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Advisor(s)
Abstract(s)
O objetivo deste trabalho foi estimar a
reprodutibilidade de uma escala odontológica para
avaliação da saúde bucal de crianças e adolescentes
HIV+. A amostra, com delineamento não probabilístico,
constituiu-se de 27 crianças e adolescentes
HIV+. A escala foi aplicada, em duas ocasiões,
com intervalo de sete dias. Estimou-se a reprodutibilidade
intraexaminador pela estatística
Kappa. Nas questões relativas à mãe, houve concordância
máxima nos itens referentes à importância
da saúde bucal, hábito de escovação diária
e utilização de escova dental. A procura de atendimento
odontológico motivado por estética e para
manutenção de hálito puro apresentou concordância
boa. Nas questões relativas à criança, observou-
se concordância regular nos itens referentes
ao fio dental. Com relação à organização do
sistema de saúde, chama atenção a dificuldade dos
respondentes em relatar o local e o profissional
que realizou orientações educativas preventivas.
A reprodutibilidade dos domínios percepção, cuidado
e promoção foi de 0,48, 0,21 e 0,64, respectivamente.
Sugere-se a necessidade de reestruturação
das questões componentes dos algoritmos propostos
pela escala para as dimensões de percepção
e cuidado, a par da necessidade da saúde bucal ser
inserida em programas de atendimento a portadores
HIV+.
ABSTRACT: The aim of this study was to investigate the intraobserver reproducibility of a Portuguese version scale used to evaluate aspects of oral health among children and adolescents HIV+. The scale was proposed by Balbo and a questionnaire was applied in two occasions, within a one week period, to 27 children and adolescents. The reproducibility was estimated by kappa statistics by point (k). With relation to the mother, it was reached a maximum of agreement for items related to the importance of maintaining the oral health, diary tooth brushing and the individual utilization of dental brush; breath and esthetics presented a good agreement. Regarding the children, a regular agreement was observed on the dental floss use. In contrast, the respondents had difficulties in reporting the name and address of the professionals that gave guidance in prevention activities to them. The k-values for perception, care and promotion were 0.48, 0.21 and 0.64 respectively, pointing to reproducibility levels classified as regular, fair and good. Given the different levels of reproducibility offered by the dental scale for HIV+ oral health, we suggest that it could be modified, especially in the domain of care.
ABSTRACT: The aim of this study was to investigate the intraobserver reproducibility of a Portuguese version scale used to evaluate aspects of oral health among children and adolescents HIV+. The scale was proposed by Balbo and a questionnaire was applied in two occasions, within a one week period, to 27 children and adolescents. The reproducibility was estimated by kappa statistics by point (k). With relation to the mother, it was reached a maximum of agreement for items related to the importance of maintaining the oral health, diary tooth brushing and the individual utilization of dental brush; breath and esthetics presented a good agreement. Regarding the children, a regular agreement was observed on the dental floss use. In contrast, the respondents had difficulties in reporting the name and address of the professionals that gave guidance in prevention activities to them. The k-values for perception, care and promotion were 0.48, 0.21 and 0.64 respectively, pointing to reproducibility levels classified as regular, fair and good. Given the different levels of reproducibility offered by the dental scale for HIV+ oral health, we suggest that it could be modified, especially in the domain of care.
Description
Keywords
Reprodutibilidade HIV/SIDA Saúde bucal Serviços de saúde Reproducibility HIV/AIDS Oral health Health services
Citation
Ciência & Saúde Colectiva, 15 (4), 2181-2187