Functional and psychosocial impact of oral disorders and quality of life of people living with HIV/AIDS

Functional and psychosocial impact of oral disorders and quality of life of people living with HIV/AIDS
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DOI:
10.1007/s11136-014-0778-5
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发表时间:
2015-02-01
影响因子:
3.5
通讯作者:
Ferreira, Raquel Conceicao
Ferreira, Raquel Conceicao
中科院分区:
医学2区
文献类型:
--
作者:
Coelho, Mania de Quadros;Cordeiro, Jairo Matozinhos;Ferreira, Raquel Conceicao

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本研究比较了生活质量(QOL)的功能和心理社会影响的口腔疾病的存在,并评估了收敛效度的WHOQOL和OHIP-14得分之间的尺寸与艾滋病病毒感染者之间。这是一个横断面研究,患者参加了参考中心的一个中型巴西城市。当参与者到达中心寻求医疗预约服务和领取药品时,进行了访谈。OHIP-14用于评估口腔疾病的功能和心理社会影响。使用WHOQOL-HIV BREF的一般问题和六个领域评估QOL。采用卡方检验、Mann-Whitney检验、斯皮尔曼相关分析等方法对422例HIV/AIDS感染者进行分析,应答率为81.2%。口腔疾病的功能和心理社会影响的患病率为34.0%。在口腔疾病的功能和心理社会影响的人群中,生活质量非常差/差和对健康非常不满意/不满意的人群的患病率较高。口腔疾病对患者生活质量的影响程度与其生活质量评分呈负相关(r值范围为-0.107 ~-0.30),口腔疾病对患者的功能和心理社会影响程度越高,其生活质量越差,对健康状况越不满意。生活质量评分与口腔疾病评分的功能和心理社会影响之间的相关性较弱,表明它们代表不同的结构。口腔疾病的功能和心理社会影响的措施,应补充生活质量的一般措施。
This study compared the Quality of Life (QOL) according to the presence of functional and psychosocial impact of oral disorders and evaluated the convergent validity between the dimensions of the WHOQOL and the OHIP-14 scores among people living with HIV.This was a cross-sectional study with patients enrolled in reference centres of a midsize Brazilian city. Interviews were conducted when the participants arrived at the centres seeking services for medical appointments and collecting medicines. The OHIP-14 was used to evaluate the functional and psychosocial impact of oral disorders. QOL was assessed using the general issues and six domains of the WHOQOL-HIV BREF. The Chi square test, Mann-Whitney test, and Spearman correlation analysis were used for analysis.The sample comprised 422 people living with HIV/AIDS (response rate: 81.2 %). The prevalence of functional and psychosocial impact of oral disorders was 34.0 %. The prevalence of very poor/poor QOL and those who were very dissatisfied/dissatisfied with their health was higher among those with functional and psychosocial impact of oral disorders. There was a negative correlation between the scores on the domains of QOL and the severity of the impact of the oral disorders (r-value ranged from -0.107 to -0.30).Individuals with functional and psychosocial impact of oral disorders were found to more frequently rate their QOL as poor/very poor, and were more often dissatisfied with health. The correlation between the scores of QOL and functional and psychosocial impact of oral disorders scores was weak, indicating that they represent different constructs. The measures of functional and psychosocial impact of oral disorders should be complemented by general measures of QOL.