Mothers of a Child with Cerebral Palsy: Perception on the Diagnosis Moment and the Child’s General and Oral Health

Authors

  • Flavia Rabello
  • Heloisa Vieira Prado
  • Gabriela Lopes Angelo
  • Milene Bento Martins
  • Natália Cristina Ruy Carneiro
  • Ana Cristina Borges-Oliveira

Keywords:

Cerebral Palsy, Oral Health, Qualitative Research, Health Services for Persons with Disabilities

Abstract

Objective: To analyze the perception of mothers of children with Cerebral Palsy (CP) on the diagnosis moment and the child’s health. Material and Methods: Research with a qualitative approach, carried out with 19 mothers of children with CP, in a public higher education institution, in the state of Minas Gerais, Brazil. For data collection, the interview was used and for data interpretation, content analysis. Results: Mothers reported that the diagnosis of a child with CP resulted in major changes in the family’s daily life, increasing their responsibility and demands. After the diagnosis, mothers revealed oscillating feelings, with progressively replaced by her motherly ability to take care, reestablishing the psychic balance. The health associated with the absence of disease and curative practices was frequently observed. Mothers reported a great concern with oral hygiene habits and frequent visits to the dentist. Conclusion: The diagnosis of a child with CP led to changes in the family's priorities and routine. After the moment of anguish, uncertainty and fear, the mothers accepted the reality. The biomedical principle significantly influenced the mother´s perception of health, being health perceived as the absence of disease and curative practices. In relation to oral health, practices widely spread and recommended by the media and health services, such as correct tooth brushing, showed an orientation of patients to maintain oral health.

References

Huang YP, Kellett UM, John WST. Cerebral palsy: experiences of mothers after learning their child’s diagnosis. J Adv Nurs 2010; 66(6):1213-21. https://doi.org/10.1111/j.1365-2648.2010.05270.x

Dantas, MSDA, Collet N, Moura FM, Torquato IMB. Impact of a cerebral palsy diagnosis on the family. Texto Contexto Enferm 2010; 19(2):229-37. https://doi.org/10.1590/1982-0194201500029

Santos BAD, Milbrath VM, Freitag VL, Nunes NJDS, Gabatz RIB, Silva MSD. The impact of cerebral palsy diagnosis from the perspective of the family. REME 2019; 23:e-1187. https://doi.org/10.5935/1415-2762.20190035

Ribeiro MFM, Porto CC, Vandenberghe L. Parental stress in families of children with cerebral palsy: an integrative review. Cien Saude Colet 2013; 18(6):1705-15. https://doi.org/10.1590/S1413-81232013000600022

Milbrath VM, Soares DC, Amestoy SC, Cecagno D, Siqueira HCH. Mothers experiencing the diagnosis of cerebral palsy in their children. Rev Gaucha Enferm 2009; 30(3):437-44

Almeida TDD, Santos P, Angelo GL, Teixeira SA, Oliveira AC. Assistance to people with mental disabilities: A discussion from the social integration. Rev Odonto Cienc 2016; 31(2):95-100. https://doi.org/10.15448/1980-6523.2016.2.13224

Oliveira AC, Pordeus IA, Luz CL, Paiva SM. Mothers' perceptions concerning oral health of children and adolescents with Down syndrome: a qualitative approach. Eur J Paediatr Dent 2010;11(1):27-30.

Polack S, Adams M, O’banion D, Baltussen M, Asante S, Kerac M, et al. Children with cerebral palsy in Ghana: malnutrition, feeding challenges, and caregiver quality of life. Dev Med Child Neurol 2018; 60(9):914-21. https://doi.org/10.1111/dmcn.13797

Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M, Damiano D, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl 2007; 109:8-14. Erratum in: Dev Med Child Neurol 2007; 49(6):480.

Graham HK, Rosenbaum P, Paneth N, Dan B, Lin JP, Damiano DL, et al. Cerebral palsy. Nat Rev Dis Primers 2016; 2:15082. https://doi.org/10.1038/nrdp.2015.82

Fairhurst C. Cerebral palsy: the whys and hows. Arch Dis Childhood-E 2012; 97(4):122-31. https://doi.org/10.1136/edpract-2011-300593

Ones K, Yilmaz E, Cetinkaya B, Caglar N. Assessment of the quality of life of mothers of children with cerebral palsy (primary caregivers). Neurorehabil Neural Repair 2005; 19:232-7. https://doi.org/10.1177/1545968305278857

Cardoso AM, GomeS LN, Silva CRD, Soares Rde S, Abreu MH, Padilha WW, et al. Dental caries and periodontal disease in Brazilian children and adolescents with cerebral palsy. Int J Environ Res Public Health 2015; 12(1):335-53. https://doi.org/10.3390/ijerph120100335

Teixeira SA, Santos PCM, Batista AR, Albuquerque BN, Vasconcelos M, Borges-Oliveira AC. Assessment of oral hygiene in mentally disabled children. Rev Odonto Cienc 2015; 30(3):65-70. https://doi.org/10.15448/1980-6523.2015.3.12849

Alvarenga ESL, Silva AM, Silva TAE, Araújo RF, Prado Júnior RR, Mendes RF. Oral health-related quality of life in caregivers of individuals with Cerebral Palsy: a case-control study. Eur Arch Paediatr Dent 2020; 21:193-202. https://doi.org/10.1007/s40368-019-00472-2.

Herval ÁM, De Oliveira FPSL, Machado KM, Vasconcelos M, Ferreira RC, Ferreira EFE, et al. Mothers' perception about health education in brazilian primary health care: A qualitative study. Int J Paediatr Dent 2019; 29(5):669-76. https://doi.org/10.1111/ipd.12489

Fontanella BJB, Magdaleno Júnior R. Saturação teórica em pesquisas qualitativas: contribuições psicanalíticas. Psicol. estud. 2012; 17(1):63-71. https://doi.org/10.1590/S1413-73722012000100008

Dantas, MSDA, Pontes JF, Assis WD, Collet N. Family's abilities and difficulties in caring for children with cerebral palsy. Rev Gaúcha Enferm 2012; 33(3):73-80.

Bardin L. Análise de Conteúdo. 4th. ed. Lisboa: Edições 70; 2010. 223 p. [In Portuguese].

Dantas, MSDA, Pontes JF, Assis WD, Collet N. Family's abilities and difficulties in caring for children with cerebral palsy. Rev Gaúcha Enferm 2012; 33(3):73-80.

Cunha KC, Pontes FAR, Silva SSC. Children with cerebral palsy of little stressed parents. Rev Bras Educ Espec 2017; 23(1):111-26. https://doi.org/10.1590/s1413-65382317000100009

Camargos ACR, Lacerda TTB, Viana SO, Pinto LRA, Fonseca MLS. Assessment of the caregiver burden of children with cerebral palsy using the Burden Interview scale. Rev Bras Saúde Matern Infant 2009; 9(1):31-7. https://doi.org/10.1590/S1519-38292009000100004

Da Silva MS, Schardosim LR, Milbrath VM, Gabatz RIB, Vaz JC. "They are two lives in one": the person's caregiver's routine with cerebral paralysis. Enferm Rev 2019; 22(2):123-35

Du RY, McGrath C, Yiu CKY, King NM. Health-and oral health-related quality of life among preschool children with cerebral palsy. Qual Life Res 2010; 19(9):1367-71. https://doi.org/10.1007/s11136-010-9693-6

Morilla CM, Caldas CACT, Scarpellini ACAV, Santos PL. Family resources and promotion of development of children with cerebral palsy. J Hum Growth Dev 2017; 27(2):166-74. https://doi.org/10.7322/jhgd.122707

Camargo MAFD, Frias AC, Antunes JLF. The incidence of dental caries in children and adolescents who have cerebral palsy and are participating in a dental program in Brazil. Spec Care Dentist 2011; 31(6):210-15. https://doi.org/10.1111/j.1754-4505.2011.00213.x

Downloads

Published

2021-11-17

How to Cite

Rabello, F. ., Prado, H. V. ., Angelo, G. L. ., Martins, M. B. ., Carneiro, N. C. R. ., & Borges-Oliveira, A. C. . (2021). Mothers of a Child with Cerebral Palsy: Perception on the Diagnosis Moment and the Child’s General and Oral Health. Pesquisa Brasileira Em Odontopediatria E Clínica Integrada, 21, e210007. Retrieved from https://revista.uepb.edu.br/PBOCI/article/view/777

Issue

Section

Original Articles