Impact of Orofacial Dysfunction on the Quality of Life of Adult Patients With Cleft Lip and Palate

2018 ◽  
Vol 55 (8) ◽  
pp. 1138-1144 ◽  
Author(s):  
Natalia Cristina Reinaldo Mariano ◽  
Mariana Naomi Sano ◽  
Victor Prado Curvêllo ◽  
Ana Lúcia Pompéia Fraga de Almeida ◽  
Karin Hermana Neppelenbroek ◽  
...  
Keyword(s):  
Quality Of Life ◽  
General Health ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Short Form ◽  
Control Group ◽  
Craniofacial Anomalies ◽  
Role Function ◽  
Emotional Role

Objective: This study assessed the prevalence of orofacial dysfunctions (ODs) and quality of life (QoL) in adults with and without a cleft lip and palate. Design: Cross sectional. Setting: Craniofacial Center, Hospital for Rehabilitation of Craniofacial Anomalies, Bauru, São Paulo, Brazil. Methods: The study was composed of a sample of 120 patients: 60 adults in the cleft lip and palate group (CLPG) and 60 adults in the control group with no craniofacial anomalies. Each patient underwent an interview and clinical examination, using the Nordic Orofacial Test-Screening (NOT-S) and the 36-Item Short Form Survey. Data were analyzed using Mann-Whitney U test, χ2, and the Spearman correlation coefficients. Results: There was a higher prevalence of OD in CLPG ( P < .001) on the NOT-S. The adults in the CLPG had higher QoL in the areas of general health ( P = .003), physical function ( P = .014), social function ( P < .001), and vitality ( P = .006). The CLPG had significant associations between higher OD and lower QoL for general health ( P = .004), emotional role function ( P = .028), and vitality ( P = .05). Conclusion: Orofacial dysfunctions were more prevalent in adults with a cleft, negatively impacting their QoL in general health, emotional role function, and vitality. However, adults with a cleft also had significantly higher QoL, reflecting possible resiliency when compared to adults without a cleft.

Oral Health-Related Quality of Life Among Sudanese Children Treated for Cleft Lip and Palate

2021 ◽  
pp. 105566562098769
Author(s):  
Mecheala Abbas Ali ◽  
Alwaleed Fadul Nasir ◽  
Shaza K. Abass
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Control Group ◽  
Arabic Version ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Objective: This study compared the oral health-related quality of life (OHRQoL) among children with a cleft lip with or without a cleft palate (CL±P) and a group of their peers. The reliability of the Arabic version of the Child Oral Health Impact Profile Questionnaire (COHIP) was also assessed. Design: A cross-sectional study. Settings: Cleft clinic in a private dental college in Omdurman City, Sudan. Patients: In all, 75 children (mean age 11.3 ± 2.5 years) with a history of CL±P and a group of 150 school children without CL±P (mean age 11.4 ± 2.6 years). Main Outcome Measures: Overall and subscale scores on the Arabic version of the COHIP. Results: Test–retest reliability of COHIP in Arabic was high with an interclass correlation coefficient >0.8. Cronbach α value internal consistency was 0.8 for the total scale and between 0.7 and 0.8 for the subscales. The COHIP score was 89.41 ± 19.97 in children with CL±P and 122.82 ± 9.45 for the control group. Children with CL±P had significantly lower scores on the overall and all subscales when compared to children without CL±P ( P ≤ .001). Among the children with CL±P, there were no statistically significant differences on the COHIP based on age and/or gender ( P ≥ .05). Conclusions: Children with CL±P had a relatively high OHRQoL, which was lower than that of their peers without CL±P in both the overall scale and all subscales. Gender and age differences had no significant impact on the OHRQoL. The COHIP Arabic version showed appropriate reliability.

Quality of Life and Mental Health in Brazilian Women Treated for Invasive Carcinoma of the Cervix

2014 ◽  
Vol 24 (4) ◽  
pp. 794-799
Author(s):  
Gabriela A. Caixeta ◽  
Emma E. C. Castro ◽  
Agnaldo L. Silva-Filho ◽  
Fernando M. Reis ◽  
José R. Cunha-Melo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Life Events ◽  
General Health ◽  
Invasive Carcinoma ◽  
Short Form ◽  
General Health Questionnaire ◽  
Control Group ◽  
History Of

ObjectiveThe objective of this study was to compare the quality of life (QOL) and mental health (MH) of women surviving at least 2 years after treatment for invasive carcinoma of the cervix by radical hysterectomy (RH), chemotherapy and/or radiotherapy, or by surgery followed by adjuvant therapy (RH + chemotherapy and/or radiotherapy). The QOL/MH of a control group of women with no history of malignancy was also assessed for comparison with the treated groups.MethodsThe levels of QOL and MH were assessed in 114 Brazilian women (57 patients with an average of 4 years since treatment completion and 57 control subjects). The 36-item Medical Outcomes Study Short-Form Health Survey, the State-Trait Anxiety Inventory, the 12-item General Health Questionnaire, the Life Events Inventory, and a general survey for the assessment of sociodemographic data were applied to each participant of the study.ResultsNo differences were noted among the 3 treatment groups or between these and the control group concerning the levels of QOL (either physical or MH aspects), anxiety, general health, or life events. However, lower levels of anxiety were detected in cancer survivors when compared with the control group (P = 0.035).ConclusionsAfter at least 2 years, the QOL and the MH of Brazilian women treated for invasive carcinoma of the cervix were similar to those of women without malignancy and were not affected by the modality of treatment.

Measuring the Impact of Quality of Life of Children Treated for Orofacial Clefts: A Case-Control Study

2013 ◽  
Vol 37 (4) ◽  
pp. 381-384 ◽  
Author(s):  
PN Tannure ◽  
FMM Soares ◽  
EC Küchler ◽  
LG Motta ◽  
MC Costa ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cleft Lip ◽  
Case Control Study ◽  
Cleft Lip And Palate ◽  
Case Control ◽  
Control Group ◽  
Healthy Children ◽  
Previously Treated ◽  
Control Study

Objective: The aim of this study was to assess the quality of life (QoL) of children previously treated for cleft lip and/or palate (CL/P) and compare with non-cleft children. Method: A case-control study with 70 children between 5 and 12 years old was carried out. The case group consisted of 35 individuals previously treated for non-syndromic CL/P and presently receiving assessment at a rehabilitation hospital in Brazil. The children had received primary surgical treatment for CL/P reconstruction during early childhood. The control group consisted of 35 healthy children selected to ensure close similarity to the cleft group in age, gender and socioeconomic status. QoL was measured using the AUQEI questionnaire. Results: Cleft lip and palate had no significant influence on the QoL in children (p=0.44). A higher percentage of the cleft lip and palate group of children reported a lower QoL than the cleft lip or cleft palate groups. Gender had no significant difference on the quality of life in CL/P children (p=0.2) and in control group (p=1.0). Conclusion: The QoL in children with CL/P was found to be similar to the non-cleft group. Our results confirm that clefts repaired during earlier childhood associated with a health care program, including psychological support, is beneficial for CL/P children.

A short dance-exercise intervention as a strategy for improving quality of life in inactive workers

2017 ◽  
Vol 76 (8) ◽  
pp. 936-945 ◽  
Author(s):  
Yaira Barranco-Ruiz ◽  
Sandra Mandic ◽  
Susana Paz-Viteri ◽  
Marcela Guerendiain ◽  
FaustoVinicio Sandoval ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Social Functioning ◽  
General Health ◽  
Exercise Intervention ◽  
Short Form ◽  
Post Intervention ◽  
Emotional Role

Objective: To investigate the effects of a short exercise intervention based on the use of a Zumba Fitness® programme on the quality of life (QoL) in inactive adult workers. Design: Non-experimental pre-test/post-test study involving one experimental group of inactive university workers. Setting: Riobamba in the Andean region of central Ecuador. Methods: A total of 60 inactive adults working at a university (age: 39 ± 1.0 years; 80% women, who used to perform < 150 min of moderate-vigorous physical activity per week) completed a 5-week Zumba Fitness® exercise intervention (three classes per week, 60 minutes per class; outside of work hours). QoL was assessed using the 36-Item Short Form Health Survey (SF-36) administered at baseline, post-intervention and 2 months after the intervention. Data were analysed using a per-protocol analysis. Results: The 5-week intervention improved six out of eight subscales of QoL, including general health (baseline: 63.6±2.51; post-intervention: 68.0±2.5; p = .007), physical role (baseline: 82.1±3.8; post-intervention: 90.6±3.3; p = .029), emotional role (baseline: 71.3±5.0; post-intervention: 88.3±3.9; p = .001), social functioning (baseline: 76.9±2.6; post-intervention: 83.9 ± 2.6; p = .010), vitality (baseline: 60.4±2.8; post-intervention: 69.8±2.4; p < .001), mental health (baseline: 72.4±2.5; post-intervention: 80.4±2.3; p < .001) and the health transition perception item (baseline: 53.9±3.5; post-intervention: 63.6±3.1; p = .001). No statistical differences were found between post-intervention and 2-month follow-up; however, the majority of subscales which improved post-intervention (general health, emotional role, social functioning, vitality and mental health) were maintained at 2-month follow-up showing differences ( p < .05) compared to baseline. Conclusion: A 5-week exercise intervention based on Zumba Fitness® programme could improve QoL in inactive adult workers and most improvements could be maintained at 2 months post-intervention.

scholarly journals High quality nursing based on childlike interest in children with cleft lip and palate: application assessment after operation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yi Peng ◽  
Xiaoyan Hao ◽  
Yuan Guo ◽  
Xueqin Zhang ◽  
Yang Li ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hospital Stay ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Healing Time ◽  
Psychological State ◽  
Control Group ◽  
Study Group ◽  
High Quality

Abstract Purpose The aim of this study was to assess the effect of high-quality nursing based on the concept of childlike interest in children with cleft lip and palate following operation on healing time, degree of pain, psychological state, quality of life, and the occurrence of complications. Methods A series of 62 children with cleft lip and palate was treated in our hospital from January 2019 to March 2021. The patients were randomly divided into observation group (31 cases, given high-quality nursing based on childlike interest) and control group (31 cases, given routine nursing intervention). The healing time and hospital stay of the two groups were recorded. The degree of pain, psychological state and quality of life of the two groups before and after intervention were compared, and the occurrence of complications was closely monitored. Results Compared with the control group, the healing time and hospital stay of the study group were significantly shorter after the intervention (P < 0.05). Before the intervention, no significant difference was identified in pain score between the two groups (P < 0.05), after the intervention, however, the pain score of the study group was significantly lower compared with the control group (P < 0.05). Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS) scores of the two groups were comparable before intervention (P > 0.05), while after intervention the SDS and SAS scores of the two groups were lower than those before treatment. Compared with the control group, the SDS and SAS scores of the study group were remarkably lower (P < 0.05). Before the intervention, the quality of life scores of the two groups were comparable (P > 0.05), while after the intervention, the scores of quality of life in the two groups were associated with lower outcomes. Compared with the control group, the scores of quality of life in the study group were significant lower (P < 0.05). After the intervention, there were evident fewer incidence of complications in the study group compared to the control group (P < 0.05). Conclusions High quality nursing based on childlike interest exerted beneficial outcomes in terms of shortening the healing time and hospital stay, reducing the degree of pain and complications, as well as improving the psychological state and quality of life of children harboring cleft lip and palate. Additionally, its high safety feature contributes to the wide application for clinical practice.

Quality of Life in Adults with Repaired Complete Cleft Lip and Palate

2001 ◽  
Vol 38 (4) ◽  
pp. 379-385 ◽  
Author(s):  
Agneta Marcusson ◽  
Ingemar Akerlind ◽  
Gunnar Paulin
Keyword(s):  
Quality Of Life ◽  
Family Life ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Well Being ◽  
Control Group ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Objective: This study evaluated the quality of life in adult Swedish subjects with repaired complete cleft lip and palate (CLP). Design/Patients: Sixty-eight adults with repaired CLP were compared with a group of 66 adults without cleft matched by gender and age. Outcome Measures: The outcome measures included a self-report questionnaire concerning quality of life in general, well-being, and health-related quality of life. Results: The CLP group rated their quality of life significantly lower than did the control group in the areas of life meaning (p < .05), family life (p < .0001), and private economy (p < .01). There were no significant differences between the groups concerning well-being. In the CLP group, the health-related quality of life was significantly lower concerning global life (p < .0001), disturbance to life (p < .01), well-being (p < .0001), social contacts (p < .0001), and family life (p < .05) but significantly higher concerning ability to make the most of leisure time (p < .001) and to be active (p < .001). Conclusions: The CLP group perceived a marked impact of the handicap on their lives concerning global aspects, well-being, and social life. More practical and tangible aspects of their daily living, however, were not affected, and only some minor aspects of their quality of life in general were poor in comparison with the control group, which indicates a fairly good life adjustment in spite of the handicap.

scholarly journals Perception of the Quality of Life of Tobacco Growers Exposed to Pesticides: Emphasis on Health, Hearing, and Working Conditions

2018 ◽  
Vol 23 (01) ◽  
pp. 050-059 ◽  
Author(s):  
Ana Cazé ◽  
Adriana Lacerda ◽  
Débora Lüders ◽  
Juliana Conto ◽  
Jair Marques ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Working Conditions ◽  
General Health ◽  
Short Form ◽  
Tobacco Plant ◽  
Cross Sectional Study ◽  
Control Group ◽  
Cross Sectional ◽  
Physical Elements

Introduction Tobacco farming exposes workers to various health risks due to the high application of pesticides needed to control pests, weeds and fungal diseases that prevent the tobacco plant growth. Objective To analyze the perception of the quality of life of tobacco growers exposed to pesticides, with emphasis on general health, hearing, and working conditions. Method This is a descriptive, cross-sectional study using a quantitative approach with farmers from southern Brazil. Data were collected from November of 2012 to November of 2014. For data collection, we opted for the 36-item short form health survey (SF-36) questionnaire, and a questionnaire with closed questions about health, hearing and working conditions. We evaluated a total of 78 subjects; the study group, made up of 40 tobacco farmers exposed to pesticides, and a control group of 38 participants without occupational exposure to pesticides. Both groups are residents of the same municipality, and users of the federal public health system. Results The results showed that tobacco growers had lower quality of life scores compared with the control group. Significant differences were observed in the areas of pain and general health. There were correlations between physical elements and chronic diseases; hearing complaints and a lack of personal protective equipment use, occupation and hearing complaints, as well as general health and hearing complaints. Conclusion Tobacco farming is a risky activity for general and hearing health, and it can impact the quality of life of those working in this field.

Evaluation of Esthetic, Functional, and Quality-of-Life Outcome in Adult Cleft Lip and Palate Patients

2005 ◽  
Vol 42 (4) ◽  
pp. 355-361 ◽  
Author(s):  
Klaus Sinko ◽  
Reinhold Jagsch ◽  
Verena Prechtl ◽  
Franz Watzinger ◽  
Karl Hollmann ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Adult Patients ◽  
Clinical Psychologist ◽  
Life Questionnaire ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Objective Evaluation of esthetic, functional, and health-related quality-of-life (HRQoL) outcomes in adult patients with a repaired cleft lip and palate. The treatment for all patients was based on the so-called Vienna concept. Patients/Design Seventy adult patients with a repaired complete cleft lip and palate, ranging in age from 18 to 30 years, were included in the study. Esthetic and functional outcomes were assessed by the patients themselves and by five experts using a visual analog scale. Patients also completed the MOS Short-Form 36 questionnaire to evaluate health-related quality of life. Results Patients rated their esthetic outcome significantly worse than the experts did. No significant differences were observed in the ratings for function. Female patients, especially, were dissatisfied with their esthetic outcomes. In a personal interview, nearly 63% of them asked for further treatment, particularly for upper-lip and nose corrections. The health-related quality-of-life questionnaire revealed low scores for only two subscales, namely social functioning and emotional role. In most subscales of health-related quality of life, patients who desired further treatment had significantly lower scores than did patients who desired no further treatment. Conclusion Surgery of the lip and nose appears to be of prime importance for patients with a cleft lip and palate. Cleft patients who do not request secondary treatment are not always satisfied with the treatment. Patients with realistic expectations in regard to further treatment should be treated by specialists, whereas those with unrealistic expectations should be referred to a clinical psychologist.

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