Publication: Análisis de la percepción del paciente durante la exodoncia quirúrgica de terceros molares mediante el cuestionario BiOS-Q
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2022
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Abstract
Introducción: La cirugía de terceros molares es uno de los procedimientos quirúrgicos más comunes y reduce significativamente la calidad de vida del paciente en el postoperatorio inmediato. El Bios-Q (Burdens in Oral Surgery Questionnaire) es una herramienta válida para evaluar la calidad de atención relacionada con el proceso de cirugía oral y la percepción de los pacientes durante el tratamiento.
Material y método: Se realizó un estudio observacional descriptivo de tipo transversal en 53 pacientes, en el cual se aplicó el cuestionario BiOS-Q con el objetivo de evaluar la percepción individual del paciente durante la exodoncia quirúrgica de terceros molares y su relación con la recuperación postoperatoria. Se aplicaron la prueba U de Mann-Whitney, Anova y Kruskal Wallis y se registró un intervalo de confianza del 95% (nivel de significación p<0.05).
Resultados: La percepción más desagradable para los pacientes sometidos a la cirugía del tercer molar correspondió a la Manipulación de tejidos blandos y hueso, siendo el dominio de Efectos secundarios el que mayor puntuación presentó. Se encontraron diferencias estadísticamente significativas en el dominio de Efectos secundarios y Total BiOS- Q con valores de p=0,008 y p = 0,032 en los grupos de edades 21 y 31 años y >=20 años, que presentaron puntuaciones más elevadas, así como el grupo de trabajadores frente a estudiantes (p= 0,021). La dificultad quirúrgica a nivel de los terceros molares inferiores izquierdos presentó relación con valores más elevados de BiOS-Q, Se observaron diferencias significativas entre el día 1 y día 3 de ausencia laboral en los dominios Manipulación de hueso y tejidos blandos (p = 0,045) y en Total BiOS-Q (p = 0,023).
Conclusiones: Existe una relación entre los dominios del BiOS-Q y la recuperación postoperatoria de los pacientes sometidos a la cirugía del tercer molar. No obstante, se precisan más estudios con diferentes intervenciones y con un mayor tamaño muestral que permitan concretar qué factores pueden influir en la calidad de vida postoperatoria de los pacientes
Introduction: Third molar surgery is one of the most common surgical procedures and significantly reduces the patient's quality of life in the immediate postoperative period. The Bios-Q (Burdens in Oral Surgery Questionnaire) is a valid tool to assess the quality of care related to the oral surgery process and patients' perception during treatment. Material and Method: A cross-sectional descriptive observational study was performed in 53 patients, in which the BiOS-Q questionnaire was applied with the aim of evaluating the individual patient's perception during surgical third molar exodontia and its relationship with postoperative recovery. The Mann-Whitney U test, Anova and Kruskal Wallis tests were applied, and a 95% confidence interval was recorded (significance level p<0.05). Results The most unpleasant perception for patients undergoing third molar surgery corresponded to Manipulation of soft tissue and bone, with the Side effects domain having the highest score. Statistically significant differences were found in the domain of Side effects and Total BiOS- Q with values of p=0.008 and p=0.032 in the age groups 21 and 31 years and >=20 years, which presented higher scores, as well as the group of workers versus students (p= 0.021). Surgical difficulty at the level of the lower left third molars was associated with higher BiOS-Q values. Significant differences were observed between day 1 and day 3 of absence from work in the domains Bone and soft tissue manipulation (p = 0.045) and Total BiOS-Q (p = 0.023). Conclusions There is a relationship between BiOS-Q domains and postoperative recovery of patients undergoing third molar surgery. However, more studies with different interventions and with a larger sample size are needed to determine which factors can influence the postoperative quality of life of patients.
Introduction: Third molar surgery is one of the most common surgical procedures and significantly reduces the patient's quality of life in the immediate postoperative period. The Bios-Q (Burdens in Oral Surgery Questionnaire) is a valid tool to assess the quality of care related to the oral surgery process and patients' perception during treatment. Material and Method: A cross-sectional descriptive observational study was performed in 53 patients, in which the BiOS-Q questionnaire was applied with the aim of evaluating the individual patient's perception during surgical third molar exodontia and its relationship with postoperative recovery. The Mann-Whitney U test, Anova and Kruskal Wallis tests were applied, and a 95% confidence interval was recorded (significance level p<0.05). Results The most unpleasant perception for patients undergoing third molar surgery corresponded to Manipulation of soft tissue and bone, with the Side effects domain having the highest score. Statistically significant differences were found in the domain of Side effects and Total BiOS- Q with values of p=0.008 and p=0.032 in the age groups 21 and 31 years and >=20 years, which presented higher scores, as well as the group of workers versus students (p= 0.021). Surgical difficulty at the level of the lower left third molars was associated with higher BiOS-Q values. Significant differences were observed between day 1 and day 3 of absence from work in the domains Bone and soft tissue manipulation (p = 0.045) and Total BiOS-Q (p = 0.023). Conclusions There is a relationship between BiOS-Q domains and postoperative recovery of patients undergoing third molar surgery. However, more studies with different interventions and with a larger sample size are needed to determine which factors can influence the postoperative quality of life of patients.
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