Avaliação do estado de saúde através da escala AQ 20 em pacientes internados com DPOC descompensado
DOI:
https://doi.org/10.19141/2237-3756.lifestyle.v4.n2.p15-33Keywords:
DPOC, Oxigenoterpia, Qualidade de vida.Abstract
O objetivo deste estudo foi avaliar o Estado de Saúde (ES) dos pacientes com Doença Pulmonar Obstrutiva Crônica (DPOC) que sofrem internação hospitalar por exacerbação da doença, utilizando um questionário específico e correlacionar o ES com tabagismo, atividade física e oxigenoterapia domiciliar. Foram avaliados 30 pacientes com DPOC internados por exacerbação. Foi aplicado o questionário específi co AQ-20 uma única vez durante a internação. Foram analisados qual o grau de acometimento do ES antes da internação hospitalar e quais eram as maiores difi culdades encontradas por estes pacientes em relação a suas Atividades de Vida Diária (AVD). DPOC grave foi encontrada em (46,66%). As maiores difi culdades relatadas pelos pacientes foram: “sentir falta de ar para subir escadas devido a sua doença pulmonar” (93,3%); “ter sintomas pulmonares quando fi ca exposto a cheiros fortes, como fumaça de cigarro e perfume” (83,3%); e “piora dos sintomas respiratórios após um aborrecimento e se sentir enfraquecido após um resfriado” (80%), oxigenoterapia domiciliar (16%) e realizar alguma atividade física (13%). Concluiu-se que os pacientes com DPOC que internam por exacerbação relatam alto grau de acometimento do ES interferindo nas suas AVD. As análises de correlação entre o acometimento do questionário AQ-20 com tabagismo, atividade física e oxigenoterapia domiciliar não evidenciaram signifi cância estatística.
Downloads
References
AMERICAN THORACIC SOCIETY / EUROPEAN RESPIRATORY SOCIETY. Skeletal muscle dysfunction in chronic obstructive pulmonary disease. American Journal of Respiratory Critical Care Medicine, New York, v. 159, p. S1-S40, 1999. DOI: https://doi.org/10.1164/ajrccm.159.supplement_1.15945
BLANC, P. D. et al. Quality of life in adult asthma measured by different instruments: performance characteristics. Chest, v. 120, p. 120S-140S, 2001.
BORGES, M. C.; VIANNA, E. O. S.; TERRA FILHO, J. Abordagem terapêutica na exacerbação da Doença Pulmonar Obstrutiva Crônica (DPOC). Revista Medicina, v. 36, n. 2/4, p. 241-247, 2003. DOI: https://doi.org/10.11606/issn.2176-7262.v36i2/4p241-247
CAMELIER, A. et al. Validation of airways questionnaire 20 (AQ 20) in patients with chronic obstructive pulmonary disease in Brazil. Jornal de Pneumologia, v. 29, n. 1, p. 28-35, 2003. DOI: https://doi.org/10.1590/S0102-35862003000100007
CASABURI, R. Skeletal muscle function in COPD. Chest, v. 117, p. 267a-271s, 2000. DOI: https://doi.org/10.1378/chest.117.5_suppl_1.267S-a
CERQUEIRA, A.; CREPALDI, A. L. Qualidade de vida em doenças pulmonares crônicas: aspectos conceituais e metodológicos. Jornal de Pneumologia, v. 26, n. 4, p. 207-213, 2000. DOI: https://doi.org/10.1590/S0102-35862000000400008
CONSTAIN, J. S.; HASS, S.; SCHICC, J. S. Sexual aspects of the pulmonary impaired person. In: HAAS, F.; AXEN, K. Pulmonary therapy and rehabilitation: principles and practice. 2nd ed. Baltimore: Williams & Wilkins, 1991.
EMERY, C. F. et al. Psychological outcomes of a pulmonary rehabilitation program. Chest, v. 100, p. 613-617, 1991. DOI: https://doi.org/10.1378/chest.100.3.613
GUYTON, A. C.; HALL, J. E. Tratado de fisiologia médica. 10ª. ed. Rio de Janeiro: Guanabara Koogan, 2002.
HAJIRO, T. et al. Stages of disease severity and factors that affect the health status of patientes with chronic obstructive pulmonary disease. Respiratory Medicine, v. 94, p. 841-846, 2000. DOI: https://doi.org/10.1053/rmed.2000.0804
HECKLER, M.; WEINGARTNER, R.; MOREIRA, J. S. Prevalência de depressão maior em pacientes com doença pulmonar obstrutiva crônica. Jornal de Pneumologia, v. 23, p. 231-236, 1997.
HENDLEY, J. O. Rhinovirus colds: immunology and pathogenesis. European Journal of Respiratory Diseases, v. 64, sup. 128, p. 340-343, 1983.
HODGIN, J. E. Chronic obstructive pulmonary disease. Clinical Chest Medicine, v. 11, p. 363-369, 1990. DOI: https://doi.org/10.1016/S0272-5231(21)00706-1
HUBERT, C. et al. Measuring disease-specific quality of life in obstructive disease: validation of a modified version of the airways questionnaire 20. Chest, v. 129, p. 1644-1652, 2006. DOI: https://doi.org/10.1378/chest.129.6.1644
JANSSENS, J. P. et al. Health-related quality of life in patients under long-term oxygen therapy: a home-based descriptive study. Respiratory Medicine, v. 97, p. 592-6-2, 1997. DOI: https://doi.org/10.1016/S0954-6111(97)90005-6
JONES, P. W.; QUIRK, F. H.; BAVEYSTOCK, C. M. The St George's respiratory questionnaire. Respiratory Medicine, v. 85, sup, B, p. 25-31, 1991. DOI: https://doi.org/10.1016/S0954-6111(06)80166-6
MAHLER, D. A. Pulmonary rehabilitation. Chest, v. 113, p. 2635-2689, 1998. DOI: https://doi.org/10.1378/chest.113.4_Supplement.263S
MEDICAL RESEARCH COUNCIL WORKING PARTY (MRCWP). Long-term domiciliary oxygen therapy in chronic hypoxic cor pulmonale complicating chronic bronchitis and emphysema. Lancet, New York, v. 1, p. 681-986, 1981. DOI: https://doi.org/10.1016/S0140-6736(81)91970-X
MIRAVITLES, M. Avaliação econômica da doença pulmonar obstrutiva crônica e de suas agudizações. Aplicação na América Latina. Jornal Brasileiro de Pneumologia, v. 30, n. 4, p. 274-285, 2004. DOI: https://doi.org/10.1590/S1806-37132004000300015
NOCTURNAL OXYGEN THERAY TRIAL GROUP (NOTT). Continuous or nocturnal oxygen therapy in hypoxemic chronic obstructive lung disease. A clinical trial. Annals of Internal Medicine, v. 93, p. 391-398, 1980. DOI: https://doi.org/10.7326/0003-4819-93-3-391
PAUWELS, R.A. et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease NHLB/WHO. Global Initiative for Chronic Obstructive Lung Disease (GOLD). Workshop Summary. American Journal of Respiratory Critical Care Medicine, v. 163, p. 1256-1276, 2001. DOI: https://doi.org/10.1164/ajrccm.163.5.2101039
RUBIN, A. S. et al. Hiperresponsividade brônquica. Jornal de Pneumologia, v. 28, sup. 3, p. S101-S121, 2002.
SELECKY, P. Sexuality and the patient with lung disease. In: CASABURY, R.; PETTY, T.L. Principles and practice of pulmonary rehabilitation. Philadelphia: WB Saunders, 1993.
SOCIEDADE BRASILEIRA DE PNEUMOLOGIA E TISIOLOGIA (SBPT). Oxigenioterapia domiciliar prolongada. Jornal de Pneumologia, v. 26, n. 6, 2000. DOI: https://doi.org/10.1590/S0102-35862000000600011
SPENCER, S. et al. Health status deterioration in patients with Chronic Obstructive Pulmonary Disease. American Journal of Respiratory Critical Care Medicine, n. 163, p. 122-128, 2001. DOI: https://doi.org/10.1164/ajrccm.163.1.2005009
TIRLAPUR, V. G.; MIR, M. A. Nocturnal hypoxemia and associated electrocardiographic changes in patients with chronic obstructive pulmonary disease. New England Journal of Medicine, v. 306, p. 125-130, 1982. DOI: https://doi.org/10.1056/NEJM198201213060301
TSUKINO, M. et al. Physiologic factors that determinated the health-related quality of life in patientes with COPD. Chest, v. 110, p. 896-903, 1996. DOI: https://doi.org/10.1378/chest.110.4.896
VELLOSO, M. et al. Metabolic and ventilatory parameters of four activities of daily living accomplished with arms in COPD patients. Chest, v. 123, n. 4, p. 1047-1053, 2003. DOI: https://doi.org/10.1378/chest.123.4.1047
VELLOSO, M.; JARDIM, J.R. Funcionalidade do paciente com doença pulmonar obstrutiva crônica e técnicas de conservação de energia. Jornal Brasileiro de Pneumologia, v. 32, n. 6, p. 580-586, nov./dez. 2006. DOI: https://doi.org/10.1590/S1806-37132006000600017
WHITE, R. J. et al. Outpatient pulmonary rehabilitation in severe chronic obstructive pulmonary disease. Journal of Respiratory College of Physicians, v. 31, p. 541-545, 1997. DOI: https://doi.org/10.1016/S0035-8819(25)00122-9
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2018 Life Style
This work is licensed under a Creative Commons Attribution 4.0 International License.
The authors retain copyright over their published works and grant the Journal of Interdisciplinary Lifestyle Studies the right of first publication.
Articles are published under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This license permits third parties to share, copy, distribute, reproduce, adapt, transform, and create derivative works from the material for any purpose, including commercial purposes, provided that the following conditions are met:
- appropriate credit is given to the authors;
- the original source of publication is acknowledged;
- a link to the license is provided;
- any changes made to the content are clearly indicated;
- no suggestion is made that the authors or the journal endorse the use of the material.
The license does not waive the authors’ moral rights and does not authorize the use of third-party materials that are not covered by the article’s license.
Authors may enter into additional agreements for the non-exclusive distribution of the published version, including deposit in institutional repositories, publication in books, dissemination on personal websites, and use for academic purposes, provided that the original publication in the journal is properly acknowledged.
By submitting and publishing the manuscript, the authors declare that they have the necessary rights to license the content and that any images, tables, instruments, datasets, or other third-party materials have been used with appropriate permission or in accordance with applicable legal limitations.
This work is licensed under Creative Commons Attribution 4.0 International
