Programa de reabilitação pulmonar na promoção de saúde de crianças com asma brônquica

• Autor(a) principal: Reis, Juliana Ribeiro Gouveia
• Data de Publicação: 2011
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório do Centro Universitário Braz Cubas
• Texto Completo: https://repositorio.cruzeirodosul.edu.br/handle/123456789/563
• topic: Asma; Qualidade de vida; Exercício respiratório; Promoção de saúde; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA::SAUDE PUBLICA

Asthma is a chronic disease of high prevalence in childhood that leads to restricted physical ability. In this way, a pulmonary rehabilitation should be regarded as essential. This study aimed to apply a program of breathing exercises with short sessions and identify the effects of this program in respiratory mechanics and possible changes in the perception of life quality from children with asthma. The study included 12 children diagnosed with mild and moderate asthma, aged 7 and 11, both sexes. This research was conducted at Centro Universitário de Patos de Minas - MG. The program consisted of 16 sessions lasting 20 minutes that were composed of: stretching, traditional and ludic breathing exercises and educational interventions for parents. Maximal respiratory pressures, peak expiratory flow (PEF), inspiratory capacity (IC) were measured before and after the program. The Pediatric Asthma Quality of Life Questionnaire (PAQLQ-A) was also applied before and after the program. Data were analyzed using mean, standard deviation and coefficient of variation. The paired Student t test was used to compare the data. The correlation between CI and MIP and MEP variables was calculated by the Spearman correlation coefficient considering p <0.05. After eight weeks of training a significant increase in respiratory variables, such as MIP, MEP, PEF, CI was observed. MIP increased from -59,5 cmH2O to -95,83 cmH2O, MPE increased from 57,5 cmH2O to 69,0 cmH2O; PEF went from 204 L/min para 215 L/min and IC raised from 1525 ml para 2235 ml. There was a correlation between IC and MIP. The perception of life quality of the participants did not change after the training program. We conclude that the program of breathing exercises conducted personally with guidance and at the patient’s home under parents supervision can benefit children with asthma and may be included as an adjunct to clinical management of asthma.