Socijalno-medicinski pristup definisanju modela monitoringa pacijenata sa zubnim nadoknadama
Socio-medical approach to the design of the model for monitoring the patients with dentures
Author
Popović, Željka V.Mentor
Gajić, IvankaCommittee members
Obradović-Đuričić, KosovkaJovanović, Svetlana
Stojanović, Olivera
Milošević, Dragoslav
Metadata
Show full item recordAbstract
Uvod: Iako je obim rada u oblasti stomatološke protetike veliki, monitoring
pacijenata sa zubnim nadoknadama na nivou naše zemlje nije uspostavljen, a podaci o
ovim pacijentima su insuficijentni. Ne postoje validni podaci o broju lica kojima su
tokom godine pružene usluge iz oblasti stomatološke protetike, odnosno na kojima su
izvršene stomato-protetske intervencije, informacije o broju i vrsti intervencija, kao i o
oralno-zdravstvenom kvalitetu života ovih pacijenata. Zato je nemoguće sagledati ovaj
problem sa socijalno-medicinskog aspekta. Imajući ovo u vidu, nametnula se potreba
definisanja modela monitoringa pacijenata sa zubnim nadoknadama, koji bi omogućio
obezbeđivanje relevantnih indikatora za sagledavanje ovog značajnog oralnozdravstvenog
problema, kao i planiranje i programiranje mera u ovoj oblasti sa aspekta
javnog zdravlja.
Cilj: Osnovni cilj ovog istraživanja bio je definisanje modela monitoringa
pacijenata sa zubnim nadoknadama, sa posebnim osvrtom na oralno-zdravstvene
...aspekte kvaliteta života.
Posebni ciljevi bili su:
1. Pilot studijom utvrditi konzistentnost, pouzdanost i stabilnost GOHAI upitnika,
kao instrumenta za merenje oralno-zdravstvenog kvaliteta života pacijenata sa
zubnim nadoknadama;
2. Ustanoviti stanje oralnog zdravlja i oralne higijene ispitanika, kao i stanje
postojećih zubnih nadoknada i potrebe za tretmanom;
3. Ustanoviti vrednosti indeksa njihovog znanja o oralnom zdravlju;
4. Ustanoviti vrednosti indeksa njihovog oralno-zdravstvenog kvaliteta života
(GOHAI i SOHAI) pre i tri meseca posle stomato-protetske intervencije;
5. Ustanoviti najadekvatniji instrument (GOHAI ili SOHAI) za procenu oralnozdravstvenog
kvaliteta života ispitanika u našim uslovima, sa aspekta pacijenata
i specijalista stomatološke protetike.
Metode i instrumenti: Istraživanje je dizajnirano kao evaluaciona, socijalnomedicinska,
prospektivna epidemiološka studija, koja je sprovedena na grupi od 179
ispitanika, oba pola, starosti preko 40 godina, raznih zanimanja, pre i tri meseca posle
stomato-protetske intervencije. Istraživanje je sprovedeno u Vojnomedicinskom centru
„Novi Beograd“ i u Domu zdravlja „Dr Simo Milošević“ u Beogradu, tokom 2008-
2009. godine:
-U toku istraživanja obavljeni su kompletni stomatološki pregledi pacijenata, kao
i procena potreba za stomato-protetskim tretmanom.
-Izvršene su stomato-protetske intervencije, odnosno svim pacijentima su urađene
nove zubne nadoknade u skladu sa procenjenim potrebama.
-Svi pacijenti intervjuisani su pre i tri meseca posle stomato-protetskih
intervencija...
extensive, monitoring of the patients with dentures in our country has not been
established yet, and the data on these patients are insufficient. There are no reliable data
on the number of patients who used the services of dental prosthetics in the period of
one year, i.e. number of those who had dental prosthetic interventions, information on
the number and the type of interventions, as well as on the oral health-related quality of
life of these patients. Therefore, it is impossible to consider this problem in social and
medical aspects. Bearing this in mind, it became necessary to define the model for
monitoring the patients with dentures, which would enable the provision of relevant
indicators for consideration of these important oral health-related problems, such as
planning and programming the measures in this area in terms of public health.
Objective: The main objective of this study was to define the model for
monitoring the patients with dentures, with special emphasis on oral... health-related
quality of life.
Specific objectives were:
1. To use a pilot study in order to determine the consistency, reliability and
stability of GOHAI questionnaire as an instrument for measuring oral healthrelated
quality of life in the patients with dentures;
2. To determine the condition of oral health and oral hygiene of respondents, as
well as the state of existing dentures and the need for treatment;
3. To determine an index value of their knowledge of oral health;
4. To determine the index value of their oral health-related quality of life (GOHAI
and SOHAI) before the intervention and three months after the dental prosthetic
intervention;
5. To determine the most appropriate instrument (GOHAI or SOHAI) for
assessing the oral health-related quality of life of patients in our environment,
from the aspect of patients and dental prosthetics specialists.
Methods and instruments: The study was designed as an evaluation, sociomedical,
prospective epidemiological study, which was conducted on a group of 179
respondents of both sexes, aged over 40, a variety of occupations before and three
months after the dental prosthetic intervention. The study was conducted at the Military
Medical Center "Novi Beograd" and Medical Center "Dr Simo Milosevic" in Belgrade,
2008-2009:
-During the research a complete dental examination of the patients and the
assessment of dental-prosthetic treatment were conducted.
-Dental prosthetic interventions were conducted on all the patients i.e. all the
patients had new dentures in accordance with the assessed needs...