Percepção de idosos com doença pulmonar obstrutiva crônica sobre a qualidade de vida

Kerkoski, Edilaine; Borenstein, Míriam Süsskind; Silva, Denise Maria Guerreiro Vieira da

doi:10.1590/s1414-81452010000400024

Cited by 4 publications

(4 citation statements)

References 14 publications

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“…(13) Likewise, two other studies involving similar populations showed that a low level of education resulted in worse QoL. (19,20) Most of the patients in the present study were overweight or obese. Having a higher BMI correlated negatively with the mental health domain.…”

Section: Discussionsupporting

confidence: 62%

Influência das características sociodemográficas e clínicas e do nível de dependência na qualidade de vida de pacientes com DPOC em oxigenoterapia domiciliar prolongada

et al. 2012

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Objective: To evaluate and correlate the quality of life (QoL) of COPD patients on long-term home oxygen therapy (LTOT) with their sociodemographic/clinical characteristics and level of dependence. Methods: This was a crosssectional analytical study involving COPD patients on LTOT followed at the Oxygen Therapy Outpatient Clinic of the Federal University of São Paulo Hospital São Paulo, in the city of São Paulo, Brazil. Sociodemographic, clinical, and biochemical data were collected. We assessed QoL and level of dependence using the Medical Outcomes Study 36-item Short-Form Health Survey (SF-36) and the Katz index, respectively. Multiple linear regression models were constructed in order to determine the influence of these variables on QoL. Results: We included 80 patients in the study. The mean age was 69.6 ± 9.1 years, and 51.3% were female. The lowest SF-36 scores were for the physical functioning and role-physical domains. All sociodemographic characteristics (except gender) were found to correlate significantly with the SF-36 domains mental health, vitality, role-physical, and social functioning. We also found that body mass index, PaO 2 , post-bronchodilator FEV 1 , hemoglobin, and Katz index correlated significantly with the physical functioning, mental health, role-physical, and bodily pain domains. In addition, oxygen flows were found to correlate negatively with the physical functioning, mental health, vitality, and role-emotional domains. Conclusions: Low scores for SF-36 domains, as well as the variables that negatively influence them, should be considered and analyzed during the development and implementation of strategies for improving the QoL of COPD patients on LTOT.Keywords: Pulmonary disease, chronic obstructive; Quality of life; Oxygen inhalation therapy. ResumoObjetivo: Avaliar e correlacionar a qualidade de vida (QV) de pacientes com DPOC em uso de oxigenoterapia domiciliar prolongada (ODP) com suas características sociodemográficas/clínicas e o nível de dependência. Métodos: Estudo transversal analítico com portadores de DPOC em ODP acompanhados no Ambulatório de Oxigenoterapia do Hospital São Paulo, Universidade Federal de São Paulo, em São Paulo (SP). Os pacientes foram avaliados quanto aos dados sociodemográficos, clínicos e laboratoriais. A qualidade de vida e o nível de dependência foram avaliados pelo Medical Outcomes Study 36-item Short-Form Health Survey (SF-36) e índice de Katz, respectivamente. Modelos de regressão linear múltipla foram construídos para verificar a influência dessas variáveis na QV. Resultados: A média de idade dos 80 pacientes incluídos foi 69,6 ± 9,1 anos, e 51,3% eram do sexo feminino. Os escores dos domínios do SF-36 mais baixos foram capacidade funcional e função física. Correlações significantes foram encontradas entre características sociodemográficas (exceto gênero) e os domínios saúde mental, vitalidade, função física e aspectos sociais, assim como entre várias características clínicas/laboratoriais (índice de massa corpórea, PaO 2 , VEF 1 pós-bro...

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Section: Discussionsupporting

confidence: 62%

Influência das características sociodemográficas e clínicas e do nível de dependência na qualidade de vida de pacientes com DPOC em oxigenoterapia domiciliar prolongada

et al. 2012

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“…Autonomy is a determining factor in the life quality, because it enables to make daily decisions. 16 Chronic disease may act as a force that drives relatives to focus intensively on patient´s care, relegate biopsychosocial aspects of the family life and elect the primary caregiver of that individual. This fact may, in some cases, generate the exchange of roles.…”

Section: ] (P6f)mentioning

confidence: 99%

Conhecendo a funcionalidade familiar sob a ótica do doente crônico

Santos¹,

Cecílio

Teston

et al. 2012

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O objetivo do estudo foi identificar a percepção do doente crônico sobre a funcionalidade de sua família e conhecer como ele se percebe neste contexto. Estudo descritivo de natureza qualitativa, realizado com 12 doentes crônicos. Os dados foram coletados no período de abril a novembro de 2010, utilizando entrevista semiestruturada, baseada no instrumento APGAR de avaliação familiar. Os resultados mostram quatro como famílias funcionais, cinco moderadamente disfuncionais e três severamente disfuncionais. Nos depoimentos dos doentes crônicos foram observados sentimentos de perda de autonomia, redução da participação nas decisões familiares, troca de papeis, perda da liberdade de escolha para realizar novas tarefas, desejo de isolamento e o fato de sentirem-se um peso para a família. Conclui-se que as doenças crônicas que necessitam de cuidados familiares são acompanhadas da necessidade de reestruturação e readequação familiar, fatores estes que podem desencadear conflitos e insatisfação por parte do doente, dificultando as relações familiares.

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“…Individuals' education level is also a relevant data for discussion since it is directly related to their self-care capacity and quality of life, with direct repercussions on the evolution of chronic diseases [15,34,35]. Thus, as in many other studies [15,18], the education level most commonly observed was incomplete primary education (33.9%), suggesting that both self-care and quality of life could be harmed among these individuals.…”

Section: Discussionmentioning

confidence: 91%

Characteristics of long-term home oxygen therapy users in the municipality of Curitiba, Brazil

et al. 2019

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Introduction: Long-term home oxygen therapy (LTOT) can be successfully used in the treatment and prevention of chronic lung diseases, as it improves quality of life, increases survival, and reduces the lenght of hospital stays. However, to the authors’ knowledge there are no descriptive studies with details of the clinical and social profile of patients using LTOT in the state of Paraná. Objective: To analyze the profile of LTOT users in the state of Paraná. Method: All patients registered in the LTOT program of the Curitiba Municipal Department of Health were recruited to the study. Participants answered a questionnaire with questions about their education level, family income, main diagnosis, comorbidities, hours/day of O2 use, and hospitalizations in the previous year. Results: 386 patients (67 ± 20.4 years; 66% females) were interviewed. Chronic obstructive pulmonary disease (COPD) was the most common disease (58.5%); 60.6% were former smokers and 84.5% did not practice any kind of physical activity; dyspnea was the most common symptom (81.3%) and immobility was the most commonly reported inconvenience (33%); 55.7% used O2 24 hours a day; 53.6% had been hospitalized in the previous year; 33.9% had not completed primary school; 31.4% had an income of one minimum monthly wage or less. Conclusion: LTOT users in Curitiba are primarily elderly women with COPD, with low family income and limited schooling. It is extremely important that health professionals provide educational and preventive measures for this population, to minimize the impact of COPD in the community.

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Percepção de idosos com doença pulmonar obstrutiva crônica sobre a qualidade de vida

Cited by 4 publications

References 14 publications

Influência das características sociodemográficas e clínicas e do nível de dependência na qualidade de vida de pacientes com DPOC em oxigenoterapia domiciliar prolongada

Influência das características sociodemográficas e clínicas e do nível de dependência na qualidade de vida de pacientes com DPOC em oxigenoterapia domiciliar prolongada

Conhecendo a funcionalidade familiar sob a ótica do doente crônico

Characteristics of long-term home oxygen therapy users in the municipality of Curitiba, Brazil

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