrencilerde TMD prevalansı %68,2 olup, hafif (%25) ve orta (%25) TMD şiddetli TMD'den (%18,2) daha yaygındır. Lisans eğitim düzeyi arttıkça, TMB şiddeti ve yaygınlığı, POB sıklığı ve sürekli kaygı düzeyi artmış, yaşam kalitesi ise azalmıştır (p<0,05). FAI, OBC, STAI-Sürekli Anksiyete ve OHIP-14 skorları arasındaki güçlü ilişkiler (r değerleri >0.80, p<0.05) öğrencilerde TMB şiddeti, POB sıklığı, sürekli anksiyete düzeyi ve yaşam kalitesinin birbiriyle ilişkili olduğunu doğrulamıştır.TMB ve POB'lar hakkında sağlık bilimleri öğrencilerinin farkındalığının artırılmasının ve öğrencilerde TMB, POB'lar ve anksiyete düzeylerinin erken dönemde değerlendirilmesinin TMB'lerin önlenmesi ve daha etkili yönetimi için önemli olduğunu düşünüyoruz.

Anahtar Kelimeler

Anksiyete , Ağız sağlığı ile ilgili yaşam kalitesi , Parafonksiyonel davranışlar , Öğrenciler , Temporomandibular bozukluklar

Investigation of The Relationships Between Temporomandibular Disorder, Parafunctional Oral Behaviors, Trait Anxiety, and Quality of Life in Students of The Faculty of Health Sciences

Öz

This study aimed to investigate the prevalence of temporomandibular disorder (TMD) and the associations between TMD, parafunctional oral behaviors (POBs), trait anxiety, and quality of life in undergraduate students in the health sciences. 720 university students participated in the study. A two-part online survey prepared by the researchers was sent to the students via e-mail. The first part of the questionnaire consisted of items regarding gender, age, undergraduate level, department of education, and awareness of TMD and POBs. The second part included the Oral Behaviors Checklist (OBC), assessing the frequency of POBs; the Fonseca Anamnestic Index (FAI), detecting the severity and presence of TMD; the Trait Anxiety part of the State-Trait Anxiety Inventory (STAI-Trait Anxiety), assessing trait anxiety level; and the Oral Health Impact Profile-14 (OHIP-14), assessing quality of life. The prevalence of TMD in all students was 68.2%, with mild (25%) and moderate (25%) TMD being more common than severe TMD (18.2%). As the undergraduate level of education increased, the severity and prevalence of TMD, the frequency of POBs, and the trait anxiety level increased, and quality of life decreased (p<0.05). Strong associations between FAI, OBC, STAI-Trait Anxiety, and OHIP-14 scores (r values >0.80, p<0.05) confirmed that TMD severity, frequency of POBs, trait anxiety level, and quality of life were interrelated in students.We consider that increasing the awareness of health sciences students about TMD and POBs and assessing TMD, POBs, and anxiety levels in students at an early stage is important for preventing and more effective management of TMDs.

Anahtar Kelimeler

Anxiety , Oral health-related quality of life , Parafunctional behaviors , Students , Temporomandibular disorders

Etik Beyan

The necessary ethics committee permission (Decision No: 01-2024/05, Date: 04.01.2024) from the Scientific Research and Publication Ethics Committee of the Karamanoğlu Mehmetbey University and institutional permission (Date: 23.01.2024) from the Deanship of the Faculty of Health Sciences were granted for this study.

Kaynakça

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