Seguimento das diretrizes terapêuticas e adesão

Lima, Glaura Regina; Silva, Emília Vitória da; Nóbrega, Otávio de Tolêdo; Naves, Janeth

doi:10.14242/2236-5117.2014v50n3a91p206

Cited by 3 publications

(6 citation statements)

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“… 2 The disease treatment involves pharmacological and behavioral recommendations to prevent and control its exacerbations; however, asthma management is made difficult by the patients and their caregivers, who often do not adhere to the prescribed recommendations. 3 One of the factors for poor adherence to treatment is related to the inadequate knowledge of caregivers on preventive medications for the disease. 4 In turn, non-adherence to treatment results in lack of control, generating many complications in children and their caregivers, resulting in a decrease in quality of life for both.…”

Section: Introductionmentioning

confidence: 99%

“… 4 In turn, non-adherence to treatment results in lack of control, generating many complications in children and their caregivers, resulting in a decrease in quality of life for both. 3 …”

Section: Introductionmentioning

confidence: 99%

“…Contudo, o manejo da asma é dificultado pelos pacientes e seus cuidadores que, muitas vezes, não aderem às recomendações prescritas. 3 Um dos fatores para a baixa adesão ao tratamento se relaciona ao conhecimento inadequado por parte dos cuidadores com os medicamentos preventivos para a doença. 4 Por sua vez, a não adesão ao tratamento resulta na falta de controle, gera inúmeras complicações nas crianças e seus cuidadores e tem como consequência um comprometimento da qualidade de vida de ambos.…”

Section: Introductionunclassified

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Valor do emprego do questionário WHOQOL‐BREF na avaliação da qualidade de vida de pais de crianças com asma

Roncada

Dias

Goecks

et al. 2015

Revista Paulista de Pediatria

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Objective::To evaluate the quality of life (QOL) of parents of children with asthma and to analyze the internal consistency of the generic QOL tool World Health Organization Quality of Life, abbreviated version (WHOQOL-BREF).Methods::We evaluated the QOL of parents of asthmatic and healthy children aged between 8 and 16, using the generic WHOQOL-BREF questionnaire. We also evaluated the internal consistency using Cronbach's alpha (αC), in order to determine whether the tool had good validity for the target audience.Results::The study included 162 individuals with a mean age of 43.8±13.6 years, of which 104 were female (64.2%) and 128 were married (79.0%). When assessing the QOL, the group of parents of healthy children had higher scores than the group of parents of asthmatic children in the four areas evaluated by the questionnaire (Physical, Psychological Health, Social Relationships and Environment), indicating a better quality of life. Regarding the internal consistency of the WHOQOL-BREF, values of ˛C were 0.86 points for the group of parents of asthmatic children, and 0.88 for the group of parents of healthy children.Conclusions::Parents of children with asthma have impaired quality of life due to their children's disease. Furthermore, the WHOQOL-BREF, even as a generic tool, showed to be practical and efficient to evaluate the quality of life of parents of asthmatic children. © 2015 Sociedade de Pediatria de São Paulo. Published by Elsevier Editora Ltda. All rights reserved.

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Section: Introductionmentioning

confidence: 99%

“… 4 In turn, non-adherence to treatment results in lack of control, generating many complications in children and their caregivers, resulting in a decrease in quality of life for both. 3 …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionunclassified

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Valor do emprego do questionário WHOQOL‐BREF na avaliação da qualidade de vida de pais de crianças com asma

Roncada

Dias

Goecks

et al. 2015

Revista Paulista de Pediatria

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“…fasting blood glucose is critical in diagnosis, and glycated hemoglobin Suggested following the glycemic control (4)(5)(6).…”

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confidence: 99%

Global evaluation of men – check-up and follow-up

Truzzi

2015

Int. braz j urol.

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Women, after childhood are rapidly attended by Gynecologists, even during puberty. They become their physicians and responsible for their follow-up. On the other hand, men routinely remain for a long period of time unattended until the 5th decade of life, when, in the best of scenarios, they visit a lot of professionals of several specialties.We could draw a long discussion about the need of medical attention between these two periods of life, but we will stick to check-up and follow-up of adult men. Usually as Urologists we are the first doctors these men interact with and at that moment we could play a definite role in providing global health evaluation.For more than one decade Brazilian Society of Urology has launched campaigns to promote Urologists as the doctor of men. With that in mind, it is important that we recognize which are the actual needs of periodical medical care for these men. Which is the minimal evaluation should we propose to an adult man?Basically it is necessary a detailed anamnesis and physical exam in order to evaluate several body systems. On the contrary, since there are plenty of subsidiary exams and tests available for each specialty, it is important to stablish which are important for our target population, in order to evaluate these men efficiently. The guidelines of medical specialties provide information on this matter. They are not absolute rules, but allow for a specialty approach based on medical literature with high level of evidence. Another important aspect to be considered is that in the last 80 years we moved from an infectious diseases scenario to a pattern similar to richer countries, with mainly cardiovascular and neoplastic diseases (1). We must take into account the high prevalence of such illnesses when we decide which routine periodic evaluation to adopt.Several models and scores were developed in order to create "Cardiovascular Risk Stratification", and the parameters are a mandatory part of this evaluation. Basic characteristics as age, smoking, diabetes mellitus, blood pressure, total cholesterol and fractions HDL and LDL can help define the risk of cardiovascular diseases as low, intermediate or high. This evaluation should be usually made since 40 years old and on, and the individuals with familial history of cardiovascular diseases must anticipate this approach in 10 years (2). Rest electrocardiogram, a noninvasive exam, easy to perform, may be proposed for asymptomatic men routinely, and echocardiogram must be reserved for hypertensive adults. Some exams, although popular, are not still fully validated and are not routinely indicated. For example, exercise testing, calcium score and carotid ultrasound are suggested by cardiologists for intermediate and high risk individuals (3).It is also notorious based on the foregoing, that metabolic parameters significant role in the evaluation of adult man. Investigation of a potential glucose intolerance, for example, should begin at 45, repeated at intervals of one to three years. The dosage of

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“…Para isto, informação sobre asma, métodos corretos de uso do inalador, aderência ao tratamento, plano de ação por escrito para a doença, autocuidado orientado e reavaliação médica regular devem fazer parte de um programa de educação em saúde voltado para pacientes com asma. (GINA, 2017) Desta forma, além de um diagnóstico correto e prescrição adequada, a eficácia do tratamento depende também da adoção por parte dos pacientes de comportamentos compatíveis com as orientações e recomendações providas pelo profissional da saúde (LIMA et al, 2014).…”

Section: Diagnóstico Da Asmaunclassified

Sintomas e nível de conhecimento sobre asma de uma população adscrita a uma Unidade de Saúde da Família - Município de Ribeirão Preto - SP

Borim¹,

Mello²

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Asthma is considered a worldwide problem that impacts directly patients' lives as well their families' lives, besides it implies high costs for public health. Accordingly, it is necessary to develop proper coordinated actions to improve identification and management of this disease. Correct identification of true asthmatics is essential to avoid both underdiagnosis and therapeutic excess and proper management of the disease encompasses early diagnosis and treatment. Studies indicate that patient knowledge about his / her illness can directly influence diagnosis. Asthmatics with poor perception of their disease have a greater risk of underestimating it and receiving insufficient treatment. Although patient's perception is an aspect of interest to clinicians and researchers, there is no consensus yet about a gold standard to measure it objectively. Thus, this study aimed to identify the prevalence of asthma symptoms, knowledge about asthma and the relationship between these two variables, in families enrolled and registered in the area of coverage of the Family Health Unit Prof. Dr. Gilson de Cássia Marques de Carvalho (USF VI), of the Municipality of Ribeirão Preto.This is a cross-sectional study, in which 100 individuals aged 18 years or over, enrolled in USF VI, were interviewed. Data collection was performed through home visits and such houses were chosen through a random process regarding the divisions of the micro areas. Data collection was performed through the following instruments: Participants' characterization questionnaire, Screening questionnaire, Questionnaire QTA-B ECRHS for diagnosis of asthma in adults, Economic Classification Criteria Brazil 2015 and Questionnaire on knowledge in asthma. Participants socio-demographic and economic profile was: greater proportion of females (82%), age range ≥ 60 years, marital / married civil status, brown color / race, predominant origin from other localities (outside Ribeirão Preto), occupation "housekeeper", incomplete fundamental schooling level and socioeconomic stratum C. Symptoms suggesting asthma prevalence founded was 24%; higher than that observed in literature, and prevalence of asthma knowledge was 64% in total sample and 58.4% among participants with symptoms suggesting asthma. Through simple linear regression, a small correlation between the following variables was verified: symptoms suggestive of asthma and knowledge on asthma, symptoms suggestive of asthma and socioeconomic stratum, and knowledge on asthma and socioeconomic stratum. In addition to that correlation, a small and weak one between knowledge on asthma and schooling and symptoms suggestive of asthma and schooling was also verified. We suggest new studies on the subject considering new locations, types of treatments and means of collection. This study contributes to new advances in knowledge of asthma and factors that may interfere in its diagnosis and treatment.

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Seguimento das diretrizes terapêuticas e adesão

Cited by 3 publications

References 0 publications

Valor do emprego do questionário WHOQOL‐BREF na avaliação da qualidade de vida de pais de crianças com asma

Valor do emprego do questionário WHOQOL‐BREF na avaliação da qualidade de vida de pais de crianças com asma

Global evaluation of men – check-up and follow-up

Sintomas e nível de conhecimento sobre asma de uma população adscrita a uma Unidade de Saúde da Família - Município de Ribeirão Preto - SP

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