Avaliação da aderencia a fisioterapia respiratoria dos pacientes com fibrose cistica acompanhados no hospital de clinicas da Universidade Estadual de Campinas

AUTOR(ES)
DATA DE PUBLICAÇÃO

2004

RESUMO

Cystic fibrosis (CF) remains an incurable life limiting condition which is the most common inherited lethal condition in most Western countries. Advances in the care of this condition, particularly advances in respiratory management, have seen the focus of treatment Chest physiotherapy (CPT) has been an important part of CF treatment regimens for over 40 years and is recommended as part of the treatment, since it is an important therapeutic resource in the clearance of the airway mucus with positive results in the patient?s quality of life. No definitive evidence links adherence to treatment and the disease severity, neither to social-economic status. The aim of this study was to evaluate the CPT adherence and its correlation to disease severity, social-economic status and clinical variables in CF patients. A transversal study was performed including 84 patients (43 male) from the population treated at the University Hospital. Measures included administered questionnaire to evaluate social-economic status, clinical variables and CPT adherence. Shwachman score (SS) were assigned to each patient as a measure of disease severity. The Fisher and Kruskal-Wallis tests were used to compare CPT adherence with all variables. Patient?s age ranging from 5 months to 29 years (8.63± 6.42). SS was classified in excellent/good (44%), mild (33,3%) and moderate/severe (22,6%). CPT was performed in 83,3% of patients and satisfactory adherence was verified in 59,5%. A statistical relationship could be demonstrated between CPT adherence and number of family members, family income, mother?s schooling, age, gender and number of annual consultations. There was no statistical relationship between CPT adherence and disease severity, father?s schooling, number of rooms in the house, origin and diagnosis period

ASSUNTO(S)

pneumopatias fibrose cistica pediatria

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