Reabilitação pulmonar domiciliar em pacientes com DPOC
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da Uninove |
Texto Completo: | http://bibliotecatede.uninove.br/tede/handle/tede/872 |
Resumo: | Introduction: With the growing incidence of chronic obstructive pulmonary disease (COPD), the difficulty of access and lack of availability that the bearers of this pathological entity has to participate in conventional programmers of Pulmonary Rehabilitation (PR), have been study the effects of domiciliary Pulmonary Rehabilitation (DPR), with greater flexibility and viability of these patients. Objectives: to Investigate: the effects of a DPR in patients with stable COPD, the possible relationships between body composition with respiratory variables and physical performance of these patients and Autonomic changes, possible of these patients compared to healthy individuals. Method: we studied two groups of 10 patients with COPD, one that received the DPR and another control, subject to assessment of: Respiratory Endurance, Muscular (REM) strength and Test of upper limbs and Shuttle Walk test (SWT), before and after a program of DPR, for two months; were also observed correlations between the measure of body composition, SWT and spirometry and, in 13 of these patients, along with healthy subjects 9, spirometry and collecting of heart rate variability (HRV). Results: no significant differences were found only in relation to the percentage of the MIP, increasing it in the group that received the DPR, and reducing those of the control group (REM). No significant changes were found after the intervention in any of the two groups. To consider all patients, significant differences were found between: the distance walked (DW) and the estimated in SWT; muscle mass and the DW; the Forced Expiratory Volume in one second (FEV1) and the bone mass and the DW and FEV1. In relation to HRV, noted differences in nonlinear analysis, between patients and a group of healthy subjects in the variable ShaEn. Conclusion: Based on the results, it can be concluded that a DPR, with weekly supervision, although show that is feasible for patients with COPD, showed few physiological changes, which configure as physical performance and improves respiratory function. There is a correlation between the data of several variables evaluated and difference between HRV in patients with COPD patients and healthy subjects. |
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Costa, Dirceuhttp://lattes.cnpq.br/7541914413496897Jamami, Mauríciohttp://lattes.cnpq.br/4274129560250050Corso, Simone DalCPF:00000000000http://lattes.cnpq.br/9690847988531306CPF:34853735836http://lattes.cnpq.br/3245450141388567Dias, Fernanda Dultra2015-04-22T17:20:38Z2014-04-152012-12-13DIAS, Fernanda Dultra. Reabilitação pulmonar domiciliar em pacientes com DPOC. 2012. 106 f. Dissertação (Mestrado em Saúde) - Universidade Nove de Julho, São Paulo, 2012.http://bibliotecatede.uninove.br/tede/handle/tede/872Introduction: With the growing incidence of chronic obstructive pulmonary disease (COPD), the difficulty of access and lack of availability that the bearers of this pathological entity has to participate in conventional programmers of Pulmonary Rehabilitation (PR), have been study the effects of domiciliary Pulmonary Rehabilitation (DPR), with greater flexibility and viability of these patients. Objectives: to Investigate: the effects of a DPR in patients with stable COPD, the possible relationships between body composition with respiratory variables and physical performance of these patients and Autonomic changes, possible of these patients compared to healthy individuals. Method: we studied two groups of 10 patients with COPD, one that received the DPR and another control, subject to assessment of: Respiratory Endurance, Muscular (REM) strength and Test of upper limbs and Shuttle Walk test (SWT), before and after a program of DPR, for two months; were also observed correlations between the measure of body composition, SWT and spirometry and, in 13 of these patients, along with healthy subjects 9, spirometry and collecting of heart rate variability (HRV). Results: no significant differences were found only in relation to the percentage of the MIP, increasing it in the group that received the DPR, and reducing those of the control group (REM). No significant changes were found after the intervention in any of the two groups. To consider all patients, significant differences were found between: the distance walked (DW) and the estimated in SWT; muscle mass and the DW; the Forced Expiratory Volume in one second (FEV1) and the bone mass and the DW and FEV1. In relation to HRV, noted differences in nonlinear analysis, between patients and a group of healthy subjects in the variable ShaEn. Conclusion: Based on the results, it can be concluded that a DPR, with weekly supervision, although show that is feasible for patients with COPD, showed few physiological changes, which configure as physical performance and improves respiratory function. There is a correlation between the data of several variables evaluated and difference between HRV in patients with COPD patients and healthy subjects.Introdução: Com a crescente incidência da Doença Pulmonar Obstrutiva Crônica (DPOC), as dificuldades de acesso e falta de disponibilidade que os portadores dessa entidade patológica tem para participarem de programas convencionais de Reabilitação Pulmonar (RP), justificou-se estudar os efeitos da RP domiciliar (RPD), com maior flexibilidade e viabilidade a esses pacientes. Objetivos: Investigar os efeitos de um programa de RPD em pacientes portadores de DPOC estáveis; as possíveis relações entre a composição corporal com variáveis respiratória e do desempenho físico desses pacientes e, as possíveis alterações autonômicas desses pacientes em comparação com indivíduos saudáveis. Método: Foram estudados dois grupos de 10 pacientes com DPOC, um que recebeu a RPD e outro controle, submetidos a avaliação da: Força Muscular e Endurance Respiratória, Teste de Membros Superiores e Shutle Walk Teste (SWT), antes e após um programa de RPD, durante dois meses; foram também verificadas as correlações entre as medidas de composição corporal, SWT e espirometria e, em 13 destes pacientes, juntamente com 9 sujeitos saudáveis, realizou espirometria e a coleta da variabilidade da frequência cardíaca (VFC). Resultados: Foram constatadas diferenças significativas apenas em relação ao percentual da PImáx, aumentando-a no grupo que recebeu a RPD, e a diminuição da EMR naqueles do grupo controle. Não foram constatadas alterações significativas após a intervenção em nenhum dos dois grupos estudados. Ao serem considerados todos os pacientes, foram encontradas diferenças significativas entre: a distância percorrida (DP) e a prevista no SWT; a massa muscular e a DP; o Volume Expiratório Forçado no primeiro segundo (VEF1) e a massa óssea e, a DP e o VEF1. Em relação a VFC, constatou-se diferenças, na análise não linear, entre parte dos pacientes e um grupo de sujeitos sadios, na variável ShaEn. Conclusão: Com base nos resultados encontrados pode-se concluir que um programa de RPD, com supervisão quinzenal, apesar de mostrar-se viável para pacientes com DPOC, evidenciou poucas mudanças nas variáveis observadas, que configurassem como melhora do desempenho físico e funcional respiratório. Há correlação entre os dados de diversas variáveis avaliadas e diferença entre a VFC de pacientes com DPOC e sujeitos sadios.Made available in DSpace on 2015-04-22T17:20:38Z (GMT). No. of bitstreams: 1 B_Fernanda Dultra Dias.pdf: 2140792 bytes, checksum: 858b94631a93f1881cf180f958a3a93e (MD5) Previous issue date: 2012-12-13application/pdfporUniversidade Nove de JulhoPrograma de Pós-Graduação em Ciências da ReabilitaçãoUNINOVEBRSaúdereabilitação pulmonar domiciliarDPOCVFCavaliação respiratóriaavaliação do desempenho físicopulmonary rehabilitation at homeCOPDrespiratory assessmentHRVphysical performance assessmentCIENCIAS DA SAUDEReabilitação pulmonar domiciliar em pacientes com DPOCinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis8765449414823306929600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALB_Fernanda Dultra Dias.pdfapplication/pdf2140792http://localhost:8080/tede/bitstream/tede/872/1/B_Fernanda+Dultra+Dias.pdf858b94631a93f1881cf180f958a3a93eMD51tede/8722022-06-03 17:14:52.125oai:localhost:tede/872Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2022-06-03T20:14:52Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
Reabilitação pulmonar domiciliar em pacientes com DPOC |
title |
Reabilitação pulmonar domiciliar em pacientes com DPOC |
spellingShingle |
Reabilitação pulmonar domiciliar em pacientes com DPOC Dias, Fernanda Dultra reabilitação pulmonar domiciliar DPOC VFC avaliação respiratória avaliação do desempenho físico pulmonary rehabilitation at home COPD respiratory assessment HRV physical performance assessment CIENCIAS DA SAUDE |
title_short |
Reabilitação pulmonar domiciliar em pacientes com DPOC |
title_full |
Reabilitação pulmonar domiciliar em pacientes com DPOC |
title_fullStr |
Reabilitação pulmonar domiciliar em pacientes com DPOC |
title_full_unstemmed |
Reabilitação pulmonar domiciliar em pacientes com DPOC |
title_sort |
Reabilitação pulmonar domiciliar em pacientes com DPOC |
author |
Dias, Fernanda Dultra |
author_facet |
Dias, Fernanda Dultra |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Costa, Dirceu |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/7541914413496897 |
dc.contributor.referee1.fl_str_mv |
Jamami, Maurício |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/4274129560250050 |
dc.contributor.referee2.fl_str_mv |
Corso, Simone Dal |
dc.contributor.referee2ID.fl_str_mv |
CPF:00000000000 |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/9690847988531306 |
dc.contributor.authorID.fl_str_mv |
CPF:34853735836 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3245450141388567 |
dc.contributor.author.fl_str_mv |
Dias, Fernanda Dultra |
contributor_str_mv |
Costa, Dirceu Jamami, Maurício Corso, Simone Dal |
dc.subject.por.fl_str_mv |
reabilitação pulmonar domiciliar DPOC VFC avaliação respiratória avaliação do desempenho físico |
topic |
reabilitação pulmonar domiciliar DPOC VFC avaliação respiratória avaliação do desempenho físico pulmonary rehabilitation at home COPD respiratory assessment HRV physical performance assessment CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
pulmonary rehabilitation at home COPD respiratory assessment HRV physical performance assessment |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
Introduction: With the growing incidence of chronic obstructive pulmonary disease (COPD), the difficulty of access and lack of availability that the bearers of this pathological entity has to participate in conventional programmers of Pulmonary Rehabilitation (PR), have been study the effects of domiciliary Pulmonary Rehabilitation (DPR), with greater flexibility and viability of these patients. Objectives: to Investigate: the effects of a DPR in patients with stable COPD, the possible relationships between body composition with respiratory variables and physical performance of these patients and Autonomic changes, possible of these patients compared to healthy individuals. Method: we studied two groups of 10 patients with COPD, one that received the DPR and another control, subject to assessment of: Respiratory Endurance, Muscular (REM) strength and Test of upper limbs and Shuttle Walk test (SWT), before and after a program of DPR, for two months; were also observed correlations between the measure of body composition, SWT and spirometry and, in 13 of these patients, along with healthy subjects 9, spirometry and collecting of heart rate variability (HRV). Results: no significant differences were found only in relation to the percentage of the MIP, increasing it in the group that received the DPR, and reducing those of the control group (REM). No significant changes were found after the intervention in any of the two groups. To consider all patients, significant differences were found between: the distance walked (DW) and the estimated in SWT; muscle mass and the DW; the Forced Expiratory Volume in one second (FEV1) and the bone mass and the DW and FEV1. In relation to HRV, noted differences in nonlinear analysis, between patients and a group of healthy subjects in the variable ShaEn. Conclusion: Based on the results, it can be concluded that a DPR, with weekly supervision, although show that is feasible for patients with COPD, showed few physiological changes, which configure as physical performance and improves respiratory function. There is a correlation between the data of several variables evaluated and difference between HRV in patients with COPD patients and healthy subjects. |
publishDate |
2012 |
dc.date.issued.fl_str_mv |
2012-12-13 |
dc.date.available.fl_str_mv |
2014-04-15 |
dc.date.accessioned.fl_str_mv |
2015-04-22T17:20:38Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
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masterThesis |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
DIAS, Fernanda Dultra. Reabilitação pulmonar domiciliar em pacientes com DPOC. 2012. 106 f. Dissertação (Mestrado em Saúde) - Universidade Nove de Julho, São Paulo, 2012. |
dc.identifier.uri.fl_str_mv |
http://bibliotecatede.uninove.br/tede/handle/tede/872 |
identifier_str_mv |
DIAS, Fernanda Dultra. Reabilitação pulmonar domiciliar em pacientes com DPOC. 2012. 106 f. Dissertação (Mestrado em Saúde) - Universidade Nove de Julho, São Paulo, 2012. |
url |
http://bibliotecatede.uninove.br/tede/handle/tede/872 |
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por |
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UNINOVE |
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