Esma KÜRKLÜ GÜRLEYEN, KADRİYE PEKER, GÜLSÜM AK

Rekürrent aftöz stomatitli hastalarda ağız sağlığına bağlı yaşam kalitesinin değerlendirilmesi

Amaç:Bu çalışmanın amacı, rekürrent aftöz stomatitli (RAS) hastalarda ağız sağlığına bağlı yaşam kalitesinin değerlendirilmesi ve belirleyenlerinin tespit edilmesidir. Gereç ve Yöntem:Bu kesitsel çalışmanın örneklemini RAS tanısı konulan gönüllü 85 hasta oluşturmaktadır. Veriler sosyo-demografik, davranışsal, klinik değişkenler ile Ağız Sağlığı Etki Ölçeği (OHIP-14)’nin yer aldığı anket formu aracılığı ile toplanmıştır. Ülserlerin klinik özelliklerinin değerlendirilmesinde Ülser Şiddeti Skorlaması (USS) kullanılmıştır. Verilerin analizinde tanımlayıcı istatistik, Mann-Whitney U test, Spearman korelasyon katsayısı ve çoklu doğrusal regresyon analizi kullanılmıştır. Bulgular:Çalışmada 35’i kadın (%41,2), 50’si erkek (%58,8), ortalama yaşı 39,17±14,29 olan toplam 85 hasta yer almaktadır. Cinsiyet (p=0,001) ve medeni durum (p=0.044) açısından OHIP-14’ün psikolojik rahatsızlık alt ölçeğinde anlamlı fark bulunmuştur. Çalışma durumu, eğitim, sigara ve alkol kullanımı açısından OHIP-14 toplam puan ve alt ölçek puanlarında anlamlı fark saptanmamıştır. İkili analizlerde, OHIP-14 toplam puanı ile aile öyküsü, ülser süresi, sıklığı, ağrı düzeyi, toplam USS skoru ve hastalık süresi arasında anlamlı ilişki bulunmuştur. Çok değişkenli regresyon analizinde; USS toplam puanı (ß=0.635; p

Aim:The aim of the study was to assess the oral health-related quality of life in patients with recurrent aphthous stomatitis (RAS) and to determine its predictors. Materials and Methods:The study sample of this cross-sectional study was 85 volunteers with RAS. Data was collected via a questionnaire including socio-demographic, behavioral and ulcer characteristics and Oral Health Impact Profile 14 (OHIP-14). Ulcer characteristics was evaluated by using Ulcer Severity Score (USS). Data analysis was performed by using descriptive statistics, Mann-Whitney U test, Spearman correlation coefficients and the multiple linear regression. Results:A total of 85 patients of whom 35 were females (%41.2), 50 were males (%58.8) with a mean age of 39.17±14.29 years were enrolled. Regarding the psychological discomfort domain of OHIP-14 gender and marital status were statistically significant. There was no statistical significance in OHIP14 total score and its domain scores in terms of working status, education, tobacco and alcohol consumption. In bivariate analyses, significant differences were found among OHIP-14 total score and family history, ulcer duration, frequency, level of pain, total USS and disease duration. In the multivariate analysis, total USS, self-perceived oral health and marital status were found to be the most important predictors, accounting for 25 % of the variance in the OHIP-14 scale. Conclusion:The most important predictors of oral health quality of life in patients with minor RAS are total USS, patients’ perceived oral health and marital status. The use of OHIP-14 together with the self-perceived oral health, socio-demographic characteristics and USS will provide benefit to assess patients’ subjective oral health in routine clinical practice.

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