Yeditepe J Dent. 2018; 14(3): 91-96 | DOI: 10.5505/yeditepe.2018.63308

Rekürrent aftöz stomatitli hastalarda aðýz saðlýðýna baðlý yaþam kalitesinin deðerlendirilmesi

Esma Kürklü Gürleyen¹, Kadriye Peker², Gülsüm Ak^1
1Ýstanbul Üniversitesi, Diþ Hekimliði Fakültesi, Aðýz, Diþ ve Çene Cerrahisi A.D., Ýstanbul
²Ýstanbul Üniversitesi, Diþ Hekimliði Fakültesi, Temel Týp Bilimleri A.D., Ýstanbul

GÝRÝÞ ve AMAÇ: Bu çalýþmanýn amacý, rekürrent aftöz stomatitli (RAS) hastalarda aðýz saðlýðýna baðlý yaþam kalitesinin deðerlendirilmesi ve belirleyenlerinin tespit edilmesidir.
YÖNTEM ve GEREÇLER: Bu kesitsel çalýþmanýn örneklemini RAS tanýsý konulan gönüllü 85 hasta oluþturmaktadýr. Veriler sosyo- demografik, davranýþsal, klinik deðiþkenler ile Aðýz Saðlýðý Etki Ölçeði (OHIP-14)’nin yer aldýðý anket formu aracýlýðý ile toplanmýþtýr. Ülserlerin klinik özelliklerinin deðerlendirilmesinde Ülser Þiddeti Skorlamasý (USS) kullanýlmýþtýr. Verilerin analizinde tanýmlayýcý istatistik, Mann-Whitney U test, Spearman korelasyon katsayýsý ve çoklu doðrusal regresyon analizi kullanýlmýþtýr.
BULGULAR: Çalýþmada 35’i kadýn (%41,2), 50’si erkek (%58,8), ortalama yaþý 39,17±14,29 olan toplam 85 hasta yer almaktadýr. Cinsiyet (p=0,001) ve medeni durum (p=0.044) açýsýndan OHIP-14’ün psikolojik rahatsýzlýk alt ölçeðinde anlamlý fark bulunmuþtur. Çalýþma durumu, eðitim, sigara ve alkol kullanýmý açýsýndan OHIP-14 toplam puan ve alt ölçek puanlarýnda anlamlý fark saptanmamýþtýr. Ýkili analizlerde, OHIP-14 toplam puaný ile aile öyküsü, ülser süresi, sýklýðý, aðrý düzeyi, toplam USS skoru ve hastalýk süresi arasýnda anlamlý iliþki bulunmuþtur. Çok deðiþkenli regresyon analizinde; USS toplam puaný (ß=0.635; p<0,001), aðýz saðlýðý algýsý (ß=0.285; p<0,05) ve medeni durum (ß=0.232; p<0.05) yaþam kalitesindeki toplam varyansýn %25’ini açýklayan en önemli belirleyen olarak bulunmuþtur.
TARTIÞMA ve SONUÇ: Minör RAS’lý hastalarda aðýz saðlýðýna baðlý yaþam kalitesinin en önemli belirleyeni olarak USS, aðýz saðlýðý algýsý ve medeni durum bulunmuþtur. Rutin klinik uygulamalarda OHIP-14’ün, aðýz saðlýðý algýsý, sosyo-demografik özellikler ve USS’nin sübjektif saðlýðýn ölçümlenmesinde birlikte kullanýlmasý fayda saðlayacaktýr.

Anahtar Kelimeler: Rekürrent aftöz stomatit, aðýz saðlýðýna baðlý yaþam kalitesi, ülser þiddeti, sosyo-demografik, davranýþsal

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The evaluation of oral health related quality of life in patients with recurrent aphthous stomatitis

Esma Kürklü Gürleyen¹, Kadriye Peker², Gülsüm Ak^1
1Istanbul University, Faculty of Dentistry, Department of Oral Surgery, Istanbul
²Istanbul University, Faculty of Dentistry, Department of Basic Science, Istanbul

INTRODUCTION: The aim of the study was to assess the oral health-related quality of life in patients with recurrent aphthous stomatitis (RAS) and to determine its predictors.
METHODS: The study sample of this cross-sectional study was 85 volunteers with RAS. Data was collected via a questionnaire including socio-demographic, behavioral and ulcer characteristics and Oral Health Impact Profile 14 (OHIP-14). Ulcer characteristics was evaluated by using Ulcer Severity Score (USS). Data analysis was performed by using descriptive statistics, Mann-Whitney U test, Spearman correlation coefficients and the multiple linear regression.
RESULTS: A total of 85 patients of whom 35 were females (%41.2), 50 were males (%58.8) with a mean age of 39.17±14.29 years were enrolled. Regarding the psychological discomfort domain of OHIP-14 gender and marital status were statistically significant. There was no statistical significance in OHIP- 14 total score and its domain scores in terms of working status, education, tobacco and alcohol consumption. In bivariate analyses, significant differences were found among OHIP-14 total score and family history, ulcer duration, frequency, level of pain, total USS and disease duration. In the multivariate analysis, total USS, self-perceived oral health and marital status were found to be the most important predictors, accounting for 25 % of the variance in the OHIP-14 scale.
DISCUSSION AND CONCLUSION: The most important predictors of oral health quality of life in patients with minor RAS are total USS, patients’ perceived oral health and marital status. The use of OHIP-14 together with the self-perceived oral health, socio-demographic characteristics and USS will provide benefit to assess patients’ subjective oral health in routine clinical practice.

Keywords: Recurrent aphthous stomatitis, oral health related quality of life, ulcer severity, socio-demographic, behavioral.

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