非酒精性脂肪肝患者在COVID-19大流行之前和期间的口腔健康相关生活质量

I-L Aguiar, F-M Carvalho, L-S Santos-Lins, R Brasil-Oliveira, C Brites, H-P Cotrim, J-E Bouquot, L Lins-Kusterer
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引用次数: 0

摘要

背景:自2019冠状病毒病大流行开始以来,随着封锁期的到来,就医次数以及口腔卫生服务的提供和使用急剧减少。限制定期牙科护理可增加患口腔疾病的风险,从而影响一般健康和与口腔健康有关的生活质量,特别是在医疗状况不佳的患者中。本研究旨在评估COVID-19大流行前和期间非酒精性肝病(NAFLD)患者的健康相关生活质量(HRQoL)和口腔健康相关生活质量(OHRQoL)。材料和方法:从2020年3月(大流行前)到2021年12月(大流行期间)随访58例NAFLD患者的前瞻性队列。采用RAND 36项健康调查问卷和OHIP-14口腔健康影响问卷,分别评估两个时间点的HRQoL和OHRQoL。结果:随着疫情的到来,去年各量表HRQoL得分和健康变化问题得分均大幅下降。角色功能/身体、疼痛、一般健康和能量/疲劳量表的效应值估计较大(>0.50)。感染COVID-19的患者的HRQoL和OHIP-14平均评分优于未感染该疾病的患者。随着大流行的到来,OHIP-14总分增加了3.6分,表现出较大的效应量(0.62)。患者在大流行期间OHIP14评分升高的概率很高(84.3%)。结论:随着大流行的到来,NAFLD患者的HRQoL和OHRQoL评分明显下降。然而,这些下降与COVID-19疾病本身无关,而可能与为应对大流行而采取的社会隔离措施带来的深刻社会变化有关的其他因素。
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Oral health related-quality of life before and during the COVID-19 pandemic in patients with non-alcoholic fatty liver disease.

Background: Since the beginning of the COVID-19 pandemic, the number of medical appointments and the offer and use of oral health services have decreased sharply with the lockdown period. Restriction to regular dental care can increase the risk of oral diseases, capable of affecting general health and oral health-related quality of life, particularly among medically compromised patients. This study aimed to assess health-related quality of life (HRQoL) and oral health-related quality of life (OHRQoL) of patients with non-alcoholic liver disease (NAFLD) before and during the COVID-19 pandemic.

Material and methods: Prospective cohort of 58 patients with NAFLD followed up from March 2020 (before the pandemic) to December 2021 (during the pandemic). RAND 36-Item Health Survey and Oral Health Impact Profile 14 (OHIP-14) questionnaires were used to assess HRQoL and OHRQoL, respectively, in the two points of time.

Results: The scores of all scales HRQoL and of the question about health change in the last year decreased substantially with the advent of the pandemic. Large (>0.50) effect sizes were estimated for the scales Role functioning/physical, Pain, General health, and Energy/fatigue. Patients who had COVID-19 presented better HRQoL and OHIP-14 mean scores than those who did not have the disease. The OHIP-14 total score increased 3.6 points with the advent of the pandemic, representing a large effect size (0.62). Patients presented high probability (84.3%) of increasing OHIP14 score during the pandemic.

Conclusions: The HRQoL and the OHRQoL scores of NAFLD patients decreased substantially with the advent of the pandemic. However, these decreases were not associated with the COVID-19 disease by itself, but probably to other factors related to the deep social changes brought by the social isolation measures to combat the pandemic.

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来源期刊
CiteScore
4.50
自引率
0.00%
发文量
52
期刊介绍: 1. Oral Medicine and Pathology: Clinicopathological as well as medical or surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, as well as orofacial neurological disorders, and systemic conditions with an impact on the oral cavity. 2. Oral Surgery: Surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, teeth, implants, oral surgical procedures. Surgical management of diseases affecting head and neck areas. 3. Medically compromised patients in Dentistry: Articles discussing medical problems in Odontology will also be included, with a special focus on the clinico-odontological management of medically compromised patients, and considerations regarding high-risk or disabled patients. 4. Implantology 5. Periodontology
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