Promoção à saúde bucal de crianças internadas em um hospital infantil de alta complexidade de um município do sul catarinense

Abstract

ResumoObjetivo: Investigar as condições de saúde e higiene bucal em crianças internadas em um hospital infantil de alta complexidade localizado num município do Sul Catarinense. Métodos: Estudo transversal, descritivo e de abordagem quantitativa, realizado no Hospital Materno Infantil Santa Catarina, do município de Criciúma-SC, com uma amostra de 80 crianças. Foram coletados dados sociodemográficos das mães das crianças, motivo de internação, aleitamento materno, uso de chupetas ou mamadeira, hábito de adoçar líquidos oferecidos às crianças, dados sobre higiene oral, entre outros. Resultados: A mediana de idade das crianças foi de 18,0 (5,0-36,0) meses, de anos de estudo dos responsáveis de 8,8 (±2,8) e da renda familiar de R$ 1947,00 (±1115,20). 56,8% das mulheres que possuem maior escolaridade trabalham fora, e as que possuem menor escolaridade ficam com os afazeres domésticos e cuidando dos filhos. 70% dos entrevistados não realizavam a higiene bucal nos internados. 35% das internações foram provenientes de doenças respiratórias. Conclusão: A população predominante do estudo foi composta por crianças que não mamam no peito, não consomem bebida adoçada, usam mamadeira e chupeta, que não realizaram higiene bucal durante a internação, não apresentaram cárie e alteração na mucosa e foram internadas predominantemente por causa de doenças do aparelho respiratório. Palavras-chave: Educação em Saúde; Saúde Bucal; Odontopediatria; Saúde Coletiva; Epidemiologia Descritiva. Abstract Objective: To investigate health and oral hygiene in children admitted to a children's hospital highly complex located in a city in South of Santa Catarina. Methods: Crosssectional, descriptive study with a quantitative approach, performed at the Hospital Materno Infantil Santa Catarina of Criciúma-SC municipality, with a sample of 80 children. We collected demographic data of the mothers of children, reason for hospitalization, breastfeeding, use of pacifiers or bottle, liquid sweeten usual children available, data on oral hygiene, among others. Results: The median age was 18.0 (5.0 to 36.0) months, years of study of those responsible of 8.8 (± 2.8), and family income of R $ 1947.00 (1115.20 ±). 56.8% of women who have higher education Artigo Original Atenção à Saúde work outside and those with less education are left with the household chores and taking care of the children, 70% of respondents did not perform oral hygiene in hospitalized. 35% of admissions were from respiratory diseases. Conclusion: The predominant study population consisted of children who are not breastfed, do not consume sweetened drink, use bottles and pacifiers, who did not perform oral hygiene during hospitalization, did not show decay and changes in the mucosa, and admitted predominantly by respiratory diseases.

A prática da odontologia hospitalar no Brasil: uma revisão integrativa da literatura

“…As much as 17 (60.7%) [3][4][5][6][7]10,18,19,[21][22][23][26][27]29,33 studies were published between 2014 and 2017, 4 (14.3%) 2,16,30,32 in 2011, 3 (10.7%) 24,25,28 in 2010, 2 (7.1%) 17,20 in 2013, and 1 (3.6%) in 2008 and 1 in 2012. 15,31 Most of the studies were conducted in São Paulo state, with 7 (25%) 2,15,17,19,22,24,26 publications, followed by the states of Santa Catarina (n=4, 14.3%), 7,25,28,32 Paraná (n=3, 10.7%) 6,13,30 and Mato Grosso (n=2, 5.6%). 18,23 The states of Bahia, Goiás, Mato Grosso do Sul, Minas Gerais, Pará, Paraíba, Pernambuco, Piauí, Rio Grande do Norte and Rio Grande do Sul had 1 (2.8%) publication each, accounting to 28% of the sample.…”

“…In order to identify the scenario of hospital dentistry in Brazil through published studies, it was found that 6 (21.4%) [13][14][15]17,23,26 studies had a control group; 17 (60.7%) [4][5][6]16,18,19,[20][21][22]24,[27][28][29][30][31][32][33] were related to patients' oral health profile and 5 (17.9%) 2,3,7,10,25 were questionnaire-based studies of which 4 3,7,10 involved only patients and 1 25 involved patients, caregivers and healthcare professionals.…”

“…Among the questionnaire-based studies, 5 (100%) 2,3,7,10,25 were conducted with patients in conventional hospital beds. In one of these studies, the participants were the patients, their caregivers and some members of the nursing team.…”

“…3 These biofilm-dependent pathologies may be aggravated when related to other oral conditions such as caries, periodontal disease, tooth fractures, oral lesions and necrotic pulp, which also can exacerbate systemic complications. [7][8][9] Hospital infections are considered a public health problem, associated with high morbidity, longer hospital stay and increase of hospital costs. Pneumonia is considered one of the most frequent infections in a hospital environment.…”

“…Thus it is important to preserve oral health in patients with mechanical ventilation in order to prevent and minimize VAP occurrence. 7,8 Dental care for inpatients seeks to prevent and improve their systemic conditions. 5 However, hospital dentistry practice in Brazil is still very limited.…”