布基纳法索瓦加杜古专业中心智障人士的口腔健康状况和护理需求

Jocelyne Valérie Garé, Filwende Dan Kientega, Ahmed Kaboré, Carole Nathalie Téné Ouedraogo, Ouattara Seydou, W. A. Kaboré, Nicolas Méda
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摘要

智障人士口腔疼痛和不适的频率是普通人的两倍。他们的认知能力和体能下降,经常服药,而且往往缺乏强大的社会支持系统,导致他们难以应对日常生活需求,包括适当的口腔卫生和营养。掌握残疾儿童和青少年口腔健康状况的数据对于减少人口中的口腔健康不平等现象至关重要。本研究的目的是描述布基纳法索瓦加杜古专业中心智障人士的主要口腔状况、口腔健康行为,并确定其护理需求。我们在享受妇女、民族团结、家庭和人道主义行动部补贴的智障人士接待中心进行了一项描述性横向调查。数据收集采用了世界卫生组织口腔健康调查问卷,并用 Stata MP 16.0 软件(College Station, Texas 77845, USA)进行了分析。研究共纳入 193 名智障人士,他们的平均年龄为 12.4 岁 ± 7.9 岁。我们的研究报告显示,74.0%的受试者从未看过牙医,19.0%的受试者不清洁牙齿。龋齿总患病率为 58.6%,95% CI [51.2 - 65.8]。牙龈出血和牙结石的发生率分别为 63.8%和 63.4%。其他病变分为:25.5%的牙龈出血;15.0%的牙齿磨损;39.1%的牙齿畸形;19.2%的牙齿异常和14.4%的牙齿外伤。需要及时和紧急治疗的受试者占 51.6%。这项研究使我们有可能报告智障人士的口腔健康行为和遇到的主要口腔疾病以及护理需求。以简单干预(如适当的口腔护理)为重点的健康促进策略将改善这些弱势群体的总体福祉。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Oral Health Status and Care Needs of People with Intellectual Disability in Specialized Centers of Ouagadougou, Burkina Faso
People with intellectual disabilities suffer from oral pain and discomfort twice as often as the general population. Their reduced cognitive and physical abilities, regular medication, and often the lack of a strong social support system lead to difficulties coping with the daily demands of life, including proper oral hygiene and nutrition. Having data on the oral health status of children and adolescents living with disabilities is crucial to reducing oral health inequalities within the population. The objectives of this study were to describe the main oral conditions, oral health behaviors and identify the care needs of people with intellectual disabilities in specialized centers in Ouagadougou, Burkina Faso. A descriptive transversal survey was conducted in the reception centers of intellectual disabled people benefiting from the subsidy of the Ministry of Women, National Solidarity, Family and Humanitarian Action. A questionnaire adapted for oral health surveys of the World Health Organization has been used for data collection that has been analyzed with Stata MP 16.0 software (College Station, Texas 77845, USA). Were included in the study 193 people with intellectual disabilities whose average age was 12.4 years ± 7.9. Our study reported that 74.0% had never visited a dentist and 19.0% of subjects did not clean their teeth. The overall prevalence of caries was 58.6% with 95% CI [51.2 - 65.8]. The frequencies of gingival bleeding and calculus were 63.8% and 63.4% respectively. The other pathologies were divided into 25.5% sialorrhea; 15.0% dental wear; 39.1% malocclusions; 19.2% dental anomalies and 14.4% dental trauma. Subjects who needed prompt and urgent care were 51.6%. This study made it possible to report the oral health behaviors and the main oral diseases encountered in people with intellectual disabilities and the care needs. Health promotion strategies focusing on simple interventions such as appropriate oral care would improve the general well-being of these vulnerable people.
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