Access to Oral Health Care for Children with Motor Disability: Caregivers' Perspectives
Access to Oral Health Care for Children with Motor Disability: Caregivers' Perspectives
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DOI：
10.4034/pboci.2011.114.21
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发表时间：
2011-10-01
影响因子：
0.6
通讯作者：
Padilha, Wilton Wilney Nascimento
中科院分区：
文献类型：
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作者：
Cardos, Andreia Medeiros Rodrigues;Brito, Deborah Brindeiro de Araujo;Padilha, Wilton Wilney Nascimento
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. Audiorecorded 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.
