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Mucosite oral em crianças com leucemia linfoblástica aguda: perspetiva dos enfermeiros e dos odontopediatras
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PPG_29362 | 5.08 MB | Adobe PDF |
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Abstract(s)
Objetivo: Caracterizar a perspetiva dos enfermeiros do serviço de pediatria do Instituto
Português de Oncologia (IPO)-Porto e dos médicos dentistas com formação pós-graduada em
odontopediatria relativamente à prevenção, monitorização e tratamento das lesões de
mucosite oral (MO) em pacientes pediátricos com Leucemia Linfoblástica Aguda (LLA).
Materiais e Métodos: Foi realizado um estudo observacional transversal, o qual visou a
aplicação de questionários, um a enfermeiros do serviço de pediatria do IPO (n=17) e outro a
odontopediatras (n=17), com questões relativas ao diagnóstico e à abordagem preventivoterapêutica
de lesões de MO em crianças com LLA. O levantamento epidemiológico foi
realizado entre maio 2017 e fevereiro 2018 e, posteriormente, os dados foram analisados com
recurso ao programa Statistical Package for the Social Sciences.
Resultados: Relativamente à recomendação de métodos preventivo-terapêuticos, não houve
consenso nos meios de prevenção e de tratamento sugeridos quer pelos enfermeiros quer
pelos médicos dentistas. Verificou-se a existência de lacunas aquando do diagnóstico e quanto
ao número de indivíduos dos dois grupos a recomendar crioterapia e palifermina, já a
clorohexidina é amplamente recomendada por estes profissionais. No que respeita à
importância da relação entre médico dentista e enfermeiro, uma parte dos enfermeiros referiu
não ser importante, enquanto que todos os médicos dentistas consideraram-na importante.
Conclusões: Verifica-se a necessidade de formação prévia dos odontopediatras e,
subsequentemente, dos enfermeiros relativamente ao correto diagnóstico e aos métodos
preventivo-terapêuticos. Destaca-se a importância da integração do médico dentista na equipa
de acompanhamento hospitalar e a aplicação de um protocolo de atuação abrangente, relativo
à saúde oral do paciente oncológico pediátrico.
Objective: To characterize the perspective of the nurses of the pediatric service of the Instituto Português de Oncologia (IPO) -Porto and of the dentists with post-graduate training in pediatric dentistry regarding the prevention, monitoring and treatment of oral mucositis (OM) lesions in pediatric patients with Acute Lymphoblastic Leukemia (ALL). Materials and Methods: A cross-sectional observational study was carried out, aiming at the application of questionnaires, one to nurses of the IPO pediatric service (n = 17) and one to pediatric dentists (n = 17), with questions related to diagnosis and preventive-therapeutic approach of OM lesions in children with ALL. The epidemiological survey was carried out between may 2017 and february 2018 and later the data were analyzed using the Statistical Package for the Social Sciences program. Results: Regarding the recommendation of preventive-therapeutic methods, there was no consensus in the means of prevention and treatment suggested by nurses and dentists. There were gaps at the time of diagnosis and regarding the number of individuals in both groups recommend with cryotherapy and palifermin, and chlorhexidine is widely recommended by these professionals. Regarding the importance of the relationship between the dentist and the nurse, some of the nurses said it was not important, while all the dentists considered it important. Conclusions: There is a need for prior training of pediatric dentists and, subsequently, nurses regarding the correct diagnosis and preventive-therapeutic methods. The importance of integrating the dentist in the hospital follow-up team and the application of a comprehensive protocol on the oral health of the pediatric oncology patient is highlighted.
Objective: To characterize the perspective of the nurses of the pediatric service of the Instituto Português de Oncologia (IPO) -Porto and of the dentists with post-graduate training in pediatric dentistry regarding the prevention, monitoring and treatment of oral mucositis (OM) lesions in pediatric patients with Acute Lymphoblastic Leukemia (ALL). Materials and Methods: A cross-sectional observational study was carried out, aiming at the application of questionnaires, one to nurses of the IPO pediatric service (n = 17) and one to pediatric dentists (n = 17), with questions related to diagnosis and preventive-therapeutic approach of OM lesions in children with ALL. The epidemiological survey was carried out between may 2017 and february 2018 and later the data were analyzed using the Statistical Package for the Social Sciences program. Results: Regarding the recommendation of preventive-therapeutic methods, there was no consensus in the means of prevention and treatment suggested by nurses and dentists. There were gaps at the time of diagnosis and regarding the number of individuals in both groups recommend with cryotherapy and palifermin, and chlorhexidine is widely recommended by these professionals. Regarding the importance of the relationship between the dentist and the nurse, some of the nurses said it was not important, while all the dentists considered it important. Conclusions: There is a need for prior training of pediatric dentists and, subsequently, nurses regarding the correct diagnosis and preventive-therapeutic methods. The importance of integrating the dentist in the hospital follow-up team and the application of a comprehensive protocol on the oral health of the pediatric oncology patient is highlighted.
Description
Keywords
Mucosite oral Odontopediatria Leucemia linfoblástica aguda Saúde oral Abordagem hospitalar Oral mucositis Pediatric dentistry Acute lymphoblastic leukemia Oral health Hospitalar approach