Access to Oral Health Care for Children with Motor Disability: Caregivers’ Perspectives

A. M. R. Cardoso, Deborah Brindeiro de Araújo Brito, V. F. Alves, W. Padilha
{"title":"Access to Oral Health Care for Children with Motor Disability: Caregivers’ Perspectives","authors":"A. M. R. Cardoso, Deborah Brindeiro de Araújo Brito, V. F. Alves, W. Padilha","doi":"10.4034/PBOCI.V11I4.1496","DOIUrl":null,"url":null,"abstract":"Objective: To evaluate the access and identify obstacles for oral health care of Children with Motor Disability (CMD) in the city of Joao Pessoa – PB, from caregivers’ perspectives. \nMethods: It was employed an inductive approach, descriptive procedure and intensive direct observation technique by means of interview. The study encompassed 43 out of the 59 caregivers of identified CMD aged 0-12 years, selected by convenience. Audio-recorded interviews were transcripted and analyzed descriptively and qualitatively (Collective Subject Discourse technique - CSD). \nResults: According to caregivers’ reports, children’s diagnoses were cerebral palsy (86%; n=36), hydrocephaly (4%; n=2), spina bifida (2%; n=2); West syndrome (2%; n=1), Down syndrome (2%; n=1) and Rett syndrome (2%; n=1). The access to dentist was achieved by 69% (n=30) children, from which 50% (n=15) was in the private practice. Difficulties in getting access were found by 65% (n=28); among those, are: low supply of dentists to support disabled patients (75%; n=21), delay in scheduling (18%; n=5) and unavailability to perform the procedure without general anesthesia (7%; n=2). The CSD gathered from the perception on oral health was: Oral health care is measures for prevention, promotion and control, through cleansing and elimination of harmful habits, besides being a regular follow-up by the dentist. \nConclusion: From the caregiver’s perception, access to oral health care by CMD is hard, presenting as obstacles: low supply of dentists to support disabled patients, delay in scheduling and need for general anesthesia.","PeriodicalId":134552,"journal":{"name":"Brazilian Research in Pediatric Dentistry and Integrated Clinic","volume":"56 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2012-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Brazilian Research in Pediatric Dentistry and Integrated Clinic","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4034/PBOCI.V11I4.1496","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 2

Abstract

Objective: To evaluate the access and identify obstacles for oral health care of Children with Motor Disability (CMD) in the city of Joao Pessoa – PB, from caregivers’ perspectives. Methods: It was employed an inductive approach, descriptive procedure and intensive direct observation technique by means of interview. The study encompassed 43 out of the 59 caregivers of identified CMD aged 0-12 years, selected by convenience. Audio-recorded interviews were transcripted and analyzed descriptively and qualitatively (Collective Subject Discourse technique - CSD). Results: According to caregivers’ reports, children’s diagnoses were cerebral palsy (86%; n=36), hydrocephaly (4%; n=2), spina bifida (2%; n=2); West syndrome (2%; n=1), Down syndrome (2%; n=1) and Rett syndrome (2%; n=1). The access to dentist was achieved by 69% (n=30) children, from which 50% (n=15) was in the private practice. Difficulties in getting access were found by 65% (n=28); among those, are: low supply of dentists to support disabled patients (75%; n=21), delay in scheduling (18%; n=5) and unavailability to perform the procedure without general anesthesia (7%; n=2). The CSD gathered from the perception on oral health was: Oral health care is measures for prevention, promotion and control, through cleansing and elimination of harmful habits, besides being a regular follow-up by the dentist. Conclusion: From the caregiver’s perception, access to oral health care by CMD is hard, presenting as obstacles: low supply of dentists to support disabled patients, delay in scheduling and need for general anesthesia.
获得运动障碍儿童的口腔保健:照顾者的观点
目的:从护理者的角度评价若昂佩索阿- PB市运动残疾儿童(CMD)口腔保健的可及性并识别障碍。方法:采用归纳法、描述法和直接访谈法。该研究涵盖了59名年龄在0-12岁的确诊CMD护理人员中的43名,选择方便。对访谈录音进行转录并进行描述性和定性分析(集体主体话语技术- CSD)。结果:根据护理人员报告,儿童的诊断为脑瘫(86%;N =36),脑积水(4%;N =2),脊柱裂(2%;n = 2);西氏综合征(2%;n=1),唐氏综合症(2%;n=1)和Rett综合征(2%;n = 1)。69% (n=30)的儿童有机会去看牙医,其中50% (n=15)的儿童在私人诊所就诊。有65% (n=28)存在获取困难;其中包括:支持残疾病人的牙医供应不足(75%);N =21),调度延迟(18%;N =5)和无法在没有全身麻醉的情况下进行手术(7%;n = 2)。政府统计处根据市民对口腔健康的认识得出的结论是:口腔保健除了由牙医定期跟进外,亦是透过清洁及消除有害习惯,预防、促进及控制口腔健康的措施。结论:从护理人员的角度来看,通过CMD获得口腔卫生保健是困难的,主要存在障碍:牙医供应不足,支持残疾患者的时间延迟,需要全身麻醉。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信