Association between oral care challenges and sensory over-responsivity in children with Down syndrome.

Association between oral care challenges and sensory over-responsivity in children with Down syndrome.
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DOI:
10.1111/ipd.12933
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发表时间:
2022-07
影响因子:
3.8
通讯作者:
Cermak SA
Cermak SA
中科院分区:
医学3区
文献类型:
--
作者:
Stein Duker LI;Martinez M;Lane CJ;Polido JC;Cermak SA

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感觉过度反应与有特殊医疗需求的儿童的口腔护理挑战有关。唐氏综合症(cDS)儿童的父母报告了他们孩子的感觉过度反应,但这与口腔护理困难之间的联系尚未探讨。调查感觉过度反应与cDS中口腔护理挑战之间的关系。在线调查检查了描述其cDS口腔护理的父母报告响应(5- 14岁; n=367);儿童被分类为感觉过度反应(SORs)或感觉非过度反应(SNORs)。卡方分析测试了组(SORs与SNORs)和二分口腔护理变量之间的关联。与SNOR相比,更多的SOR儿童家长报告:(SOR:86%,SNOR:77%; p<.05)和感觉敏感性(SOR:34%,SNOR:18%; p<.001)使牙科护理具有挑战性,他们的孩子抱怨在护理期间遇到≥3种类型的感觉刺激(SOR:39%,SNOR:28%; p=.04),他们的牙医专门治疗有特殊需要的儿童(SOR:45%,SNOR:33%; p= 0.03),他们的孩子需要全面协助刷牙(SOR:41%,SNOR:28%; p= 0.008)。在检查父母报告的口腔健康或护理访问的项目中没有发现组间差异。SOR儿童的父母报告说,在牙医和家中,他们比SNOR儿童的父母面临更大的挑战,包括挑战性行为和感官敏感性。
Sensory over-responsivity has been linked to oral care challenges in children with special healthcare needs. Parents of children with Down syndrome (cDS) have reported sensory over-responsivity in their children, but the link between this and oral care difficulties has not been explored. Investigate relationship between sensory over-responsivity and oral care challenges in cDS. Online survey examined parent-report responses describing their cDS’s oral care (5–14yrs; n=367); children were categorized as sensory over-responders (SORs) or sensory not over-responders (SNORs). Chi-square analyses tested associations between groups (SORs vs. SNORs) and dichotomous oral care variables. More parents of SOR children, compared to SNOR, reported that: child behavior (SOR:86%, SNOR:77%; p<.05) and sensory sensitivities (SOR:34%, SNOR:18%; p<.001) make dental care challenging, their child complains about ≥3 types of sensory stimuli encountered during care (SOR:39%, SNOR:28%; p=.04), their dentist is specialized in treating children with special needs (SOR:45%, SNOR:33%; p=.03), and their child requires full assistance to brush teeth (SOR:41%, SNOR:28%; p=.008). No group differences were found in items examining parent-reported oral health or care access. Parents of SOR children report greater challenges than parents of SNOR children at the dentist and in the home, including challenging behaviors and sensory sensitivities.
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