The impact of oral health promotion on the quality of life of children with bleeding disorders: fighting misconceptions.

IF 2.3 4区医学 Q2 HEMATOLOGY Expert Review of Hematology Pub Date : 2024-11-27 DOI:10.1080/17474086.2024.2432354

Nayera H K El Sherif, Mariem O M Wassel, Salwa Mostafa, Fatma R R Abd El Maged, Sally E Nathan, Dina Hamdy, Fatma S E Ebeid

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Abstract

Background: Understanding the disease-specific risks and patient-related barriers of children with bleeding disorders is necessary for primary oral health promotion. Our goal was to assess the oral health status and the impact of oral health promotion among patients with bleeding disorders.

Research design and methods: At baseline, 70 patients with inherited and acquired bleeding disorders had a complete intraoral examination, completed the oral health-related quality of life (OHRQoL) questionnaires, and an oral health education was given. After 6 months, the effectiveness of the oral hygiene promotion was evaluated clinically and through the OHRQoL questionnaires.

Results: Our cohort included 33 patients with chronic immune thrombocytopenia (cITP), 27 hemophilia A patients, and 10 with inherited thrombasthenia. Forty patients (57.1%) had dental caries, 90.0% showed fair oral hygiene status with variable degrees of gingivitis. The baseline self-image score was significantly inferior among patients with inherited bleeding disorders, while the psychological domain for family was greatly affected among cITP patients. After 6 months, there was a significant reduction in the oral debris, the modified gingival indexes, the percentages of cases with oral bleeding, and a significantly improved mean OHRQoL total score.

Conclusions: After the oral health education, the OHRQoL scores had significantly improved, and oral hygiene status were acceptable among patients with bleeding disorders.

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促进口腔健康对出血性疾病儿童生活质量的影响：消除误解。

背景：了解出血性疾病儿童的特定疾病风险和与患者相关的障碍对于促进初级口腔健康十分必要。我们的目标是评估出血性疾病患者的口腔健康状况和口腔健康促进的影响：在基线阶段，70 名遗传性和获得性出血性疾病患者接受了全面的口腔内检查，填写了口腔健康相关生活质量（OHRQoL）问卷，并接受了口腔健康教育。6 个月后，通过临床和 OHRQoL 问卷对口腔卫生宣传的效果进行了评估：我们的队列包括 33 名慢性免疫性血小板减少症（cITP）患者、27 名 A 型血友病患者和 10 名遗传性血栓形成症患者。40名患者（57.1%）患有龋齿，90.0%的患者口腔卫生状况一般，伴有不同程度的牙龈炎。遗传性出血性疾病患者的基线自我形象评分明显较低，而 cITP 患者的家庭心理领域受到很大影响。6 个月后，口腔碎片、改良牙龈指数、口腔出血病例百分比明显减少，平均 OHRQoL 总分明显提高：结论：口腔健康教育后，出血性疾病患者的 OHRQoL 评分明显改善，口腔卫生状况也可接受。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Expert Review of Hematology HEMATOLOGY-

CiteScore

4.70

自引率

3.60%

发文量

审稿时长

6-12 weeks

期刊介绍： Advanced molecular research techniques have transformed hematology in recent years. With improved understanding of hematologic diseases, we now have the opportunity to research and evaluate new biological therapies, new drugs and drug combinations, new treatment schedules and novel approaches including stem cell transplantation. We can also expect proteomics, molecular genetics and biomarker research to facilitate new diagnostic approaches and the identification of appropriate therapies. Further advances in our knowledge regarding the formation and function of blood cells and blood-forming tissues should ensue, and it will be a major challenge for hematologists to adopt these new paradigms and develop integrated strategies to define the best possible patient care. Expert Review of Hematology (1747-4086) puts these advances in context and explores how they will translate directly into clinical practice.