Influencia de la rehabilitación oral en la calidad de vida de pacientes geriátricos de bajos recursos económicos, atendidos en el centro gerontológico Pedernales de la provincia de Manabí, entre los meses de agosto y octubre del 2013
Fecha
2014
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Universidad de Guayaquil. Facultad Piloto de Odontología. Escuela de Postgrado "Dr. José Apolo Pineda".
Resumen
El sistema estomatognático cumple funciones como la masticación, deglución y fonación, estas integran un sistema que se utiliza como indicador de los cuidados recibidos por el paciente a lo largo de toda su vida. La calidad de vida relacionada con la salud agrupa los elementos que forman parte del individuo interaccionado de forma directa llegando a cambiar su estado de salud general. La aplicación de la escala GOHAI permitió analizar si la salud oral de los adultos mayores analizados mejoró luego de la rehabilitación protésica. La escala hace 12 preguntas que el paciente debe responder antes y después, y asigna un puntaje total de 12 a 60, determinándose que menos de 55 requiere atención odontológica y más de 55 mantiene una salud oral adecuada. Los resultados obtenidos denotan que 46 pacientes es decir el 92% mejoraron su salud oral con la rehabilitación protésica total. Y solo 4 es decir el 8% no mejoraron aclarando que estos pacientes son los que no utilizaron las prótesis totales realizadas. Para valorar la calidad de vida se utilizó la escala FUMAT adaptada, utilizando 4 parámetros con diferentes preguntas, las mismas que dan valores totales que determinan niveles para valorar la calidad de vida de los pacientes. Los niveles dentro de los puntajes son: se determina como una mala calidad de vida totales entre 24 y 47 puntos; existe una calidad de vida aceptable con totales entre 48 y 71; y se dice que existe una adecuada calidad de vida con valores totales entre 72 y 96 puntos. Los resultados de la investigación determinan que antes de la rehabilitación protésica total la calidad de vida de los pacientes adultos mayores del centro gerontológico pedernales estaban en un valor total promedio de 46, 72 es decir presentaban una mala calidad de vida de acuerdo a la escala adaptada. Los resultados posteriores luego de 9 meses de realizada la rehabilitación protésica denotan que el valor total promedio aumento a 68,66 encontrándose este valor dentro del parámetro de una aceptable calidad de vida
The stomatognathic system performs functions like mastication, swallowing and phonation, these are integrated by a system which is used as an indicator in the care received by the patient throughout his life. The quality of life related to health join together elements which form part of a person interacted in a direct way, reaching change your overall health. The application of the scale GOHAI made possible to analyze whether the oral health of elderly patients. They were tested and then, this made that they improved their oral health after of a prosthetic rehabilitation. The scale was made of 12 questions that each patient must respond before and after, and it assigns a total score of 12-60, determined that less 55 elderly requires dental care and more than 55 maintains proper oral health. The results denote that 46 patients, it means that 92% it has improved their oral health with a total of prosthetic rehabilitation. And just 4 of them that means a 8% were not improved by clarifying that these patients were not using the dentures made. To assess to good quality of life adapted to this scale, it was used FUMAT using 4 parameters with different questions, which give the same total values that determine the levels to assess to the quality of life of elderly patients. Levels within the scores are determined as a poor quality of life total between 24 and 47 points; there is an acceptable quality of life with totals between 48 and 71; and it is said that there is an adequate quality of life with total values between 72 and 96 points. The results of this investigation determines that before full prosthetic rehabilitation quality of life of elderly patients flints gerontology center were on average total value of 46, 72 they had a poor quality of life according to the scale adapted . The following results after 9 months on the prosthetic rehabilitation represent a total average value increased to 68.66 finding this parameter value within an acceptable quality of life.
The stomatognathic system performs functions like mastication, swallowing and phonation, these are integrated by a system which is used as an indicator in the care received by the patient throughout his life. The quality of life related to health join together elements which form part of a person interacted in a direct way, reaching change your overall health. The application of the scale GOHAI made possible to analyze whether the oral health of elderly patients. They were tested and then, this made that they improved their oral health after of a prosthetic rehabilitation. The scale was made of 12 questions that each patient must respond before and after, and it assigns a total score of 12-60, determined that less 55 elderly requires dental care and more than 55 maintains proper oral health. The results denote that 46 patients, it means that 92% it has improved their oral health with a total of prosthetic rehabilitation. And just 4 of them that means a 8% were not improved by clarifying that these patients were not using the dentures made. To assess to good quality of life adapted to this scale, it was used FUMAT using 4 parameters with different questions, which give the same total values that determine the levels to assess to the quality of life of elderly patients. Levels within the scores are determined as a poor quality of life total between 24 and 47 points; there is an acceptable quality of life with totals between 48 and 71; and it is said that there is an adequate quality of life with total values between 72 and 96 points. The results of this investigation determines that before full prosthetic rehabilitation quality of life of elderly patients flints gerontology center were on average total value of 46, 72 they had a poor quality of life according to the scale adapted . The following results after 9 months on the prosthetic rehabilitation represent a total average value increased to 68.66 finding this parameter value within an acceptable quality of life.
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OCLUSION DENTAL, REHABILITACION BUCAL, ADULTO MAYOR