Avaliação de um programa de controle da asma em unidades de saúde da família

Carmo, Tatiane Almeida do; Andrade, Selma Maffei de; Neto, Anselmo Chaves

doi:10.1590/s0102-311x2011000100017

Cited by 12 publications

(11 citation statements)

References 23 publications

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“…Among those who continued with the monitoring program, the asthma assistance program in the primary health care unit achieved successes in terms of clinical improvement and greater adherence to drug treatments [21]. …”

Section: Resultsmentioning

confidence: 99%

Asthma and the socio-economic reality in Brazil

Costa¹,

Bregman²,

Araújo³

et al. 2013

World Allergy Organization Journal

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BackgroundAsthma is a prevalent disease that is considered a health problem worldwide. The aim of this study was to analyze the clinical and socioeconomic characteristics of a cohort of asthmatics receiving specialized outpatient treatment in a tertiary/teaching public hospital in Brazil.MethodsPersistent asthmatics older than 5 years old were consecutively included. They received clinical treatment at 3- to 4-month intervals and were interviewed 2 times at 6-month intervals over a 12-month observation period. The data were collected directly from the patients or their parents by 2 researchers who did not participate in their clinical care. The primary variables were age, gender, education level, monthly family income, place of residence, number of lost days of school or work, BMI, the severity and control level of asthma, the number of scheduled and non-scheduled visits and hospitalization days and the best peak-flow measurement.ResultsOf the 117 participants, 108 completed the study. Of the participants, 73.8% were women, and 25.0% lived outside the county. Of those who lived within the county, 60.1% lived in areas far from the health care unit. The majority (83.3%) had associated rhinitis, and more than 50.0% were overweight or obese, in whom the prevalence of severe asthma was greater (p = 0.001). The median monthly income was US$ 536.58 and was greater among the patients with controlled asthma (p = 0.005 and p = 0.01 at the start and the end of the study, respectively). In the initial evaluation, 16 participants had severe asthma, and in the final evaluation, 8 out of 21 patients with uncontrolled asthma had improved. Three-quarters of the students and half of the workers had missed days of school or work, respectively. The asthmatic population in this study had medium to low socioeconomic status in Brazil and socioeconomic status was associated with overweigth/obesity and with poor control of asthma.ConclusionAsthma has a great impact on absenteeism in Brazil. Lower monthly family income and body weight above the ideal level were associated with greater severity and worse control of asthma.

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Section: Resultsmentioning

confidence: 99%

Asthma and the socio-economic reality in Brazil

Costa¹,

Bregman²,

Araújo³

et al. 2013

World Allergy Organization Journal

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“…O controle da asma pode ser feito por meio das ações de educação aos pacientes e sua família e pela utilização adequada dos medicamentos 32 .…”

Section: Discussionunclassified

Avaliação do controle da asma em crianças e adolescentes do Programa Respirar da cidade de Ipatinga, Minas Gerais, Brasil

Lage

Souza

Oliveira

et al. 2017

Rev. Med. (São Paulo)

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Introdução: A asma é uma das principais causas de morbidade na infância, ocasionando grandes prejuízos aos pacientes. O Programa Respirar foi implantado na cidade de Ipatinga, localizada na região do leste mineiro, em abril de 2003 visando ao atendimento às crianças e adolescentes asmáticos com indicação do uso de anti-inflamatório inalado profilático. O objetivo deste estudo foi avaliar o controle da asma dos pacientes inseridos no Programa Respirar. Métodos: estudo longitudinal retrospectivo, com 305 pacientes portadores de asma com indicação de corticoterapia inalatória, com idades entre sete e 19 anos selecionados aleatoriamente no Programa Respirar da cidade em questão, mediante análise de prontuários referentes a janeiro de 2012 a dezembro de 2015. A análise estatística foi realizada utilizando os programas EpiData (3.03) e SPSS (19.0) e para a análise descritiva, tabelas de distribuição de frequência e medidas de tendência central (média) e de variabilidade (desvio padrão, mínimo e máximo). Para a comparação das variáveis clínicas no início e após a entrada no programa, foi aplicado o teste de McNemar no caso de variáveis categóricas e teste T-pareado para as variáveis numéricas. Em todas as análises, foi considerado nível de significância de 5%. Resultados: Quando comparadas as variáveis clínicas antes e depois de três anos de entrada no Programa Respirar, 51% dos pacientes melhoraram a classificação da asma, 60,1% das crianças diminuíram o número de hospitalizações por crise de asma e 86,7% reduziram o número de idas ao pronto-atendimento por crises de asma. Essas diferenças foram estatisticamente significativas (valor de p < 0,001). Conclusão: Os pacientes assistidos pelo Programa Respirar mantêm melhor controle sobre as crises de asma, reduzindo significativamente as hospitalizações e idas ao pronto-socorro por decorrência da doença.

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“…(8,9) In 1999, the Program for the Treatment of Asthma Patients in the Federal District of Brasília, Brazil, was created. (5,9) Chart 1 -Continued... Sources: Cerci Neto, (7) Brandão, (14) and Carmo et al (20) Evolution of public policies and programs for asthma control in Brazil from the perspective of consensus guidelines J Bras Pneumol. 2012;38(4):518-525 523 the Feira de Santana Asthma and Allergic Rhinitis Control Program was implemented in Feira de Santana-the second most populous city in the state of Bahia, Brazil-with the objectives of controlling the two diseases and reducing the numbers of emergency room visits, hospitalizations, and deaths.…”

Section: Treatment: Health Care Componentsmentioning

confidence: 99%

“…However, we emphasize the importance of a better use of public health strategies, such as family health programs, outreach, humanization, and community health programs, in order to offer high-quality integrated health care to the greatest possible number of asthma patients. (19,20) to asthma and rhinitis expenditures. (9) (5,13) In May of 2006, the year in which the Fourth Brazilian Guidelines for Asthma Management were published, representatives of medical associations, of the Brazilian National Ministry of Health, and of thirteen asthma programs that were currently active met in Brasília, Brazil, in order to discuss the core aspects of those programs, i.e., professional training, planning, implementation, epidemiological coverage, funding, and results.…”

Section: Treatment: Health Care Componentsmentioning

confidence: 99%

Evolução das políticas públicas e programas de controle da asma no Brasil sob a perspectiva dos consensos

2012

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There is much discussion about effective public policies that allow the proper treatment of asthma, providing care that is comprehensive and centered on asthma patients within their social context. Educating health professionals and asthma patients provides better recognition of symptoms and the triggers of asthma exacerbations, as well as disseminating strategies for avoiding such triggers, thereby ensuring better treatment and quality of life for asthma patients. Asthma imposes an ever-increasing burden on society, in terms of impaired quality of life, morbidity, and health care costs, making this a very important discussion in the field of public policy.Keywords: Health policy; Asthma; Consensus. ResumoPercebe-se que muito se discute sobre políticas públicas eficazes que possibilitem o tratamento adequado da asma, oferecendo um atendimento integral e centrado no paciente asmático dentro do seu contexto social. Educar profissionais de saúde e a população de asmáticos possibilita um melhor reconhecimento dos sintomas, dos fatores desencadeantes de exacerbações e das formas para evitá-los, garantindo melhor tratamento e qualidade de vida do paciente. A asma impõe crescente carga à sociedade em termos de redução da qualidade de vida, custos com cuidados de saúde e morbidade. Por isso, torna-se de suma importância sua discussão no campo das políticas públicas.

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Avaliação de um programa de controle da asma em unidades de saúde da família

Cited by 12 publications

References 23 publications

Asthma and the socio-economic reality in Brazil

Asthma and the socio-economic reality in Brazil

Avaliação do controle da asma em crianças e adolescentes do Programa Respirar da cidade de Ipatinga, Minas Gerais, Brasil

Evolução das políticas públicas e programas de controle da asma no Brasil sob a perspectiva dos consensos

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