Impacto da reabilitação oral na qualidade de vida e nos níveis de cortisol de pacientes geriátricos
DOI:
https://doi.org/10.33448/rsd-v9i11.9911Palavras-chave:
Idoso; Hidrocortisona; Saúde bucal; Qualidade de vida; Reabilitação bucal.Resumo
O objetivo deste estudo foi correlacionar a qualidade de vida relacionada à saúde bucal (OHRQoL) com os níveis de cortisol salivar em idosos em reabilitação protética oral. Quarenta e um participantes idosos responderam a um questionário sociodemográfico e ao Oral Health Impact Profile (OHIP-14) para OHRQoL. Os participantes foram avaliados clinicamente e encaminhados a uma Clínica de Odontologia Geriátrica Pública para reabilitação oral protética. Amostras de saliva foram coletadas para quantificação do cortisol através de ELISA, antes (T1) e após (T2) a reabilitação oral protética. A comparação entre T1 e T2 foi realizada pelo teste de Wilcoxon com significância de 5%. A média de resposta padronizada (SRM) testou a capacidade de resposta do OHIP-14. Vinte e sete pacientes com idade média de 74 ± 8,4 anos concluíram o tratamento. O OHIP-14 apresentou responsividade satisfatória para o escore total e na maioria dos domínios (SRM> 0,5). A pontuação total do OHIP-14 e os domínios Dor Física, Incapacidade Física e Psicológica melhoraram após o tratamento (p <0,05). Por outro lado, o cortisol apresentou correlação fraca e não significativa com os escores do OHIP-14, exceto para o domínio Limitação Funcional (r = 0,405, p <0,05). Não houve diferença entre os níveis de cortisol salivar entre T1 e T2 (p> 0,05). O nível de cortisol salivar não apresentou associação direta com OHRQoL em idosos. Por outro lado, o questionário OHIP-14 evidenciou alterações após a reabilitação oral, confirmando a melhora na qualidade de vida dos idosos.
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Copyright (c) 2020 Fabiano Palmeira Gonçalves; Gutemberg Alves; Felipe Oliveira; Lívia Azeredo Alves Antunes; João Ricardo Almeida Soares; Matheus França Perazzo; Saul Martins Paiva; Miriam F. Zaccaro Scelza
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