MÜGE AKSU, TÜLİN TANER, BANU SAĞLAM AYDINATAY

Ortodonti kliniğine başvuran ebeveynlerin pediatrik uyku apnesi hakkındaki görüşleri ve bilgi düzeyleri

Amaç: Bu kesitsel çalışmanın amacı ebeveynlerin pediatrik uyku apnesi ile ilgili bilgilerini ve ortodontistin bu hastalığın teşhis ve tedavisindeki yeri ile ilgili fikirlerini değerlendirmektir. Gereç ve Yöntem: Pediatrik uyku apnesi hakkındaki farkındalık ve görüşleri ölçmek üzere tasarlanmış bir anket, çocuklarının ortodontik tedavisi için bir üniversite ortodonti kliniğine başvuran uygun örneklem grubu ebeveynlere uygulandı. Elde edilen veriler ortalama ve sıklıkları içeren tanımlayıcı istatistikler ile analiz edildi. Demografik değişkenler ile sorgulanan bilgi maddeleri arasındaki korelasyonlar Pearson ki-kare testi kullanılarak incelendi. Bulgular: Anket toplam 260 ebeveyn tarafından cevaplandı. (Ortalama yaş: 40,7±6,6 yıl, 169 kadın, 91 erkek). Ebeveynlerin çoğu, diş hekimleri ve ortodontistlerin tıbbi hastalık riskleri yönünden çocuklarında değerlendirme yapmasının çok önemli olduğu görüşündeydi (sırasıyla %76,5 ve %76,2). Ebeveynler aynı zamanda ortodontistin çocuklarını uyku apnesi riski yönünden değerlendirmesini isteyeceklerini (%92,7) ve eğer ortodontist yönlendirirse uyku apnesi açısından değerlendirilmek üzere çocuklarını doktora götüreceklerini (%97,5) belirttiler. Çoğu ebeveyn pediatrik uyku apnesi hakkında temel düzeyde bir bilgiye sahip olmasına rağmen, bu hastalığın etyolojisi, semptomları, teşhisi, sonuçları ve tedavileri hakkında bilgileri yoktu. Artmış eğitim seviyesi, pediatrik uyku apnesi hakkındaki bilgi düzeyi ile anlamlı düzeyde ilişkiliydi (p

Knowledge and attitudes about pediatric sleep apnea among parents in an orthodontic clinic

Aim: The purpose of this cross-sectional study was to assess parents' knowledge on pediatric sleep apnea and their attitudes regarding the role of the orthodontist in the diagnosis and management of sleep apnea.Materials and Methods: A questionnaire designed to evaluate awareness and views about pediatric sleep apnea was given to a convenience sample of parents visiting a university clinic for the orthodontic treatment of their children. Data were analyzed using descriptive statistics including means and frequencies. Pearson's chi-square statistics were used in order to determine the correlation between knowledge items questioned and demographic variables. Results: The survey was completed by 260 parents (mean age: 40.7±6.6 years, 169 female, 91 male). The majority of parents thought it was very important for dentists and orthodontists to identify increased risk for medical conditions (76.5% and 76.2%, respectively). The parents were also willing to have an orthodontist screen their child (92.7%) and they would accept a referral to a sleep specialist if suggested by the orthodontist (97.5%). Even though most of the parents had some basic knowledge about the disease, the majority did not know about the etiology, signs and symptoms, diagnosis, health consequences and treatment of pediatric sleep apnea. A higher educational level and knowledge about the disease showed a statistically significant relationship (p

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1. American Academy of Pediatrics. Clinical Practice Guideline: Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome. Pediatrics 2002; 109: 704-712.
2. Kaditis AG, ve ark. Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management. Eur Respir J 2016; 47: 69-94.
3. Bonuck KA, ve ark. Prevalence and persistence of sleep disordered breathing symptoms in young children: a 6-year population-based cohort study. Sleep 2011; 34: 875-884.
4. Gozal D, Kheirandish-Gozal L. Obesity and excessive daytime sleepiness in prepubertal children with obstructive sleep apnea. Pediatrics 2009; 123: 13-18.
5. Taner T, Sağlam Aydınatay B. Physiologic and dentofacial effects of mouth breathing compared to nasal breathing. In: Önerci TM, editor. Nasal physiology and pathophysiology of nasal disorders. Berlin Heidelberg: Springer-Verlag; 2013. p. 567-88.
6. Cakirer B, ve ark. The relationship between craniofacial morphology and obstructive sleep apnea in whites and in African-Americans. Am J Respir Crit Care Med 2001; 163: 947-950.
7. Flores-Mir C, ve ark. Craniofacial morphological characteristics in children with obstructive sleep apnea syndrome: a systematic review and meta-analysis. J Am Dent Assoc 2013; 144: 269-277.
8. Capdevilla OS, Kheirandish-Gozal L, Dayyat E, Gozal D. Pediatric obstructive sleep apnea: complications, management, and long-term outcomes. Proc Am Thorac Soc 2008; 15: 274-282.
9. Dehlink E, Tan HL. Update on paediatric obstructive sleep apnoea. J Thorac Dis 2016; 8: 224-235.
10. Reiter J, Rosen D. The diagnosis and management of common sleep disorders in adolescents. Curr Opin Pediatr 2014; 26: 407-412.
11. Cole AM. The role of dentistry in the field of sleep medicine...are we respecting the physiology? Cranio 2014; 32: 9-10.
12. Gauthier L, ve ark. Position paper by Canadian dental sleep medicine professionals on the role of different health care professionals in managing obstructive sleep apnea and snoring with oral appliances. Can Respir J 2012; 19: 307-309.
13. Bian H. Knowledge, opinions, and clinical experience of general practice dentists toward obstructive sleep apnea and oral appliances. Sleep Breath 2004; 8: 85–90.
14. Forrest CB, Shadmi E, Nutting PA, Starfield B. Specialty referral completion among primary care patients: results from the ASPN Referral Study. Ann Fam Med. 2007; 5: 361-367.
15. Carpenter CJ. A meta-analysis of the effectiveness of health belief model variables in predicting behavior. Health Commun. 2019; 25: 661-669.
16. Balfour L, ve ark. Development and psychometric validation of a cystic fibrosis knowledge scale. Respirology 2014; 19: 1209-1214.
17. Mahon AM, Moore GD, Gazes MI, Chusid E, MacGilchrist C. An Investigation of Diabetes Knowledge Levels Between Newly Diagnosed Type 2 Diabetes Patients in Galway, Ireland and New York, USA: A Cross-Sectional Study. Int J Low Extrem Wounds 2016; 15: 194-202.
18. Chatziefstratiou AA, Giakoumidakis K, Fotos NV, Baltopoulos G, Brokalaki-Pananoudaki H. Translation and validation of the Greek version of the hypertension knowledge-level scale. J Clin Nurs 2015; 24: 3417-24.
19. Owens JA. The practice of pediatric sleep medicine: results of a community survey. Pediatrics 2001; 108: e51.
20. Schreck KA, Richdale AL. Knowledge of childhood sleep: a possible variable in under or misdiagnosis of childhood sleep problems. J Sleep Res 2011; 20: 589-97.
21. Strocker AM, Shapiro NL. Parental understanding and attitudes of pediatric obstructive sleep apnea adenotonsillectomy. Int J Pediatr Otorhinolaryngol 2007; 71: 1709-1715.
22. Miller CS, Westgate PM. Implications of medical screenings of patients arriving for dental treatment. J Am Den Assoc 2014; 145: 1027-1035.
23. Greenberg BL, Kantor ML, Jiang SS, Glick M. Patients' attitudes toward screening for medical conditions in a dental setting. J Public Health Dent 2012; 72: 28-35.
24. Greenberg BL, Glick M, Frantsve-Hawley J, Kantor ML. Dentists' attitudes toward chairside screening for medical conditions. J Am Dent Assoc 2010; 141: 52-62.
25. Deis JN, Spiro DM, Jenkins CA, Buckles TL, Arnold DH. Parental knowledge and use of preventive asthma care measures in two pediatric emergency departments. J Asthma 2010; 47: 551-556.
26. Pew Research Center. Washington, DC: Pew Internet & American Life Project; 2009. http://www.pewinternet. org/2009/06/11/the-social-life-of-health-information/