Die Auswirkungen der zahnärztlichen Behandlung in Intubationsnarkose auf die mundgesundheitsbezogene Lebensqualität von Patienten mit kognitiver Einschränkung

Hillebrecht, Anna-Lena

dc.contributor.advisor	Wiegand, Annette Prof. Dr.
dc.contributor.author	Hillebrecht, Anna-Lena
dc.date.accessioned	2020-03-16T10:45:57Z
dc.date.available	2020-04-10T22:50:03Z
dc.date.issued	2020-03-16
dc.identifier.uri	http://hdl.handle.net/21.11130/00-1735-0000-0005-1361-8
dc.identifier.uri	http://dx.doi.org/10.53846/goediss-7863
dc.language.iso	deu	de
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject.ddc	610	de
dc.title	Die Auswirkungen der zahnärztlichen Behandlung in Intubationsnarkose auf die mundgesundheitsbezogene Lebensqualität von Patienten mit kognitiver Einschränkung	de
dc.type	doctoralThesis	de
dc.title.translated	Changes in the oral health-related quality of life in adult patients with intellectual disabilities after dental treatment under general anesthesia	de
dc.contributor.referee	Zerr, Inga Prof. Dr.
dc.date.examination	2020-03-26
dc.description.abstracteng	OBJECTIVES: This study aimed to assess self- and proxy-rated changes in the oral health-related quality of life (OHRQoL) in adult patients with intellectual disabilities after dental treatment in general anesthesia. METHODS: The OHRQoL in 52 adult patients with intellectual and developmental disabilities was assessed prior to dental treatment in general anesthesia (t0), 2 to 3 (t1) and 12 weeks (t2) postoperatively. Therefore, patients and primary cargivers were surveyed using either the 5-item short form of the Oral Health Impact Profile translated into easy language (OHIP-G5-easy, self-rating, n = 27) or the 14-item short form of the Oral Health Impact Profile (OHIP-G14, proxy-rating, n = 51), respectively. OHIP-G5-easy and OHIP-G14 summary scores were statistically analyzed with non-parametric mixed effects models and spearman correlation (p < 0.05). Additionally, the effect of demographic, anamnestic, oral health and treatment factors on QHRQoL or on changes of OHRQoL were analyzed using univariate and multivariate ordinal logistic regressions (p < 0.05). RESULTS: Self- (t0: 5.8 ± 4.6, t1: 4.3 ± 5.9, t2: 2.0 ± 3.9) and proxy-ratings (t0: 18.8 ± 11.6, t1: 10.1 ± 11.2, t2: 2.7 ± 5.3) revealed a significant improvement of OHRQoL after dental treatment in general anesthesia. Data showed a moderate correlation (p < 0.001, rSp = 0.43). OHRQoL at baseline was affected by the etiology of cognitive impairment and by the periodontal status (OHIP-G14). Improvement of OHRQoL was associated with the etiology of cognitive impairment (OHIP-G14) and the extent of dental treatment (OHIP-G5-easy). CONCLUSION: Self- and proxy-ratings revealed a significant improvement of OHRQoL in patients with intellectual disabilities after dental treatment in general anesthesia. CLINICAL RELEVANCE: Assessment of OHRQoL promotes patient-centred care of adults with intellectual disabilities.	de
dc.contributor.coReferee	Meyer, Thomas Prof. Dr.
dc.subject.ger	Patienten mit Behinderung	de
dc.subject.ger	zahnärztliche Behandlung in Intubationsnarkose	de
dc.subject.ger	Mundgesundheitsbezogene Lebensqualität	de
dc.subject.ger	kognitive Beeinträchtigung	de
dc.subject.ger	Fremdbefragung	de
dc.subject.ger	Selbstbefragung	de
dc.subject.ger	OHIP	de
dc.subject.eng	Dental treatment	de
dc.subject.eng	general anesthesia	de
dc.subject.eng	intellectual disabilities	de
dc.subject.eng	oral health impact profile	de
dc.subject.eng	oral health related quality of life	de
dc.subject.eng	Self- and proxy-rating	de
dc.identifier.urn	urn:nbn:de:gbv:7-21.11130/00-1735-0000-0005-1361-8-5
dc.affiliation.institute	Medizinische Fakultät	de
dc.subject.gokfull	Zahn-, Mund- und Kieferheilkunde	de
dc.subject.gokfull	konservierende Zahnheilkunde	de
dc.subject.gokfull	zahnärztliche Chirurgie	de
dc.subject.gokfull	Parodontologie	de
dc.description.embargoed	2020-04-10
dc.identifier.ppn	169266140X

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