诊断为颞下颌障碍的大学生自我药疗的患病率。

IF 1.9 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Journal of Oral & Facial Pain and Headache Pub Date : 2024-09-01 Epub Date: 2024-09-12 DOI:10.22514/jofph.2024.027
Stefany Joaquina Sousa Farias, Alexia Guimarães Ramos, Evelyn Mikaela Kogawa, Erica Negrini Lia, Rodrigo Antonio de Medeiros
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引用次数: 0

摘要

颞下颌关节紊乱症(TMD)通常会影响口颌系统,并可能出现症状。患者通常会自行用药来缓解症状,这可能会增加并发症的风险,如药物不良反应、用药过量、生理和心理依赖以及延误适当的治疗。因此,本研究的主要目的是估计无 TMD、非疼痛性 TMD 和疼痛性 TMD 大学生中自我用药的流行率,次要目的是评估与独立因素的关联。本研究采用在线问卷评估 TMD 症状(DC/TMD-颞下颌关节紊乱诊断标准:临床协议和评估工具)和自我用药习惯(QAM/TMD-下颌紊乱相关自我用药习惯问卷)。定性数据采用费雪精确检验和卡方检验进行分析,定性和定量数据之间的关系则采用斯皮尔曼相关检验(Spearman's rho correlation test)进行检验。统计显著性水平设定为 p 值小于 0.05。共有 179 名大学生填写了调查问卷,其中 113 人(63.1%)报告了 TMD 症状。大多数人(84.9%)有轻度自我医疗行为,只有 12.3% 的 TMD 患者有中度或重度自我医疗行为。与未受影响或表现出非疼痛性 TMD 的学生相比,有疼痛性 TMD 的学生更有可能自行用药。
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Prevalence of self-medication among university students diagnosed with temporomandibular disorders.

Temporomandibular disorders (TMD) usually affect the stomatognathic system and can be symptomatic. Patients often self-medicate to relieve symptoms, and this can increase the risk of complications such as adverse drug reactions, overdose, physical and psychological dependence, and delay of appropriate treatment. It is important for dentists to know the prevalence of self-medication to investigate this condition in their patients, thus the primary aim of this study was to estimate the prevalence of self-medication among university students with no TMD, non-painful TMD and painful TMD and the secondary aim was to assess association with independent factors. An online questionnaire was used to assess TMD symptoms (DC/TMD-Diagnostic Criteria for Temporomandibular Disorders: Clinical Protocol and Assessment Instruments) and self-medication practices (QAM/TMD-Questionnaire on the practice of self-medication associated with mandibular disorders). Qualitative data were analyzed using the Fisher's exact test and chi-square test, while the relationships between qualitative and quantitative data were examined using Spearman's rho correlation test. The level of statistical significance was set at p-value < 0.05. In total, 179 university students completed the questionnaire, of which 113 (63.1%) reported TMD symptoms. The majority (84.9%) practiced mild self-medication, and only 12.3% of patients with TMD symptoms practiced moderate or severe self-medication. Students with painful TMD are more likely to self-medicate than those that remain unaffected or exhibit non-painful TMD.

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来源期刊
Journal of Oral & Facial Pain and Headache
Journal of Oral & Facial Pain and Headache DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
5.10
自引率
4.00%
发文量
18
期刊介绍: Founded upon sound scientific principles, this journal continues to make important contributions that strongly influence the work of dental and medical professionals involved in treating oral and facial pain, including temporomandibular disorders, and headache. In addition to providing timely scientific research and clinical articles, the journal presents diagnostic techniques and treatment therapies for oral and facial pain, headache, mandibular dysfunction, and occlusion and covers pharmacology, physical therapy, surgery, and other pain-management methods.
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