| dc.description.abstract | Backgrountl: So fa1 there is no data of to what extent the clinical consequences of
untreated dental caries have impacted the quality of life of the school age children of
6 -12 years old in the Province of Sumatera Utara. Quality of life is one of the
important things that is related to oral health status. Many instruments have been
developed to measure the oral health related quality of life, but there is none to
measure the quality of life related to the clinical consequences of advanced dental
caries (pufa/PUFA).
Aims: The aim of this study was to develop an instrument measuring the quality of
life based on the more comprehensive analysis related to pufa/PUFA on the children
of 6 - 12 years old in the Provinee of Sumatera Utara and to analyze the contribution
of pufa/PUFA to the quality of life of the children of 6 - 12 years old in Medan.
Methods: This study is a qualitative and quantitative (mixed method) study
conducted in two stages. The first stage is explorative qualitative study to develop the
draft of the instrument to measure the index of quality of life and then the initial test
was conducted on 34 children of 6 - 12 years old. The draft of the instrument
measured the impact of advanced dental caries on five dimensions: functional
limitation, physical, emotional, social, and school. The second stage is sonfirmative
quantitative study with cross-sectional approach to test the validity and reliability of
the draft of the instrument produced in the fust stage by using correlation test and
Cronbach's Alpha test. The samples for this study were 400 primary school students
of 6 - 12 years old in Medan, stratifically collected through Multistage Cluster
Random Sampling method. The data for this study were obtained through ctinical
oral examination by using the PUFA Index and filling out questionnaires/the
instrument of the quality of life of the children of 6 - 12 years old suffering from
PUFA/pufa.
Results: The result of the first stage study was in the form of the construction of the
index of quatity of life of the children of 6 - 12 years old suffering from pufa,/PUFA,
consisting of the sociodemography factor (the age and gender of the children),
predisposition factor (knowledge, attitude, and practice of the children), and support
factor (family support) related to Ievel of pufa/PUFA suffered by a child; the quality
of life of the children suffering from pufa,/PUFA comprising 5 (frve) forming
dimensions (functional limitation, physical, emotional, social, and school) and 5
indicators for each dimension; the factors of parents' sociodemography (parents'
education, occupation, and income) and the enabling factor (cost of treatment) related
to the level of PUFA/pufa suffered by a child. The coefficient of validity of the
functional limitation dimension was 0.847, physical dimension was 0.877, emotional
dimension was 0.891, social dimension was 0.845, and school dimension was 0.839.
The coefficient of reliability of the functional limitation dimension was 0.85, physical
dimension was 0.84, emotional dimension was 0.87, social dimension was 0.84, and
school dimension r.vas 0.89.
Conclusions: Children's oral health status (pufa/PUFA) is related to their quality of
life. The higher (worse) the pufa/PUFA score of a child, the worse the value of the index of the quality of life of a child. This study resulted an instrument to measure
the children oral health related quality of life appropriate for the children of 6 - 12
years old with pufalPUFA. The instrument is called the COHRQoL-25 Index (Child
Orai Health Related Quality of Life -25) | en_US |
