Abstract
Introduction: The impact of respiratory diseases on a person's physical and mental health is widely known. The Rehabilitation Nursing Specialist has always been sensitive to this problem, and the focus of intervention in its nursing care plan is the definition of adaptive strategies.
For the person with Chronic Obstructive Pulmonary Disease, the current context of the pandemic situation has brought consequences at various levels, including a reduction in physical activity, social isolation and increased anxiety.
This context reinforced the importance of reflecting on the adoption of strategies that promote the reduction of intolerance to the activity of the person with Chronic Obstructive Pulmonary Disease to carry out Activities of Daily Living , namely in activities in the field of “leisure”.
This study aimed to assess the impact of a Respiratory Rehabilitation Program on the realization of Activities of Daily Living in “leisure” domain, measured by the London Chest Activity of Daily Living scale.
Methodology: A retrospective correlational study was carried out, which included patients with Chronic Obstructive Pulmonary Disease admitted to the Respiratory Rehabilitation Program, the results of the Activities of Daily Living in the “Leisure” domain was evaluated using the London Chest Activity of Daily Living Scale, before and after the Respiratory Rehabilitation Program. 46 participants were included, (67.39% male and 32.6% female), with ages between 40 and 89 years, for an average age of 63 years old (SD = 10.5). Most patients had basic level education (52.2%).
Results: Statistically significant improvements were identified (Z = -3.395, p = 0.001) in the “leisure” domain of the London Chest Activity of Daily Living Scale score after Respiratory Rehabilitation Program protocol completion.
Conclusion: There was improvement in the leisure domain of London Chest Activity of Daily Living Scale score after the performance of the Respiratory Rehabilitation Program protocol.
References
Gaspar, L., Martins, P. Reabilitação respiratória em pessoas com bronquiectasias não fibrose quística: qualidade de vida, ansiedade e função respiratória. Rev Port Enf Reab [Internet]. 23 de Junho de 2018 [citado 23 de janeiro de 2021];1(1):38-44. DOI: https://doi.org/10.33194/rper.2018.v1.n1.06.4392
Gaspar, L., Martins, P., & Gomes, F. Efeito da reabilitação respiratória nos sintomas avaliado pelo CAT e a sua relação com a tolerância à atividade. Revista Portuguesa de Enfermagem de Reabilitação. Jun de 2019. DPO: https://doi.org/10.33194/rper.2019.v2.n1.01.4566
Lottermann P, Sousa C, Liz C. Programas de exercício físico para pessoas com DPOC: uma revisão sistemática. Arq. Cienc. Saúde unipar, Umuarama. 2017; vol. 21, n. 1, 65-75.
Gaspar L, Delgado B. Reabilitação respiratória na DPOC: conceitos, componentes, TE in DPOC: abordagem a 360º do hospital para o domicílio. 1ª Ed. Sintra: Lusodidacta Sabooks; 2020. ISBN: 9789895300600.
Farias G, Martins R. Qualidade de vida da pessoa com Doença Pulmonar Obstrutiva crónica. Millenium, 45 (jan/jun). 2013; 195-209. Disponível em: https://revistas.rcaap.pt/millenium/article/view/8102
Montezinho, S. Reabilitação Pulmonar na DPOC (Tese de mestrado). Coimbra: Faculdade de Medicina da Universidade de Coimbra; 2014.
Felício A, Mariz M, Morais A. Vivências da pessoa com Doença Pulmonar Obstrutiva Crónica: Enfermagem de Reabilitação, percursos de investigação. Série monográfica Educação e Investigação em Saúde. Unidade de Investigação em Ciências da Enfermagem: Escola Superior de Enfermagem de Coimbra; 2015. ISSN 1647-9440.
Nagamine B, Maciel D. Novos desafios da reabilitação em pacientes DPOC. Research, Society and Development. 2021; vol. 10, n. 4, e10810413901. ISSN 2525-3409 DOI: http://dx.doi.org/10.33448/rsd-v10i4.13901
Global iniciative for chronic obstructive disease Global Iniciative for Chronic Obstructive Lung Disease; 2020.
Weizenmann V, Pozzobon A. Análise de um programa de reabilitação cardiopulmonar em paciente com doença pulmonar obstrutiva crónica-estudo de caso. Revista destaques académicos. 2014; vol.6, n.º3-ccbs/univates.
Rocha S. Impacto de um PRR na qualidade de vida e nas atividades de vida diária de pessoas com doença pulmonar obstrutiva crónica (Tese de mestrado). Porto: Escola Superior de Enfermagem do Porto; 2017.
Ordem dos Enfermeiros. Guia Orientador de Boa Prática-Reabilitação Respiratória. Ordem dos Enfermeiros. 2018; série 1, Número 10. ISBN 978-989-8444-41-7.
Nici L, Donner C, Wouters E, Zuwallack R, Ambrosino N, Bourbeau J. et al. American Thoracic Society/ European respiratory society statement on pulmonar rehabilitation. American jounal of respiratory and critical care medicine. 2006; 173 (12), 1390-1413. DOI: https://doi.org/10.1164/rccm.200508-1211ST
Bott J, Blumenthal S, Buxton M, Ellum S, Falconer C, Garrod R, et al. Guidelines for the physiotherapy management of the adult, medical, spontaneously breathing patient - Joint BTS/ACPRC guideline Thorax. 2009; vol. 64, 1-51. DOI: http://dx.doi.org/10.1136/thx.2008.110726
Spruit MA, Singh SJ, Garvey C, ZuWallack R, Nici L, Rochester C, et al. An oficial American Thoracic Society/ European respiratory society statement: key concepts and advances in pulmonar rehabilitation. American jounal of respiratory and critical care medicine. 2013 Oct; 188(8): 13-64. DOI: https://doi.org/10.1164/rccm.201309-1634ST
Dominic L, Sykes SF, Luke H, Michael G. Impact of COVID-19 on COPD and asthma admissions, and the pandemic from a patient's perspective. Crooks ERJ Open Res 2021; 7: 00822-2020. DOI: https://doi.org/10.1183/23120541.00822-2020
Santos, CD., Santos, AJ., Santos, M., Rodrigues, F., Bárbara, C. Pulmonary rehabilitation adapted index of self-efficacy (PRAISE) validated to Portuguese respiratory patients Pulmonology 2019 Nov - Dec; Vol. 25 (6), 334-339.Journal Article. DOI: https://doi.org/10.1016/j.pulmoe.2019.06.003
Vaes, A., Delbressine, J., Mesquita, R., Goertz, Y., Janssen, D., Nakken, N.,Franssen, F.,Vanfleteren, L.,Wouters, E.,Spruit, M.. Impact of pulmonary rehabilitation on activities of daily living in patients with chronic obstructive pulmonary disease Journal of Applied Physiology (2018) Volume 126, 607-615. DOI: https://doi.org/10.1152/japplphysiol.00790.2018
Global iniciative for chronic obstructive disease Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease; 2021. DOI: https://doi.org/10.1164/rccm.201204-0596PP
Santos, CD., Neves, RC., Ribeiro, RM., Caneiras, C., Rodrigues, F., Spruit, MA., Bárbara, C. Novel Input for Designing Patient-Tailored Pulmonary Rehabilitation: Telemonitoring Physical Activity as a Vital Sign-SMARTREAB Study Journal of clinical medicine [J Clin Med] 2020 Jul 31; Vol. 9 (8). DOI: https://doi.org/10.3390/jcm9082450
Direção-geral da saúde (2019). Circular Informativa nº 014/2019 “Programas de Reabilitação Respiratória nos Cuidados de Saúde Primários
Gonzalez-moro, R., et al. (2009). Impact of COPD severity on physical disability and daily living activities: EDIP-EPOC I and EDIP-EPOC II studies. International Journal Clinical Practice. vol. 63, nº 5, 742-750. DOI: https://doi.org/10.1111/j.1742-1241.2009.02040.x
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