Efetividade de mensagens eletrônicas nos telefones celulares na cooperação de pacientes ortodônticos no uso de elásticos, contenção e na presença às consultas
uma revisão sistemática e meta-análise
DOI:
https://doi.org/10.35699/2178-1990.2022.33084Palavras-chave:
Ortodontia, Mídias sociais, Cooperação do pacienteResumo
Objetivo: Avaliar o efeito de mensagens por WhatsApp, mensagem de texto (SMS), ou aplicativos na cooperação dos pacientes ortodônticos para usar elásticos, contenção e para não faltar ou atrasar para as consultas.
Métodos: Foram conduzidas buscas em cinco bases de dados eletrônicas, no OpenGrey e Google Scholar sem restrição de data/idioma de publicação. Seleção dos estudos, extração de dados e análise da qualidade metodológica dos artigos com a ferramenta Cochrane foram realizados. Resultados de meta-análises foram apresentados em razão das chances (RC) e intervalo de confiança (IC).
Resultados: Oito estudos foram incluídos. Indivíduos que receberam mensagens por aplicativo apresentaram um número menor de comparecimentos falhos (p < 0,05). Indivíduos que receberam mensagens por WhatsApp obtiveram maior eficácia na correção da má oclusão classe II com elásticos e uma menor diminuição da distância intercaninos (p < 0,05) do que aqueles que não receberam mensagens. Para irregularidade dos incisivos, não houve diferença entre quem recebeu ou não recebeu mensagem de texto (p = 0,92). Entre indivíduos que recebiam mensagens por SMS, o número de comparecimentos à consulta foi maior que o número de não comparecimentos (RC = 15,48; IC = 1,04–230,24), além do maior uso de elásticos (p = 0,001). Não há diferença no comparecimento à consulta entre indivíduos que receberam uma mensagem prévia por SMS e quem recebeu ligação telefônica prévia (RC = 1,11; IC = 0,30 – 4,05), ou quem recebeu e-mail (p > 0,05). A qualidade metodológica variou de baixo a alto.
Conclusão: Mensagens em celulares são eficientes na redução de faltas nas consultas, no número de comparecimentos falhos, no aumento do uso de elásticos e contenção.
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