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Avaliação da satisfação dos pacientes reabilitados com prótese removível
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Objetivos: Avaliar as expectativas e a satisfação dos pacientes reabilitados com próteses removíveis, através da realização de um inquérito, por forma a inferir sobre o efeito dessa reabilitação na sua qualidade de vida. Materiais e métodos: Foi realizado e aplicado um inquérito a 136 pacientes seguidos na consulta de Prostodontia Removível da Faculdade de Medicina Dentária da Universidade de Lisboa e em clínicas dentárias privadas situadas nos distritos de Leiria e Lisboa. Foi efetuada a análise estatística utilizando o software IBM© SPSS© versão 25.0 e obtida a caracterização da amostra através de uma análise descritiva. Para a validação do inquérito recorreu-se ao alpha de Cronbach para verificar a fidelidade das escalas e à análise fatorial para confirmar a validade das mesmas. Para analisar as hipóteses de investigação foram utilizados diversos testes e análises, como o de Wilcoxon, o de Kruskal Wallis, o Qui-quadrado e a Análise de Resíduos. Resultados: Os valores de alpha de Cronbach obtidos foram de 0,917, 0,933 e 0,727 e a análise fatorial obteve percentagens de explicação consistentes em todas as questões do inquérito. A reabilitação protética foi ao encontro das expectativas do paciente, com valores estatisticamente significativos entre as motivações e as alterações com a colocação de uma nova prótese (p=0,0001***). A reabilitação protética tanto no maxilar superior como no inferior influenciaram as alterações no paladar. Na verificação da adaptação à prótese removível por faixa etária, observaram-se diferenças estatisticamente significativas (p=0,0001***) e registaram-se maiores dificuldades na adaptação nos pacientes com idades ≥ 70 anos. Conclusões: A validade e a fidelidade das escalas do inquérito demonstraram a existência de uma boa consistência interna, atestando o presente estudo. Na grande maioria dos casos, os pacientes atingiram os objetivos iniciais, melhorando no geral todos os parâmetros avaliados, superando em alguns casos as expectativas iniciais.
Objetives: Evaluate the expectations and satisfaction of rehabilitated patients with dental removable prosthesis, by conducting an inquiry to infer about the effects in their quality of life. Materials and methods: It was carried out and applied an inquiry on 136 patients of the Removable Prosthodontics department of the Faculdade de Medicina Dentária of the Universidade de Lisboa and in private offices, both in Lisboa and Leiria districts. The IBM© SPSS© software version 25.0 was used for the statistical analysis and obtained the characterization of the sample through a descriptive analysis. To validate the inquiry it was resorted to the Cronbach alpha, assessing the fidelity of the scales and the factorial analysis to confirm their validity. To assess the investigation hypothesis, it was used multiple tests and analysis, such as Wilcoxon, Kruskal Wallis, Qui-square and Residues Analysis. Results: The found Cronbach alpha values were 0,917, 0,933 e 0,727 and the factorial analysis obtained explanation percentages consistent in all of the inquiry questions. The rehabilitation with the removable prosthesis met the patient’s expectations, with statistically significant values between motivations and changes obtained following the rehabilitation with a new prosthesis (p=0,0001). Both on the upper and lower jaw, the prosthetic rehabilitation influenced the changes in patient’s taste. The parsing of the removable prosthesis fit by age group, shown statistically significant differences (p=0,0001) and listed greater struggles in the adaptation on patients older than 70 years. Conclusions: The validity and fidelity of the inquiry scales revealed a good internal consistency, attesting this study. In the majority of cases, all patients attained their initial goals, improving in general all studied parameters, surpassing in some cases their maiden prospects.
Objetives: Evaluate the expectations and satisfaction of rehabilitated patients with dental removable prosthesis, by conducting an inquiry to infer about the effects in their quality of life. Materials and methods: It was carried out and applied an inquiry on 136 patients of the Removable Prosthodontics department of the Faculdade de Medicina Dentária of the Universidade de Lisboa and in private offices, both in Lisboa and Leiria districts. The IBM© SPSS© software version 25.0 was used for the statistical analysis and obtained the characterization of the sample through a descriptive analysis. To validate the inquiry it was resorted to the Cronbach alpha, assessing the fidelity of the scales and the factorial analysis to confirm their validity. To assess the investigation hypothesis, it was used multiple tests and analysis, such as Wilcoxon, Kruskal Wallis, Qui-square and Residues Analysis. Results: The found Cronbach alpha values were 0,917, 0,933 e 0,727 and the factorial analysis obtained explanation percentages consistent in all of the inquiry questions. The rehabilitation with the removable prosthesis met the patient’s expectations, with statistically significant values between motivations and changes obtained following the rehabilitation with a new prosthesis (p=0,0001). Both on the upper and lower jaw, the prosthetic rehabilitation influenced the changes in patient’s taste. The parsing of the removable prosthesis fit by age group, shown statistically significant differences (p=0,0001) and listed greater struggles in the adaptation on patients older than 70 years. Conclusions: The validity and fidelity of the inquiry scales revealed a good internal consistency, attesting this study. In the majority of cases, all patients attained their initial goals, improving in general all studied parameters, surpassing in some cases their maiden prospects.
Descrição
Tese de mestrado, Medicina Dentária, Universidade de Lisboa, Faculdade de Medicina Dentária, 2018
Palavras-chave
Prótese dentária Satisfação do paciente Qualidade de vida Teses de mestrado - 2018