Perfil clínico de pacientes portadores de fibrose cística no interior do estado de Goiás
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tede/8418 |
Resumo: | Cystic Fibrosis, is an autosomal recessive genetic disease with progressive characteristics, of great pathophysiological complexity and symptomatology. Its impact on quality and life expectancy are significant and conditional upon early diagnosis and treatment. The objective of this study was to describe the population of patients with cystic fibrosis undergoing treatment at a reference unit in the interior of Goiás. Characterization of symptoms, drug treatment and colonization characteristics of these patients. It is a cross-sectional retrospective study. For this purpose, secondary data were collected from 39 charts of patients attended at the reference unit in the state of Goiás. Regarding gender, 48.7% were males and 51.3% were females. Outpatient follow-up was 82.0% and 17.8% were deaths. The causes of death were 100% due to pulmonary complications characteristic of cystic fibrosis. As for the genetic examination, only 30.7% had performed genotyping. Of these, 75% presented the presence of the ΔF508 mutation, being predominantly in heterozygous. The most prevalent symptoms were cough (56.4%), steatorrhea (28.2%), digital clubbing (15.4%) and snoring (15.4%). Regarding the body mass index, 43.6% presented low weight in the first consultation, and in the last consultation this index fell to 25.6%, representing therapeutic adherence. It is possible to emphasize that 28.1% of the patients were gastrostomized and 21.8% were hospitalized at some point in their life. Regarding drug therapy, 89.7% received vitamin supplementation, 79.5% enzymes, 51.3% bronchodilators. The most incident infectious agent in the last consultation and during the life of the patients was Staphilococus aureus with incidence of respectively 56.4% and 66.7%. There was a negative correlation between the values of sodium and alkaline phos- phase (p = 0.002) and sodium with the number of positive cultures (p = 0.005). It is concluded that the correlations observed demonstrate the progressive character of the complaint and it is understood the need for investigations that allow the good use of evaluation criteria and systematized records instruments, optimizing care for these patients. Thus generating important subsidies for the assistance performed by the multiprofessional team to the patient with cystic fibrosis. |
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Mendonça, Ana Karina Marques Salgehttp://lattes.cnpq.br/7766918925030041Mendonça, Ana Karina Marques SalgeVieira, FlavianaMachado, Karina Siqueirahttp://lattes.cnpq.br/3430051000287050Silvestre, Marcela de Andrade2018-05-02T13:03:32Z2018-03-27SILVESTRE, M. A. Perfil clínico de pacientes portadores de fibrose cística no interior do estado de Goiás. 2018. 80 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2018.http://repositorio.bc.ufg.br/tede/handle/tede/8418Cystic Fibrosis, is an autosomal recessive genetic disease with progressive characteristics, of great pathophysiological complexity and symptomatology. Its impact on quality and life expectancy are significant and conditional upon early diagnosis and treatment. The objective of this study was to describe the population of patients with cystic fibrosis undergoing treatment at a reference unit in the interior of Goiás. Characterization of symptoms, drug treatment and colonization characteristics of these patients. It is a cross-sectional retrospective study. For this purpose, secondary data were collected from 39 charts of patients attended at the reference unit in the state of Goiás. Regarding gender, 48.7% were males and 51.3% were females. Outpatient follow-up was 82.0% and 17.8% were deaths. The causes of death were 100% due to pulmonary complications characteristic of cystic fibrosis. As for the genetic examination, only 30.7% had performed genotyping. Of these, 75% presented the presence of the ΔF508 mutation, being predominantly in heterozygous. The most prevalent symptoms were cough (56.4%), steatorrhea (28.2%), digital clubbing (15.4%) and snoring (15.4%). Regarding the body mass index, 43.6% presented low weight in the first consultation, and in the last consultation this index fell to 25.6%, representing therapeutic adherence. It is possible to emphasize that 28.1% of the patients were gastrostomized and 21.8% were hospitalized at some point in their life. Regarding drug therapy, 89.7% received vitamin supplementation, 79.5% enzymes, 51.3% bronchodilators. The most incident infectious agent in the last consultation and during the life of the patients was Staphilococus aureus with incidence of respectively 56.4% and 66.7%. There was a negative correlation between the values of sodium and alkaline phos- phase (p = 0.002) and sodium with the number of positive cultures (p = 0.005). It is concluded that the correlations observed demonstrate the progressive character of the complaint and it is understood the need for investigations that allow the good use of evaluation criteria and systematized records instruments, optimizing care for these patients. Thus generating important subsidies for the assistance performed by the multiprofessional team to the patient with cystic fibrosis.A Fibrose Cística, é uma doença genética autossômica recessiva de características progressivas, de grande complexidade fisiopatológica e sintomatológica. Seu impacto na qualidade e expectativa de vida são significativos e condicionado ao diagnóstico precoce e tratamento. O objetivo desse estudo foi de descrever a população de pacientes com fibrose cística em tratamento em uma unidade de referência no interior de Goiás. E assim, caracterizar sintomas, tratamento medicamentoso e características de colonização desses pacientes. Trata-se de um estudo do tipo transversal retrospectivo. Utilizou, para tanto, dados secundários coletados de 39 prontuários de pacientes atendidos na unidade de referência no interior do estado de Goiás. Quanto ao sexo, 48,7% eram do sexo masculino e 51,3% do sexo feminino. Estavam em seguimento ambulatorial 82,0% e 17,8% correspondiam a óbitos. As causas de óbito eram 100% decorrentes de complicações pulmonares características da fibrose cística. Quanto ao exame genético, apenas 30,7% haviam realizado genotipagem. Desses, 75% apresentaram a presença da mutação ΔF508, sendo predominantemente em heterozigoze. Os sintomas mais prevalentes foram: tosse (56,4%), esteatorréia (28,2%), baqueteamento digital (15,4%) e roncos (15,4%). Em relação ao índice de massa corpórea, 43,6% apresentavam baixo peso na primeira consulta, e na última consulta esse índice caiu para 25,6%, representando adesão terapêutica. Pode-se destacar que 28,1% dos pacientes foram gastrostomizados e 21,8% foram hospitalizados em algum momento de sua vida. Em relação à terapia medicamentosa, 89,7% recebiam suplemento vitamínico, 79,5% enzimas, 51,3% broncodilatadores. O agente infecioso mais incidente na última consulta e durante a vida dos pacientes foi Staphilococus aureus com incidência respectivamente de 56,4% e 66,7%. Encontrou-se correlação negativa entre os valores de sódio e da fostase alcalina (p=0,002) e de sódio com o número de culturas positivas (p=0,005). Conclui-se que as correlações observadas demostram a característica progressiva do agravo e entende-se a necessidade de investigações que permitam a boa utilização de critérios de avaliações e instrumentos de registros sistematizados, otimizando assistência a esses pacientes. Gerando assim subsídios importantes para a assistência realizada pela equipe multiprofissional ao paciente com fibrose cística.Submitted by Franciele Moreira (francielemoreyra@gmail.com) on 2018-05-02T12:49:41Z No. of bitstreams: 2 Dissertação - Marcela de Andrade Silvestre - 2018.pdf: 2192879 bytes, checksum: 6da6177919e55adcec1ea3c960a2d94b (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2018-05-02T13:03:32Z (GMT) No. of bitstreams: 2 Dissertação - Marcela de Andrade Silvestre - 2018.pdf: 2192879 bytes, checksum: 6da6177919e55adcec1ea3c960a2d94b (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2018-05-02T13:03:32Z (GMT). No. of bitstreams: 2 Dissertação - Marcela de Andrade Silvestre - 2018.pdf: 2192879 bytes, checksum: 6da6177919e55adcec1ea3c960a2d94b (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2018-03-27application/pdfporUniversidade Federal de GoiásPrograma de Pós-graduação em Enfermagem (FEN)UFGBrasilFaculdade de Enfermagem - FEN (RG)http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessFibrose císticaAssistênciaTratamentosEnfermagem pediátricaCystic fibrosisAssistanceTreatmentsPediatric nursingENFERMAGEM::ENFERMAGEM DE SAUDE PUBLICAPerfil clínico de pacientes portadores de fibrose cística no interior do estado de GoiásClinical profile of patients with cystic fibrosis in the state of Goiásinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis450616283036504198160060060027567532333369087145647390027954931658reponame:Repositório Institucional da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGLICENSElicense.txtlicense.txttext/plain; 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dc.title.eng.fl_str_mv |
Perfil clínico de pacientes portadores de fibrose cística no interior do estado de Goiás |
dc.title.alternative.eng.fl_str_mv |
Clinical profile of patients with cystic fibrosis in the state of Goiás |
title |
Perfil clínico de pacientes portadores de fibrose cística no interior do estado de Goiás |
spellingShingle |
Perfil clínico de pacientes portadores de fibrose cística no interior do estado de Goiás Silvestre, Marcela de Andrade Fibrose cística Assistência Tratamentos Enfermagem pediátrica Cystic fibrosis Assistance Treatments Pediatric nursing ENFERMAGEM::ENFERMAGEM DE SAUDE PUBLICA |
title_short |
Perfil clínico de pacientes portadores de fibrose cística no interior do estado de Goiás |
title_full |
Perfil clínico de pacientes portadores de fibrose cística no interior do estado de Goiás |
title_fullStr |
Perfil clínico de pacientes portadores de fibrose cística no interior do estado de Goiás |
title_full_unstemmed |
Perfil clínico de pacientes portadores de fibrose cística no interior do estado de Goiás |
title_sort |
Perfil clínico de pacientes portadores de fibrose cística no interior do estado de Goiás |
author |
Silvestre, Marcela de Andrade |
author_facet |
Silvestre, Marcela de Andrade |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Mendonça, Ana Karina Marques Salge |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/7766918925030041 |
dc.contributor.referee1.fl_str_mv |
Mendonça, Ana Karina Marques Salge |
dc.contributor.referee2.fl_str_mv |
Vieira, Flaviana |
dc.contributor.referee3.fl_str_mv |
Machado, Karina Siqueira |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3430051000287050 |
dc.contributor.author.fl_str_mv |
Silvestre, Marcela de Andrade |
contributor_str_mv |
Mendonça, Ana Karina Marques Salge Mendonça, Ana Karina Marques Salge Vieira, Flaviana Machado, Karina Siqueira |
dc.subject.por.fl_str_mv |
Fibrose cística Assistência Tratamentos Enfermagem pediátrica |
topic |
Fibrose cística Assistência Tratamentos Enfermagem pediátrica Cystic fibrosis Assistance Treatments Pediatric nursing ENFERMAGEM::ENFERMAGEM DE SAUDE PUBLICA |
dc.subject.eng.fl_str_mv |
Cystic fibrosis Assistance Treatments Pediatric nursing |
dc.subject.cnpq.fl_str_mv |
ENFERMAGEM::ENFERMAGEM DE SAUDE PUBLICA |
description |
Cystic Fibrosis, is an autosomal recessive genetic disease with progressive characteristics, of great pathophysiological complexity and symptomatology. Its impact on quality and life expectancy are significant and conditional upon early diagnosis and treatment. The objective of this study was to describe the population of patients with cystic fibrosis undergoing treatment at a reference unit in the interior of Goiás. Characterization of symptoms, drug treatment and colonization characteristics of these patients. It is a cross-sectional retrospective study. For this purpose, secondary data were collected from 39 charts of patients attended at the reference unit in the state of Goiás. Regarding gender, 48.7% were males and 51.3% were females. Outpatient follow-up was 82.0% and 17.8% were deaths. The causes of death were 100% due to pulmonary complications characteristic of cystic fibrosis. As for the genetic examination, only 30.7% had performed genotyping. Of these, 75% presented the presence of the ΔF508 mutation, being predominantly in heterozygous. The most prevalent symptoms were cough (56.4%), steatorrhea (28.2%), digital clubbing (15.4%) and snoring (15.4%). Regarding the body mass index, 43.6% presented low weight in the first consultation, and in the last consultation this index fell to 25.6%, representing therapeutic adherence. It is possible to emphasize that 28.1% of the patients were gastrostomized and 21.8% were hospitalized at some point in their life. Regarding drug therapy, 89.7% received vitamin supplementation, 79.5% enzymes, 51.3% bronchodilators. The most incident infectious agent in the last consultation and during the life of the patients was Staphilococus aureus with incidence of respectively 56.4% and 66.7%. There was a negative correlation between the values of sodium and alkaline phos- phase (p = 0.002) and sodium with the number of positive cultures (p = 0.005). It is concluded that the correlations observed demonstrate the progressive character of the complaint and it is understood the need for investigations that allow the good use of evaluation criteria and systematized records instruments, optimizing care for these patients. Thus generating important subsidies for the assistance performed by the multiprofessional team to the patient with cystic fibrosis. |
publishDate |
2018 |
dc.date.accessioned.fl_str_mv |
2018-05-02T13:03:32Z |
dc.date.issued.fl_str_mv |
2018-03-27 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
SILVESTRE, M. A. Perfil clínico de pacientes portadores de fibrose cística no interior do estado de Goiás. 2018. 80 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2018. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/8418 |
identifier_str_mv |
SILVESTRE, M. A. Perfil clínico de pacientes portadores de fibrose cística no interior do estado de Goiás. 2018. 80 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2018. |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/8418 |
dc.language.iso.fl_str_mv |
por |
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por |
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4506162830365041981 |
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600 600 600 |
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2756753233336908714 |
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http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
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http://creativecommons.org/licenses/by-nc-nd/4.0/ |
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openAccess |
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Universidade Federal de Goiás |
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dc.publisher.initials.fl_str_mv |
UFG |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Faculdade de Enfermagem - FEN (RG) |
publisher.none.fl_str_mv |
Universidade Federal de Goiás |
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