Análise da qualidade de vida de residentes multiprofissionais em Saúde da Família e Comunidade

The multiprofessional residency in health is a type of in-service teaching in which learning takes place in daily practice. During the training course of these residents, several activities experienced can impact the quality of life of these professionals. This study aimed to assess the quality of life of multidisciplinary residents of the XXXXX Family and Community Health Program, comparing the scores obtained with the population of the city of Porto Alegre. This study evaluated the scores of different professional groups, also investigating associations between quality of life associations and sociodemographic variables. This is an analytical, observational, cross-sectional study, using sociodemographic questionnaires and the WHOQOL-Bref. Lower quality of life scores were observed in the participants of this study, when compared to residents of other programs and the population of Porto Alegre in the same age group. Psychology residents statistically different quality of life dissipators from the dental and nutrition groups. The scores in the quality of life domains were statistically associated with the variables ​​sex, race/color, marital status, maternity, housing and mobility, with an association with sleep time and leisure activities. The findings obtained in this study show the need to plan greater attention and support to the living conditions of multiprofessional residents, increasing the quality of life and learning of these professionals.A residência multiprofissional em saúde consiste em uma modalidade de ensino em serviço em que a aprendizagem se dá na práxis cotidiana. Durante o percurso de formação destes residentes, diversas atividades experimentadas podem impactar na qualidade de vida destes profissionais. O presente estudo teve como objetivo avaliar a qualidade de vida dos residentes multiprofissionais do Programa de Saúde da Família e Comunidade do Grupo Hospitalar Conceição (GHC), comparando os escores obtidos com os da população do município de Porto Alegre. Este trabalho avaliou os escores dos diferentes núcleos profissionais, investigando também possíveis associações entre qualidade de vida e variáveis sociodemográficas. Trata-se de um estudo analítico, observacional do tipo transversal, utilizando questionários sociodemográfico e o WHOQOL-Bref. Observou-se menores escores de qualidade de vida nos participantes do presente estudo, quando comparado aos de residentes de outros programas e à população de Porto Alegre na mesma faixa etária. Residentes de Psicologia apresentaram escores de qualidade de vida estatisticamente diferentes dos grupos de Odontologia e Nutrição. Os escores dos domínios de qualidade de vida estiveram associados estatisticamente às variáveis sexo, raça/cor, estado civil, maternidade, moradia e mobilidade, havendo também associação com o tempo de sono e com a realização de atividades de lazer. Os achados obtidos no presente estudo evidenciam a necessidade de planejamento de uma maior atenção, e suporte, às condições de vida de residentes multiprofissionais, visando à melhoria da qualidade de vida e aprendizagem desses profissionais.

Dental pain, use of dental services and oral health-related quality of life in southern Brazil

This study aimed at assessing the relationship between dental pain and the reason for using dental services and oral health quality of life in people aged 50 to 74 years in southern Brazil. A cross-sectional population-based study was conducted with 720 individuals aged 50 to 74 years, living in three health districts in the city of Porto Alegre. Dental impacts on daily life and sociodemographic data were assessed using structured interviews. The Oral Impacts on Daily Performance – OIDP instrument was used to measure oral impacts. The information was analyzed by Poisson regression with robust variance adjustment, taking into account cluster sampling. Dental pain was present in 32.5% of those reporting an oral impact on their daily activities. Dental pain most frequently affected talking (37.6%), cleaning teeth and gums (37.0%) and enjoying the companionship of people (36.5%). After adjustments to the multivariate analysis, the reason for dental visits due to dental pain was found to have a high impact on daily activities [RP 1.68 (1.11 - 2.54]

Knowledge of Primary Health Care dentists about endodontic urgencies

Objetivo: avaliar o conhecimento de um grupo de cirurgiões-dentistas que trabalham em Atenção Primária à Saúde acerca de diagnósticos e condutas a serem tomadas diante de urgências em endodontia. Métodos: 24 cirurgiões-dentistas responderam um questionário estruturado, adaptado para o estudo. O instrumento abordava características socioeconômicas e o conhecimento dos cirurgiões-dentistas sobre diagnósticos e condutas perante patologias pulpares e periapicais. Os dados foram submetidos a análises estatísticas descritivas (medidas de variabilidade e de tendência central) e de associação entre os desfechos e as variáveis independentes, pelo Teste t Student e pelo teste de correlação Pearson, todos com α ≤ 0,05. Resultados: a quantidade de acertos dos participantes foi baixa nas perguntas selecionadas, as quais eram vinculadas aos conhecimentos de urgência em endodontia (27,3% – 68,2%). Essa baixa quantidade de acertos foi relacionada às variáveis sexo, idade e tempo de formado. Conclusão: o cirurgião-dentista deve estar preparado para lidar com urgências endodônticas desde a formação acadêmica. Considerando a baixa quantidade de acertos nas questões acerca de urgências endodônticas, atualizações constantes sobre o tema são necessárias, a fim de aprimorar o conhecimento dos profissionais e ampliar a resolutividade dos serviçosObjective: To assess the knowledge of a group of dentists working in Primary Health Care about the diagnostics and behaviors to be adopted to treat endodontic emergencies. Methods: 24 dentists answered a structured questionnaire adapted to the study. The instrument addressed socioeconomic characteristics and the knowledge of dentists about diagnostics and behaviors concerning pulpal and periapical pathologies. The data were subjected to analyses of descriptive statistics (measures of variability and central tendency) and of association between the outcomes and the independent variables using Student’s t-test and Pearson correlation test. Significance was set at α ≤ 0.05. Results: The number of correct answers was low in the questions selected, which were linked to the knowledge of endodontic emergencies (27.3 - 68.2%). The low number of correct answers was related to the variables of sex, age, and time of academic training. Conclusion: Dentists should be prepared to deal with endodontic emergencies since their academic training. The low number of correct answers for questions about endodontic emergencies shows the need for constant updates on the subject, in order to improve the knowledge of the professionals and expand the resoluteness of service

Declínio da doença cárie no Brasil : possíveis razões

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A relação entre variáveis clínicas de saúde bucal e qualidade de vida dos indivíduos entre 50 e 74 anos de três distritos sanitários de Porto Alegre

Atualmente, poucos estudos avaliam o impacto que as doenças bucais, assim como as reabilitações protéticas, desempenham sobre a qualidade de vida geral dos indivíduos. O objetivo desta pesquisa foi investigar a relação entre variáveis clínicas de saúde bucal com os domínios físico, psicológico, de relações sociais e de meio ambiente da qualidade de vida geral. Neste estudo transversal, 720 indivíduos entre 50 e 74 anos residentes de três distritos sanitários de Porto Alegre, sul do Brasil, participaram da pesquisa, sendo selecionados através de amostragem proporcional de múltiplos estágios. As entrevistas e exames clínicos foram realizados nos domicílios dos sujeitos por 4 duplas de examinadores e anotadores previamente treinados e calibrados. Os dados foram coletados seguindo duas etapas: 1) Entrevista usando questionário estruturado sobre dados sociodemográficos e o World Health Organization Abbreviated Instrument for Quality Of Life Assessment (WHOQOL-BREF) para avaliação da qualidade de vida; 2) Exame clínico bucal sob luz artificial, utilizando-se índices e critérios recomendados pela Organização Mundial da Saúde (OMS) e complementados pelo Levantamento Epidemiológico SB/Brasil 2000. Para efeito de análise os escores de qualidade de vida foram categorizados em: baixo (≤ mediana) e alto (> mediana). A associação entre os desfechos e os fatores em estudo foi analisada através de Regressão de Poisson múltipla, com ajuste para variância robusta, e função svyset programada seguindo os estágios da pesquisa. Um maior escore no domínio físico foi associado ao uso de prótese superior e com nível educacional. No domínio psicológico, um escore mais elevado foi associado ao nível educacional. Um maior escore no domínio de relações sociais esteve associado ao CPOD, gênero e nível educacional. Por fim, no domínio meio ambiente, maiores escores estiveram associados ao uso e necessidade de prótese inferior, idade e nível educacional. Pode-se concluir que nesta população a qualidade de vida geral está associada a variáveis clínicas de saúde bucal como CPOD, uso e necessidade de prótese.Currently, there are few studies assessing the impact of oral diseases and prosthetic rehabilitation on the general quality of life of individuals. The objective of this study was to investigate the relationship between oral health clinical variables and the following domains of general quality of life: physical, psychological, social relations, and environment. This cross-sectional study involved 720 individuals between 50 and 74 years living in three health districts of Porto Alegre, southern Brazil. The subjects were selected using multi-stage proportional sampling. The interviews and clinical examinations were performed at home by four pairs of researchers previously trained and calibrated. Data were collected following two steps: 1) interview using a structured questionnaire on demographic data and the World Health Organization Abbreviated Instrument for Quality of Life Assessment (WHOQOL-BREF) to assess quality of life; 2) oral clinical examination under artificial light, using rates and criteria recommended by the World Health Organization (WHO) and complemented with the Epidemiological Survey SB/Brazil 2000. For the analysis, the scores of quality of life were categorized as low (≤ median) and high (> median). The association between the outcomes and the factors studied was analyzed using Poisson Multiple Regression, with adjustment for robust variance, and svyset function following the stage of the study. A higher score in the physical domain was associated with the use of upper prosthesis and with higher educational level. In the psychological domain, a higher score was associated with the educational level. A higher score in the social relations domain was associated with the DMFT, gender and educational level. Finally, in the environment domain, higher scores were associated with use and need of lower prosthesis, age and educational level. Finally, in the environment domain, higher scores were associated with use and need of lower prosthesis, age and educational level. It was concluded that this population's quality of life is associated to oral health clinical variables such as DMFT, use and need of prosthesis

Ortodontia interceptiva na APS: caso clínico

O dente de um menino de oito anos está nascendo fora de posição e foi necessário tratamento ortodôntico interceptativo

Original research Community Dental Health

Dental pain, use of dental services and oral health-related quality of life in southern Brazil Abstract: This study aimed at assessing the relationship between dental pain and the reason for using dental services and oral health quality of life in people aged 50 to 74 years in southern Brazil. A cross-sectional population-based study was conducted with 720 individuals aged 50 to 74 years, living in three health districts in the city of Porto Alegre. Dental impacts on daily life and sociodemographic data were assessed using structured interviews. The Oral Impacts on Daily Performance -OIDP instrument was used to measure oral impacts. The information was analyzed by Poisson regression with robust variance adjustment, taking into account cluster sampling. Dental pain was present in 32.5% of those reporting an oral impact on their daily activities. Dental pain most frequently affected talking (37.6%), cleaning teeth and gums (37.0%) and enjoying the companionship of people (36.5%). After adjustments to the multivariate analysis, the reason for dental visits due to dental pain was found to have a high impact on daily activities ]

Declínio da doença cárie no Brasil : possíveis razões

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