IMPACTO DAS CONDIÇÕES DE SAÚDE BUCAL NA QUALIDADE DE VIDA DE PACIENTES SUBMETIDOS À CIRURGIA BARIÁTRICA – ENSAIO CLÍNICO RANDOMIZADO
Resumo
Agravos bucais consequentes à cirurgia bariátrica podem repercutir negativamente na qualidade de vida de gastroplastizados. O estudo avaliou o impacto das condições de saúde bucal na qualidade de vida desses pacientes. O ensaio clínico aleatorizado envolveu 208 gastroplastizados, divididos em dois grupos: Grupo de Intervenção (GI) – participantes do Programa de Promoção de Saúde Bucal para Pacientes Bariátricos (PROBARI) – e Grupo Controle (GC). A coleta de dados foi realizada em três momentos: pré-operatório, 6 meses e 12 meses pós-operatórios. Foram aplicados um formulário demográfico e o questionário Oral Impacts on Daily Performance (OIDP). A análise estatística compreendeu análises descritivas e bivariadas e regressão logística longitudinal, tendo como variável dependente o impacto da saúde bucal na qualidade de vida (OIDP) e, como variáveis independentes, as características demográficas. No pós-operatório de 6 meses, tanto o índice OIDP médio foi significativamente menor (p = 0,001) no GI (1,1) em comparação ao GC (8,1), quanto sua prevalência, sendo de 5,7% e 26,0%, respectivamente, para o GI e o GC. Mulheres apresentaram chance aproximadamente duas vezes maior de ter a qualidade de vida influenciada negativamente por sua condição bucal (z = 2,457; p = 0,014). Pertencer ao Grupo de Intervenção (GI), no pós-operatório de 6 meses, foi fator de proteção (OR = 0,16; IC95%: 0,09–0,30; p = 0,000078), indicando menor chance de ter a qualidade de vida influenciada negativamente pela saúde bucal. O impacto do PROBARI reduziu a variável resposta OIDP em 84%, com melhora significativa na qualidade de vida.
Biografia do Autor
Pós-Doutorado em Odontologia. Centro Universitário Ingá – UNINGÁ, Maringá-PR, Brasil.
Doutorado em Odontologia. Universidade Estadual de Maringá – UEM, Maringá-PR, Brasil.
Doutoranda do Programa Interinstitucional de Pós-Graduação em Estatística, UFSCar–USP, São Carlos-SP, Brasil.
Mestrado em Comunicação. Universidade Estadual de Londrina – UEL, Londrina-PR, Brasil.
Pós-Doutorado em Estatística. Universidade Estadual de Maringá – UEM, Maringá-PR, Brasil.
Pós-Doutorado em Odontologia. Centro Universitário Ingá – UNINGÁ, Maringá-PR, Brasil.
Pós-Doutorado em Odontologia. Centro Universitário Ingá – UNINGÁ, Maringá-PR, Brasil.
Pós-Doutorado em Odontologia. Universidade Estadual de Maringá – UEM, Maringá-PR, Brasil.
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