RESUMO
AIMS: Study aims: (1) developing and validating a novel questionnaire for measuring fear of hyperglycaemia among parents of children with type 1 diabetes (T1D) - the Hyperglycaemia Fear Survey - Parent version (FoHyper-P); (2) investigating correlations between parental fear of hyperglycaemia and objective measures of glycaemic control. METHODS: A multi-centre, multinational study of 152 parents of children with T1D was conducted in three large diabetes clinics from Israel, Poland, and Greece. Inclusion criteria were parents of children aged 6-16 years, at least 6 months from diagnosis, at least 3 months of CGM use and parental involvement in care. Parents filled the FoHyper-P and the Hypoglycaemia Fear Survey - Parent Version (HFS-P). Patient data were obtained via electronic medical records and informative questionnaires. Bonferroni correction was performed to counteract multiple comparisons. RESULTS: Significant strong-moderate correlations were found between FoHyper-P and HFS-P including total questionnaires scoring (r = 0.747, pBonf < 0.001), worries subscales (r = 0.735, pBonf <0.001), and behaviour subscales (r = 0.532, pBonf <0.001). Using linear regression models, we found a positive association between the worry subscale and HbA1C. Weak correlations (p < 0.05, not significant after Bonferroni correction) were found between time in range, time above range and parental fear of hyperglycaemia as well as between worry subscales and a higher HbA1C in the past year, percent of hyperglycaemia and lower TIR. CONCLUSIONS: The FoHyper-P is a novel, validated tool for assessing parental fear of hyperglycaemia. Integrating it into clinical practice addresses an underestimated aspect of parental diabetes management, enabling better care for children with T1D.
Assuntos
Diabetes Mellitus Tipo 1 , Hiperglicemia , Hipoglicemia , Criança , Humanos , Hiperglicemia/prevenção & controle , Hemoglobinas Glicadas , Medo , Hipoglicemia/prevenção & controle , PaisRESUMO
Os pacientes hospitalizados necessitam tanto de cuidados especializados para os problemas que motivaram sua internação quanto de atenção para manter todo o sistema orgânico em funcionamento a fim de não comprometer o prognóstico. A inclusão de ações de saúde bucal na alta complexidade tem sido recomendada balizada no princípio da integralidade e dos resultados das pesquisas que mostram a inter-relação entre as doenças bucais e o comprometimento sistêmico. O objetivo desta pesquisa foi verificar se os hospitais que participam da rede de assistência do Sistema Único de Saúde na região centro Sul Fluminense adotam protocolos que incluem ações de saúde bucal para pacientes internados. Como método de coleta dos dados foi utilizado a entrevista semi-estruturada com profissional da enfermagem, indicado pela instituição pesquisada. Os resultados revelaram que apenas 55,5% das instituições hospitalares desenvolvem alguma atividade de saúde bucal, mas, em 100% dos hospitais, inexistem protocolos de cuidados de saúde bucal. Conclusão: há necessidade de uma política pública indutora da adoção de protocolos de saúde bucal para os pacientes hospitalizados pelas instituições de saúde.
Hospital patients need as much care to remedy the problems that prompted their admission and care to keep the whole body system in operation so as not to compromise the prognosis. The inclusion of oral health actions in high complexity hás been recommended buoyed by the results of research showing the interrelationship between oral disease and systemic involvement. The objective of this research was to determine whether hospitals service providers for the Unified Health System in central South Rio adopt measures or protocols of oral health in hospitalized patients. A methodology we used semi-structured instrument to verify the existence of a protocol of oral health care of hospitalized patients. The results revealed that only 55,5% of hospitals develop some activity of oral health, and 100% of the hospitals, there are no protocols for oral health care. Conclusion: there is a need for public policy induces the adoption of protocols for oral health to patients hospitalized for health to patients hospitalized for health institutions.
Assuntos
Odontologia , Pacientes Internados , Saúde BucalRESUMO
A crescente busca por estética e o desejo de obter sorriso branco e harmonioso têm levado os pacientes a procurar mais por tratamentos clareadores. Em pacientes que apresentam alterações cromáticas extrínsecas e manchas intrínsecas localizadas, a microabrasão do esmalte apresenta bom resultado estético, além de ser procedimento rápido e de fácil execução. Sua associação ao clareamento dental caseiro torna-se alternativa minimamente invasiva, indicada para melhorar cor e estética dos dentes. Este trabalho relata, por mio de caso clínico, a associação da técnica de clareamento dental caseiro e microabrasão do esmalte. Utilizou-se peróxido de hidrogênio a 6% por duas horas diárias, durante quatro semanas, ao final, realizou-se microabrasão do esmalte com ácido clorídrico a 6,6%. Comprova-se a efetividade do tratamento mediante resultado clínico que atinge a expectativa estética do paciente.
The increasing search for esthetics and the desire a white, harmonious smile led patients to seek for bleaching treatments. In some clinical situations, such as patients presenting mild extrinsic chromatic changes and located intrinsic stains, enamel microabrasion is a fast, easy to perform procedure that procedures good esthetic results. The association between enamel microabrasion and home bleaching technique have shown to be minimally invasive and improves color and appearance of the teeth. The aim of this study was to report a clinical case where it was used home bleaching (6% hydrogen peroxide, 2 hours/day for 4 weeks) followed by enamel microabrasion (6.6% hydrochloric acid). It was concluded that this association produced a satisfactory clinical outcome, reaching patients esthetic expectations.