0042/2019 - Cuidados em saúde bucal a crianças e adolescentes com paralisia cerebral: Percepção de pais e cuidadores. Oral health care for children and adolescents with cerebral palsy: Parents’ and caregivers’ perception.
Objetivou-se avaliar os cuidados em saúde bucal de crianças/adolescentes com Paralisia Cerebral (PC) segundo a gravidade, através da percepção dos pais/cuidadores. Estudo série de casos realizado em serviços de saúde de Pernambuco com 94 mães/cuidadores de sujeitos com PC entre 5 e 18 anos. Avaliaram-se fatores socioeconômicos, demográficos, cuidados em saúde bucal e uso de serviços odontológicos (SO). O Sistema de Classificação da Função Motora Grossa mostrou 67% com comprometimento motor grave. Indivíduos com PC grave tiveram frequência significantemente maior de pertencerem a famílias com renda mais baixa (89%, p<0,001), residirem no interior (44%, p<0,005), terem dificuldades de transporte (60%, p=0,04) e acessibilidade aos SO (88%, p=0,009) e maior necessidade de higiene bucal (67%, p=0,008) realizada pelas mães (94%, p<0,001). Apesar das barreiras de acesso aos SO, o mesmo foi facilitado para aqueles com PC grave, com uso precoce dos SO, mas com baixa oferta de dentistas e de humanização. Esses resultados informam problemas relacionados aos cuidados diários em saúde bucal, contexto de vida das famílias, de apoio institucional e de qualidade dos SO a serem enfrentados com políticas públicas socioeconômicas e de saúde integrais inclusivas e equânimes.
Palavras-chave:
Paralisia cerebral, Criança, Adolescente, Odontologia para pessoas com deficiência, Condições Sociais
Abstract:
The aim of this study was to evaluate the oral health care of children/adolescents with Cerebral Palsy (CP) according to severity, through the perception of the parents/caregivers. A case series study was conducted in health services in Pernambuco with 94 mothers/caregivers of subjects with CP between 5 and 18 years old. Socioeconomic, demographic factors, oral health care and use of dental services (DS) were evaluated. The Gross Motor Function Classification System showed 67% with severe motor impairment. Individuals with severe CP had a significantly higher frequency of belonging to families with lower income (89%, p<0,001), living in the interior (44%, p<0,005), having transportation difficulties (60%, p=0.04) and of accessibility to DS (88%, p =0.009) and greater need for oral hygiene (67%, p=0.008) performed by the mothers (94%, p <0.001). Despite DS access barriers, it was facilitated for those with severe PC, with early DS use, but with a low supply of dentists and humanization. These results inform problems related to daily care in oral health, family life context, institutional support and DS quality to be faced with comprehensive inclusive and equitable social and economic public policies.
Keywords:
Cerebral palsy, Child, Adolescent, Dental Care for Disabled, Social Conditions
Oral health care for children and adolescents with cerebral palsy: Parents’ and caregivers’ perception.
Resumo (abstract):
The aim of this study was to evaluate the oral health care of children/adolescents with Cerebral Palsy (CP) according to severity, through the perception of the parents/caregivers. A case series study was conducted in health services in Pernambuco with 94 mothers/caregivers of subjects with CP between 5 and 18 years old. Socioeconomic, demographic factors, oral health care and use of dental services (DS) were evaluated. The Gross Motor Function Classification System showed 67% with severe motor impairment. Individuals with severe CP had a significantly higher frequency of belonging to families with lower income (89%, p<0,001), living in the interior (44%, p<0,005), having transportation difficulties (60%, p=0.04) and of accessibility to DS (88%, p =0.009) and greater need for oral hygiene (67%, p=0.008) performed by the mothers (94%, p <0.001). Despite DS access barriers, it was facilitated for those with severe PC, with early DS use, but with a low supply of dentists and humanization. These results inform problems related to daily care in oral health, family life context, institutional support and DS quality to be faced with comprehensive inclusive and equitable social and economic public policies.
Palavras-chave (keywords):
Cerebral palsy, Child, Adolescent, Dental Care for Disabled, Social Conditions
Silva, ELMS, Goes, P.S.A., Vasconcelos,MMVB, Jamelli, SR, Eickmann, SH, Melo, MMDC, Lima, M.C.. Cuidados em saúde bucal a crianças e adolescentes com paralisia cerebral: Percepção de pais e cuidadores.. Cien Saude Colet [periódico na internet] (2019/fev). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/cuidados-em-saude-bucal-a-criancas-e-adolescentes-com-paralisia-cerebral-percepcao-de-pais-e-cuidadores/17116?id=17116
