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Efetividade de um programa de reabilitação respiratória na capacidade funcional na pessoa com DPOC (estudo quási-experimental)
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Introdução: A pessoa com Doença Pulmonar Obstrutiva Crónica (DPOC) apresenta diminuição da capacidade funcional (CF). O Enfermeiro de Reabilitação (ER), maximiza a CF da pessoa com melhoria da qualidade de vida. Integrado no projeto “A Pessoa com DPOC–(Re)Habilitar na Comunidade”, foi implementado um Programa de Reabilitação Respiratória (PRR) à pessoa com DPOC na Comunidade com o objetivo de avaliar a efetividade de um Programa de Reabilitação Respiratória no equilíbrio estático e dinâmico, na capacidade aeróbia para a marcha e na força dos membros inferiores da pessoa com DPOC. Metodologia: Estudo quási-experimental (grupo único). Amostragem não probabilística (conveniência), decorreu numa UCC da região norte. Participaram 52 pessoas. Implementado um PRR durante 8 semanas (2 vezes/semana). Variáveis avaliadas antes e após o PRR: equilíbrio estático, dinâmico, capacidade aeróbia para a marcha e força dos membros inferiores. Instrumentos de recolha de dados: Escala Poma/Teste de Tinetti; Prova de marcha de 6 minutos e Teste de sentar e levantar em 1 minuto. Resultados: O PRR influenciou positivamente a CF da Pessoa com DPOC nas variáveis avaliadas, revelando elevada associação positiva entre a pontuação obtida antes e após o PRR. Quanto à força muscular dos membros inferiores, verificamos que, após o PRR, as médias são superiores. Confirmamos a efetividade do PRR nas três variáveis: equilíbrio estático, dinâmico, capacidade aeróbia para a marcha e força dos membros inferiores. Conclusão: O Enfermeiro de Reabilitação implementa RR, na comunidade, com ganhos efetivos na CF da pessoa com DPOC.
Introduction: People with Chronic Obstructive Pulmonary Disease (COPD) experience decreased functional capacity (FC). The Rehabilitation Nurse (RE) maximizes the person’s CF with improved quality of life. As part of the project “The Person with COPD–(Re)Habilitate in the Community”, a Respiratory Rehabilitation Program (PRR) was implemented for the person with COPD in the Com- munity with the aim of evaluating the effectiveness of a Respiratory Rehabilitation Program in static balance and dynamics, aerobic capacity for walking and lower limb strength in people with COPD. Methodology: Quasi-experimental study (single group). Non-probability sampling (convenience) took place in a UCC in the northern region. 52 people participated. A PRR was implemented for 8 weeks (2 times/week). Variables assessed before and after the PRR: static and dynamic balance, aerobic capacity for walking and lower limb strength. Data collection instruments: Poma Scale/Tinetti Test; 6-minute walking test and 1-minute sit-to-stand test. Results: The PRR positively influenced the FC of the person with COPD in the variables assessed. A significant correlation was found, revealing a high positive association between the score obtained before and after the PRR. Regarding the muscular strength of the lower limbs, there was no positive association, but we found that, after the PRR, the averages were higher. We confirm hypotheses H1 and H2. H3 is not confirmed, but there was an improvement in the results obtained after the PRR. Conclusion: The Rehabilitation Nurse implements RR, in the community, with effective gains in the FC of the person with COPD.
Introduction: People with Chronic Obstructive Pulmonary Disease (COPD) experience decreased functional capacity (FC). The Rehabilitation Nurse (RE) maximizes the person’s CF with improved quality of life. As part of the project “The Person with COPD–(Re)Habilitate in the Community”, a Respiratory Rehabilitation Program (PRR) was implemented for the person with COPD in the Com- munity with the aim of evaluating the effectiveness of a Respiratory Rehabilitation Program in static balance and dynamics, aerobic capacity for walking and lower limb strength in people with COPD. Methodology: Quasi-experimental study (single group). Non-probability sampling (convenience) took place in a UCC in the northern region. 52 people participated. A PRR was implemented for 8 weeks (2 times/week). Variables assessed before and after the PRR: static and dynamic balance, aerobic capacity for walking and lower limb strength. Data collection instruments: Poma Scale/Tinetti Test; 6-minute walking test and 1-minute sit-to-stand test. Results: The PRR positively influenced the FC of the person with COPD in the variables assessed. A significant correlation was found, revealing a high positive association between the score obtained before and after the PRR. Regarding the muscular strength of the lower limbs, there was no positive association, but we found that, after the PRR, the averages were higher. We confirm hypotheses H1 and H2. H3 is not confirmed, but there was an improvement in the results obtained after the PRR. Conclusion: The Rehabilitation Nurse implements RR, in the community, with effective gains in the FC of the person with COPD.
Descrição
Palavras-chave
Capacidade funcional Enfermagem de reabilitação DPOC Reabilitação respiratória Functional capacity Rehabilitation nursing COPD Respiratory rehabilitation
Contexto Educativo
Citação
Editora
Associacao Portuguesa dos Enfermeiros de Reabilitacao