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INTRODUCTION: Home care provided by dentists is crucial for ensuring adequate oral care. However, oral health professionals face challenges in delivering treatment at patients' residences due to a lack of resources. Our objective was to explore dentists' perspectives and experiences of dental home care and potential challenges for its implementation. METHODS: The study took a qualitative approach. Guided by a semi-structured interview schedule, data were gathered using recorded interviews with 22 dental professionals. After transcription, data were analysed thematically using the Discourse of the Collective Subject (DCS) method, using Qualiquantisoft. RESULTS: The majority of participants were female (n = 20), aged between 30 and 40 years old, and predominantly specialising in primary care (n = 6) or endodontics (n = 6). All participants provided home care, performing general dental procedures, normally responding to requests from the work team (n = 13) or family (n = 7). Six main categories on to the topic emerged: importance and access to home care, procedures performed during home visits, discussions about post-home care, professional competence and patient-centred care, positive aspects of home care, and negative aspects and challenges faced in this type of care. CONCLUSION: This study highlights the fundamental, yet complex, role of home care in dentistry. Continuity of treatment through adaptability and a patient-centred approach are important.
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This study investigated the impact of home care, health status, and cognition. A qualitative and quantitative approach was employed through a cross-sectional study with a sample of 60 elderly individuals in need of home care in the municipality of Itatiba, São Paulo, Brazil. The analysis utilized the Discourse of the Collective Subject (DCS), EQ-5D, EQ VAS, and Mini-Mental State Examination (MMSE). The sample consisted of 40.0% male and 60.0% female individuals. The majority (61.6%) received weekly visits, mainly from community health agents, who were responsible for the majority of the care (45%). Positive considerations were highlighted, with 36.6% emphasizing the contribution to treatment continuity. The EQ VAS assessment indicated a moderately good perception of health. The EQ-5D analysis revealed significant differences between genders in personal care (p = 0.04). There were significant differences between clinical characteristics and EQ-5D dimensions, such as neoplasia and reduced mobility (p = 0.04), and arthritis/osteoarthritis/rheumatism and a limitation in common activities (p = 0.01). The presence of anxiety/depression was significant in cases of neoplasia (p = 0.006), arthritis/osteoarthritis/rheumatism (p = 0.01), and stroke (p = 0.04). The logistic regression analysis showed associations between usual activities and arthritis, osteoarthritis, rheumatism (p = 0.034), pain/malaise and arthritis, osteoarthritis, rheumatism (p = 0.038), and anxiety/depression and stroke (p= 0.028). The average MMSE scores (17.52) suggested a mild cognitive impairment, with no statistical differences between genders. Based on these results, it can be concluded that home care can provide a comprehensive approach and continuous assistance, emphasizing the importance of personalized care based on perceived and clinical differences.
Assuntos
Cognição , Serviços de Assistência Domiciliar , Qualidade de Vida , Humanos , Masculino , Feminino , Idoso , Serviços de Assistência Domiciliar/estatística & dados numéricos , Estudos Transversais , Idoso de 80 Anos ou mais , Brasil , Nível de Saúde , Pessoa de Meia-Idade , PercepçãoRESUMO
Abstract Currently, oral health issues are increasingly been addressed and virtual reality (VR) is being used as an aid in health areas. However, there is little evidence of VR being used in preventing oral health problems. To evaluate the effectiveness of VR in oral hygiene education. Three hundred pupils, aged between 9 and 12 years, received instructions in oral hygiene by immersion VR and they gave their opinions about the performed activities. Chi-square and Fisher's exact tests were applied, with a significance level of 5%. Part perception of oral hygiene showed no statistically significant difference (P>0.550). There was an increase in the use of dental floss (P<0.001), tongue brushing (P<0.001), and tooth brushing (P<0.001). Both drawings and comments made by participants related to oral hygiene were positive regarding the project. Conclusions: The use of VR in oral hygiene instruction was effective. Most participants increased brushing and flossing frequency and produced drawings related to oral hygiene. VR is effective and should be used in dentistry for teaching and prevention , especially with children, as it presents an interactive instructional space that can be approached in a playful way. This study presents dentists with a promising alternative for changing oral hygiene habits.
Resumen Actualmente, los problemas de salud bucal se abordan cada vez más y la realidad virtual (RV) se utiliza como ayuda en las áreas de salud. Sin embargo, hay poca evidencia de que la RV se utilice para prevenir problemas de salud bucal. Evaluar la efectividad de la RV en la educación en higiene bucal. Trescientos alumnos, con edades comprendidas entre los 9 y los 12 años, recibieron instrucciones en higiene bucal por inmersión VR y opinaron sobre las actividades realizadas. Se aplicaron las pruebas de Chi-cuadrado y exacta de Fisher, con un nivel de significancia del 5%. La percepción parcial de la higiene bucal no mostró diferencias estadísticamente significativas (P>0,550). Hubo un aumento en el uso de hilo dental (P<0,001), cepillado de la lengua (P<0,001) y cepillado de dientes (P<0,001). Tanto los dibujos como los comentarios de los participantes relacionados con la higiene bucal fueron positivos con respecto al proyecto. Conclusiones: El uso de la RV en la instrucción de higiene bucal fue eficaz. La mayoría de los participantes aumentaron la frecuencia de cepillado y uso del hilo dental y produjeron dibujos relacionados con la higiene bucal. La realidad virtual es eficaz y debe utilizarse en odontología para la enseñanza y la prevención, especialmente con los niños, ya que presenta un espacio educativo interactivo que se puede abordar de manera lúdica. Este estudio presenta a los odontólogos una alternativa prometedora para cambiar los hábitos de higiene bucal.