ÇOCUKLAR VE EBEVEYNLER MOLAR İNSİZÖR HİPOMİNERALİZASYONU AĞIZ SAĞLIĞI SORUNU OLARAK ALGILIYOR MU?

Abstract

Amaç: Bu çalışma MIH gözlenen çocuklarda ve ebeveynlerinde; dişlerinin sağlık durumu, tedavi gereksinimi, dişlerin görünüşünden dolayı oluşan memnuniyetsizlik, endişe gibi etkilerinin belirlenerek hayat kalitelerinin gözlenmesi, MIH’ın fiziksel ve psikolojik etkilerinin ebeveyn ve çocuklar üzerinde yarattığı algılardaki farklılıkların tespit edilmesi amaçlanmıştır. Gereç ve Yöntem: Bu araştırma, dişlerinde MIH saptanan çocuklar ve bu çocukların ebeveynleri ile gerçekleştirilen bir anket çalışmasıdır. Bireylerden ve ailelerden bilgilendirilmiş onam formu alındıktan sonra, araştırmaya katılmayı kabul eden bireylere MIH’a karşı yaklaşımı ve MIH’ın bir ağız sağlığı sorunu olarak algılanıp algılanmadığını ölçen anket soruları yöneltilmiş ve eksiksiz bir şekilde anketleri cevaplamaları sağlanmıştır. Çocuklar kendi kararlarını verebilecek yeterlilikte olmadıkları için ebeveynlerinin de bu konu hakkında görüşleri ve aralarındaki görüş farklılıkları istatistiksel olarak spearman korelasyon testi, Mann Whitney U testi, Ki kare ve Fisher exact testi kullanılarak analiz edilmiştir. Bulgular: Anket skorları karşılaştırıldığında MIH’ın ebeveynler ve çocuklar arasında farklı oranlarda bir ağız sağlığı sorunu olarak algılandığı görülmüştür. Ebeveyn skor ortalaması 22,63, çocuk skor ortalaması 20,85 (p=0,026) (p<0,05). Bu algı farkının, hastalık ancak yüksek şiddetli aşamaya geldiğinde ortaya çıktığı belirlenmiştir. Çocuklar ile ebeveynler arasında algı farkının ortaya çıkmasının altında yatan sebepler ise fiziksel etkenler olarak belirlenmiştir (r=0,446; p<0,05). Psikolojik skor ortalaması ebeveynlerde 11,77, çocuklarda 10.78 olarak saptanmıştır. Sonuç: MIH görülen çocukların ebeveynleri, dişlerin görünüşü hakkında çocuklarına oranla daha üzgün ve daha endişeli hissetmektedir. Buna paralel olarak aileler çocuklarından daha fazla oranda tedavi gerektiği düşüncesindedirler.

Keywords

• Çocuk
• Ebeveyn
• MIH
• Psikolojik etki

DO PARENTS AND CHILDREN PERCEIVE MOLAR-INCISOR HYPOMINERALIZATION AS AN ORAL HEALTH PROBLEM ?

Abstract

Background: The aim of this study was to investigate whether children with MIH and parents perceive MIH as a health problem and to investigate the physical and psychological effects of MIH on patients and their parents. Methods: This study is an questionnaire research which is conducted with children with MIH. After the informed consent form was obtained from individuals and families, the questionnaire was applied and provided to answered completely that the attitude towards MIH and to determine whether MIH was perceived as an oral health problem. Since the children were not qualified to make their own decisions, their parents' views on this issue and their differences were analyzed statistically with Spearman correlation, Mann Whitney U, Chi square and Fisher exact test. Results: When the results of the questionaires of the children and parents were compared, it was seen that MIH was perceived as an oral health problem among the parents and children. The mean parent score was 22.63, child score was 20.85 (p= 0.026; p<0.05). It was determined that this difference of perception occurs only when the disease is at a high level. The reasons underlying the difference in perception between children and parents were determined as physical factors (r=0.446; p<0.05). The mean psychological score was 11.77 in parents and 10.78 in children. Conclusion: Parents of children with MIH feel more sad and anxious about the appearance of teeth than their children. Correspondingly the parents think that they need treatment more than their children.

Keywords

• child
• MIH
• Parent
• Psychological effect

References

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