Impact of oral health of patients with cerebral palsy in the caregiver
Keywords:Oral health, Caregivers, Cerebral palsy
Objective: Our study sought to evaluate how oral health of children and adolescents with CP affects their caregivers’ life. Materials and Methods: This is a cross-sectional study with a quantitative approach conducted in Aracaju, state of Sergipe, Brazil, from July 2019 to April 2020. Data from 22 caregivers were collected at the Dental Unit for Special Patients at the Universidade Federal do Sergipe (Hospital University), using a sociodemographic questionnaire and the Family Impact Scale (FIS). Results: Women were more prevalent as main caregivers (81%), and 19 out of the 22 interviewees were full time caregivers. Regarding the profile of the patient with CP, 67% were boys between 11 and 15 years old (38%). For the analysis of the FIS, an impact average of 33 points were found. Conclusion: We observed a high impact of oral health of patients with CP on their caregivers. On the other hand, caregivers are increasingly looking for resources that enable not only their children’s physical, but also their oral well-being, with participation in government programs aimed at education in oral health.
Lemos ACO, Katz CR. Condições de saúde bucal e acesso ao tratamento odontológico de pacientes com paralisia cerebral atendidos em um centro de referência do Nordeste – Brasil. Rev CEFAC. 2012;14(5):861-71. Doi: https://.doi.org/10.1590/S1516-18462012005000045
Pereira HV. Paralisia cerebral. Resid. 2018;8(Supl 1):49-55. doi: 10.25060/residpediatr
Wimalasundera N, Stevenson VL. Cerebral palsy. Practical Neurology. 2016;16(3):184-94. Doi: https://.doi.org/10.1136/practneurol-2015-001184
Soares J, Volpato LER, Castro PHS, Lambert NA, Borges AH, CARVALHOSA AA. Avaliação do conhecimento sobre saúde bucal de pais e cuidadores de crianças e adolescentes com deficiência. J Health Sci Inst. 2013;31(3):239-43.
Pini DM, Fröhlich PCGR, Rigo L. Oral health evaluation in special needs individuals. Einstein. 2016;14(4):501-7. Doi: https://.doi.org/10.1590/s1679-45082016ao3712
Brasil. Guia Prático do Cuidador. 1 ed. Brasília: Ministério da Saúde; 2008. 64 p.
Fernandes CS, Angelo M. Family Caregivers: what do they need? An integrative review. Rev Esc Enferm USP. 2016;50(4):672-8. Doi: https://.doi.org/10.1590/S0080-623420160000500019
Keniş-Coşkun Ö, Atabay CE, Şekeroğlu A, Akdeniz E, Kasil B, Bozkurt G, et al. The relationship between caregiver burden and resilience and quality of life in a Turkish pediatric rehabilitation facility. J Pediatr Nurs. 2019;52:e108-e113. Doi: https://.doi.org/10.1016/j.pedn.2019.10.014
Goursand D, Paiva SM, Zarzar PM, Pordeus IA, Allison PJ. Family Impact Scale (FIS): psychometric properties of the Brazilian Portuguese language version. Eur J Paediatr Dent. 2009;10(3):141-6. PMID: 19761289
Chiluba BC, Moyo G. Caring for a cerebral palsy child: A caregivers perspective at the University Teaching Hospital, Zambia. BMC Res Notes. 2017;10(1):724. Doi: https://.doi.org/10.1186/s13104-017-3011-0
Albayrak I, Biber A, Çaliskan A, Levendoglu F. Assessment of pain, care burden, depression level, sleep quality, fatigue and quality of life in the mothers of children with cerebral palsy. J Child Health Care. 2019;23(3):483-94. Doi: https://.doi.org/10.1177/1367493519864751
Noronha DD, Martins AMEB, Dias DS, Silveira MF, De Paula AMB, Haikal DSA. Qualidade de vida relacionada à saúde entre adultos e fatores associados: Um estudo de base populacional. Ciênc Saúde Coletiva. 2016;21(2):463-74. Doi: https://.doi.org/10.1590/1413-81232015212.01102015
Guerreiro PO, Garcias GL. Diagnóstico das condições de saúde bucal em portadores de paralisia cerebral do município de Pelotas, Rio Grande do Sul, Brasil. Ciênc Saúde Coletiva. 2009;14(5):1939-46. Doi: http://dx.doi.org/10.1590/S1413-81232009000500036
Silva ELMS, Goés PSA, Vasconcelos MMVB, Jamelli SR, Eickmann SH, Melo MMDC, et al. Cuidados em saúde bucal a crianças e adolescentes com paralisia cerebral: percepção de pais e cuidadores. Ciênc Saúde Coletiva. 2020;25(10):3773-84. Doi: https://.doi.org/10.1590/1413-812320202510.27972018
Cardoso AMR, Medeiros MMD, Gomes LN, Martins ML, Padilha WWN, Cavalcanti AL. Factors associated with health and oral health-related quality of life of children and adolescents with cerebral palsy. Spec Care in Dentist. 2018;38(4):216-26. Doi: https://.doi.org/10.1111/scd.12301
Vasconcelos VM, Frota MA, Pinheiro AKB, Gonçalves MLC. Percepção de mães acerca da qualidade de vida de crianças com paralisia cerebral. Rev Cogitare Enferm. 2010;15(2):238-44. Doi: https://.doi.org/10.5380/ce.v15i2.17853
Assumpção FB Jr, Kucznski E. Qualidade de vida na infância e na adolescência: orientações para pediatras e profissionais da saúde mental. 1 ed. Porto Alegre: Artmed; 2010.
Tseng MH, Chen KL, Shieh JY, Lu L, Huang CY, Simeonsson RJ. Child characteristics, caregiver characteristics, and environmental factors affecting the quality of life of caregivers of children with cerebral palsy. Disabil Rehabil. 2016;38(24):2374-82. Doi: https://.doi.org/10.3109/09638288.2015.1129451
Glinac A, Matović L, Delalić A, Mešalić L. Quality of life in mothers of children with cerebral palsy. Acta Clin Croat. 2017;56(2):299-307. Doi: https://.doi.org/10.20471/acc.2017.56.02.14
Nqcobo C, Ralephenya T, Kolisa YM, Esan T, Yengopal V. Caregivers’ perceptions of the oral-health-related quality of life of children with special needs in Johannesburg, South Africa. Health SA. 2019;24:1056. Doi: https://.doi.org/10.4102/hsag.v24i0.1056
Lewis C, Vigo L, Novak L, Klein EK. Listening to Parents: A Qualitative Look at the Dental and Oral Care Experiences of Children with Autism Spectrum Disorder. Pediatr Dent. 2015;37(7):e98-104. PMID: 26883603
Camargos ACR, Lacerda TTB, Viana SO, Pinto LRA, Fonseca MLS. Avaliação da sobrecarga do cuidador de crianças com paralisia cerebral através da escala Burden Interview. Rev Bras Saúde Mater Infant. 2009;9(1). Doi: https://.doi.org/10.1590/S1519-38292009000100004
Copyright (c) 2021 Vanessa Gonçalves Moreira, Helare Adane Andrade Santos, Paulo Ricardo Saquete Martins Filho, Alina Lúcia de Oliveira Barros, Sara Juliana de Abreu de Vasconcellos
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors are requested to send, together with the letter to the Editors, a term of responsibility. Thus, the works submitted for appreciation for publication must be accompanied by a document containing the signature of each of the authors, the model of which is presented as follows:
I/We, _________________________, author(s) of the work entitled_______________, now submitted for the appreciation of Clinical and Laboratorial Research in Dentistry, agree that the authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
Date: ____/____/____Signature(s): _______________