Assessment of asthma control in patients monitored at two pulmonology outpatient clinics linked to the Family Health Strategy in Tubarão, Santa Catarina state, Brazil
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2013 |
| Outros Autores: | , , |
| Tipo de documento: | Artigo |
| Idioma: | por |
| Título da fonte: | Revista Brasileira de Medicina de Família e Comunidade (Online) |
| Texto Completo: | https://www.rbmfc.org.br/rbmfc/article/view/737 |
Resumo: | Introduction: Asthma is a chronic debilitating disease which can generate constraints directly associated with poor disease control. Asthma control can be evaluated using standardized instruments. Objective: To determine asthma control through the Asthma Control Questionnaire (ACQ) and Asthma Control Test (ACT), and to classify it according to the Guidelines for the Management of Asthma, 2012. Methods: This is a cross-sectional observational study with patients of two pulmonology outpatient clinics linked to the Family Health Strategy in the municipality of Tubarão, Santa Catarina state. The population consisted of all adult asthmatic patients who resorted to medical appointments from January to November 2010. The data were compiled in Excel and analyzed by INSTAT 3 software. We performed descriptive analysis and applied the chi-square test to assess the association between ACT and ACQ answers. Results: We evaluated 49 patients, most of them presenting intermittent or mild persistent asthma (51%). In the assessment of asthma control, ACT showed that 69.3% of patients were considered uncontrolled, while ACQ showed that 75.5% of patients were considered off-target. Significant association was found between ACT and ACQ (p<0.05). Regarding the 2012 Guidelines for the Management of Asthma, 57.14% of patients were considered uncontrolled; 30.6% were partially controlled; and 12.2% were controlled. Conclusion: Most asthmatics were uncontrolled. It is necessary to identify the factors related to uncontrolled patients and search strategies to improve health scores for reduction of morbimortality caused by asthma. |
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Assessment of asthma control in patients monitored at two pulmonology outpatient clinics linked to the Family Health Strategy in Tubarão, Santa Catarina state, BrazilEvaluación del control del asma en pacientes asistidos en dos ambulatorios de neumología vinculados a la Estrategia de Salud Familiar en Tubarão, Santa Catarina, BrasilAvaliação do controle da asma em pacientes acompanhados em dois ambulatórios de pneumologia vinculados à Estratégia Saúde da Família em Tubarão, Santa Catarina, BrasilAsthmaPrevention and ControlQuestionnairesAsmaPrevención y ControlCuestionariosAsmaPrevenção e ControleQuestionáriosAsmaIntroduction: Asthma is a chronic debilitating disease which can generate constraints directly associated with poor disease control. Asthma control can be evaluated using standardized instruments. Objective: To determine asthma control through the Asthma Control Questionnaire (ACQ) and Asthma Control Test (ACT), and to classify it according to the Guidelines for the Management of Asthma, 2012. Methods: This is a cross-sectional observational study with patients of two pulmonology outpatient clinics linked to the Family Health Strategy in the municipality of Tubarão, Santa Catarina state. The population consisted of all adult asthmatic patients who resorted to medical appointments from January to November 2010. The data were compiled in Excel and analyzed by INSTAT 3 software. We performed descriptive analysis and applied the chi-square test to assess the association between ACT and ACQ answers. Results: We evaluated 49 patients, most of them presenting intermittent or mild persistent asthma (51%). In the assessment of asthma control, ACT showed that 69.3% of patients were considered uncontrolled, while ACQ showed that 75.5% of patients were considered off-target. Significant association was found between ACT and ACQ (p<0.05). Regarding the 2012 Guidelines for the Management of Asthma, 57.14% of patients were considered uncontrolled; 30.6% were partially controlled; and 12.2% were controlled. Conclusion: Most asthmatics were uncontrolled. It is necessary to identify the factors related to uncontrolled patients and search strategies to improve health scores for reduction of morbimortality caused by asthma.Introducción: El asma es una enfermedad crónica debilitante, que puede generar restricciones directamente relacionadas con el mal control de la enfermedad. El control del asma puede ser evaluado utilizando instrumentos estandarizados. Objetivo: Determinar el control del asma a través del Cuestionario de Control del Asma (CCA) y la Prueba de Control del Asma (PCA) y la clasificación de acuerdo con la Guía para el Manejo del Asma, de 2012. Métodos: Estudio observacional transversal con pacientes atendidos en ambulatorios de referencia vinculados a la Estrategia de Salud Familiar en Tubarão-SC. La población estaba compuesta por todos los pacientes asmáticos adultos que recurrieron a citas médicas durante el período de enero a noviembre de 2010. Los datos se recopilaron en una hoja de cálculo Excel y se analizaron con el software INSTAT 3. Se realizó un análisis descriptivo y se aplicó el test chi-cuadrado para evaluar la asociación entre respuestas del PCA y CCA. Resultados: Se evaluaron 49 pacientes, la mayoría de ellos con asma intermitente o persistente leve (51%). En la evaluación del control del asma, el PCA mostró que el 69,3% de los pacientes no estaban bajo control. En el CCA se consideró fuera de objetivo al 75,5% de los pacientes. Se encontró una asociación significativa entre PCA y CCA (p <0,05). En cuanto a la Guía para el Manejo del Asma, de 2012, se consideró al 57,14% de los pacientes fuera de control; el 30,6% estaban parcialmente bajo control; y el 12,2% bajo control total. Conclusión: La mayoría de los asmáticos no estaban bajo control. Es necesario identificar los factores relacionados con el descontrol y buscar estrategias con el objetivo de mejorar los puntajes para reducir la morbimortalidad asociada al asma.Introdução: A asma é uma doença crônica debilitante, que pode gerar restrições diretamente ligadas a um mau controle da doença. O controle da asma pode ser avaliado por instrumentos padronizados. Objetivo: Determinar o controle da asma por meio do Questionário de Controle da Asma (QCA) e do Teste de Controle da Asma (TCA) e a classificação de acordo com as Diretrizes para o Manejo da Asma, de 2012. Métodos: Estudo observacional transversal com pacientes atendidos em ambulatórios de referência vinculados à Estratégia Saúde da Família em Tubarão-SC. A população foi composta por todos os pacientes asmáticos adultos que recorreram a consultas médicas durante o período de janeiro a novembro de 2010. Os dados foram compilados em uma planilha Excel e analisados pelo programa INSTAT 3. Foi realizada análise descritiva e aplicado teste quiquadrado para verificar associação entre respostas do TCA e QCA. Resultados: Foram avaliados 49 pacientes, tendo, a maioria deles, asma intermitente ou persistente leve (51%). Na avaliação do controle da asma o TCA mostrou que 69,3% dos pacientes não estavam controlados. Em relação ao QCA, foram considerados fora do alvo 75,5% dos pacientes. Houve associação significativa entre o TCA e QCA (p<0,05). Quanto às Diretrizes para o Manejo da Asma, 2012, 57,14% dos pacientes foram considerados não controlados; 30,6% estavam parcialmente controlados; e 12,2%, controlados. Conclusão: Os asmáticos estavam, em sua maioria, não controlados. Torna-se necessário identificar os fatores ligados ao descontrole e buscar estratégias, visando melhorar os escores para redução da morbimortalidade associada à asma.Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)2013-11-25info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos Originais; Original ArticlesEstudo observacional transversalapplication/pdfhttps://www.rbmfc.org.br/rbmfc/article/view/73710.5712/rbmfc9(30)737Revista Brasileira de Medicina de Família e Comunidade; Vol. 9 No. 30 (2014): Janeiro-Março; 31-37Revista Brasileira de Medicina de Família e Comunidade; Vol. 9 Núm. 30 (2014): Janeiro-Março; 31-37Revista Brasileira de Medicina de Família e Comunidade; v. 9 n. 30 (2014): Janeiro-Março; 31-372179-79941809-5909reponame:Revista Brasileira de Medicina de Família e Comunidade (Online)instname:Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)instacron:SBMFCporhttps://www.rbmfc.org.br/rbmfc/article/view/737/593Copyright (c) 2014 Daniel de Andrade Hygidio, Jane da Silva, Sérgio Silveira, Beatriz Camisão Schwindeninfo:eu-repo/semantics/openAccessHygidio, Daniel de AndradeSilva, Jane daSilveira, SérgioSchwinden, Beatriz Camisão2020-05-21T20:31:29Zoai:ojs.rbmfc.org.br:article/737Revistahttp://www.rbmfc.org.br/index.php/rbmfchttps://www.rbmfc.org.br/rbmfc/oai||david@sbmfc.org.br2179-79941809-5909opendoar:2020-05-21T20:31:29Revista Brasileira de Medicina de Família e Comunidade (Online) - Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)false |
| dc.title.none.fl_str_mv |
Assessment of asthma control in patients monitored at two pulmonology outpatient clinics linked to the Family Health Strategy in Tubarão, Santa Catarina state, Brazil Evaluación del control del asma en pacientes asistidos en dos ambulatorios de neumología vinculados a la Estrategia de Salud Familiar en Tubarão, Santa Catarina, Brasil Avaliação do controle da asma em pacientes acompanhados em dois ambulatórios de pneumologia vinculados à Estratégia Saúde da Família em Tubarão, Santa Catarina, Brasil |
| title |
Assessment of asthma control in patients monitored at two pulmonology outpatient clinics linked to the Family Health Strategy in Tubarão, Santa Catarina state, Brazil |
| spellingShingle |
Assessment of asthma control in patients monitored at two pulmonology outpatient clinics linked to the Family Health Strategy in Tubarão, Santa Catarina state, Brazil Hygidio, Daniel de Andrade Asthma Prevention and Control Questionnaires Asma Prevención y Control Cuestionarios Asma Prevenção e Controle Questionários Asma |
| title_short |
Assessment of asthma control in patients monitored at two pulmonology outpatient clinics linked to the Family Health Strategy in Tubarão, Santa Catarina state, Brazil |
| title_full |
Assessment of asthma control in patients monitored at two pulmonology outpatient clinics linked to the Family Health Strategy in Tubarão, Santa Catarina state, Brazil |
| title_fullStr |
Assessment of asthma control in patients monitored at two pulmonology outpatient clinics linked to the Family Health Strategy in Tubarão, Santa Catarina state, Brazil |
| title_full_unstemmed |
Assessment of asthma control in patients monitored at two pulmonology outpatient clinics linked to the Family Health Strategy in Tubarão, Santa Catarina state, Brazil |
| title_sort |
Assessment of asthma control in patients monitored at two pulmonology outpatient clinics linked to the Family Health Strategy in Tubarão, Santa Catarina state, Brazil |
| author |
Hygidio, Daniel de Andrade |
| author_facet |
Hygidio, Daniel de Andrade Silva, Jane da Silveira, Sérgio Schwinden, Beatriz Camisão |
| author_role |
author |
| author2 |
Silva, Jane da Silveira, Sérgio Schwinden, Beatriz Camisão |
| author2_role |
author author author |
| dc.contributor.author.fl_str_mv |
Hygidio, Daniel de Andrade Silva, Jane da Silveira, Sérgio Schwinden, Beatriz Camisão |
| dc.subject.por.fl_str_mv |
Asthma Prevention and Control Questionnaires Asma Prevención y Control Cuestionarios Asma Prevenção e Controle Questionários Asma |
| topic |
Asthma Prevention and Control Questionnaires Asma Prevención y Control Cuestionarios Asma Prevenção e Controle Questionários Asma |
| description |
Introduction: Asthma is a chronic debilitating disease which can generate constraints directly associated with poor disease control. Asthma control can be evaluated using standardized instruments. Objective: To determine asthma control through the Asthma Control Questionnaire (ACQ) and Asthma Control Test (ACT), and to classify it according to the Guidelines for the Management of Asthma, 2012. Methods: This is a cross-sectional observational study with patients of two pulmonology outpatient clinics linked to the Family Health Strategy in the municipality of Tubarão, Santa Catarina state. The population consisted of all adult asthmatic patients who resorted to medical appointments from January to November 2010. The data were compiled in Excel and analyzed by INSTAT 3 software. We performed descriptive analysis and applied the chi-square test to assess the association between ACT and ACQ answers. Results: We evaluated 49 patients, most of them presenting intermittent or mild persistent asthma (51%). In the assessment of asthma control, ACT showed that 69.3% of patients were considered uncontrolled, while ACQ showed that 75.5% of patients were considered off-target. Significant association was found between ACT and ACQ (p<0.05). Regarding the 2012 Guidelines for the Management of Asthma, 57.14% of patients were considered uncontrolled; 30.6% were partially controlled; and 12.2% were controlled. Conclusion: Most asthmatics were uncontrolled. It is necessary to identify the factors related to uncontrolled patients and search strategies to improve health scores for reduction of morbimortality caused by asthma. |
| publishDate |
2013 |
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2013-11-25 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigos Originais; Original Articles Estudo observacional transversal |
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article |
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publishedVersion |
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https://www.rbmfc.org.br/rbmfc/article/view/737 10.5712/rbmfc9(30)737 |
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https://www.rbmfc.org.br/rbmfc/article/view/737 |
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por |
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por |
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https://www.rbmfc.org.br/rbmfc/article/view/737/593 |
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Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC) |
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Revista Brasileira de Medicina de Família e Comunidade; Vol. 9 No. 30 (2014): Janeiro-Março; 31-37 Revista Brasileira de Medicina de Família e Comunidade; Vol. 9 Núm. 30 (2014): Janeiro-Março; 31-37 Revista Brasileira de Medicina de Família e Comunidade; v. 9 n. 30 (2014): Janeiro-Março; 31-37 2179-7994 1809-5909 reponame:Revista Brasileira de Medicina de Família e Comunidade (Online) instname:Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC) instacron:SBMFC |
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