Avaliação da informação fornecida ao paciente com doença pulmonar obstrutiva crônica sobre sua doença e tratamento no momento da alta
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2016-10-19
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Universidade Federal de Goiás
Resumo
Chronic Obstructive Pulmonary Disease (COPD) is a heterogeneous and
multifactorial disease that causes a huge impact on the patient and the health
system, causing exaggerated high costs. This study has as aim to evaluate
the provided information to patients with COPD about their disease and
treatment at the time of hospital discharge. A cross-sectional descriptive study
with hospitalized patients for COPD in three tertiary hospitals using a
standardized document for evaluation of the discharge checklist proposed by
the Global Initiative for Chronic Obstructive Pulmonary Disease, containing 7
items. Hospitals were divided into (Group A) with residency in pulmonology
(RMP) and (Group B) without RMP. It was evaluated 54 patients with a mean
age of 66,6 ± 11,4, 25 (46,2%) were male, 22 (40,7%) (Group A) and 32
(59,3%) (Group B). Items related to ensure effective pharmacological
maintenance treatment (item 1), blood gas evaluation/measurement of SpO2
(item 2), reassessment of inhalation technique (item 4), and information
relating to maintenance therapy (item 5) were respectively 79,6%, 96,3%,
70,3%, and 88,9% of information. Comorbidity management plan (item 3)
29,6%, information regarding the completion of antibiotic
therapy/corticosteroid (item 6) 44,4% and following assurance specialist (item
7) 55,6%. There was statistical significance between hospitals for items 1, 4
and 7 (p = 0,002, p ˂ 0,001, and p ˂ 0,001, respectively), with better
performance in the patients in Group A. This study revealed the need for
attention to instructions regarding the length of treatment of
corticosteroid/antibiotics and comorbidity management plan. The lack of
specialized care reveals lower yields in check information provided to COPD
patients at hospital discharge.
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MORAIS, L. A. Avaliação da informação fornecida ao paciente com doença pulmonar obstrutiva crônica sobre sua doença e tratamento no momento da alta. 2016. 95 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2016.