Desenvolvimento de um protótipo para apoio à decisão do fisioterapeuta no cuidado ao idoso
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UFPB |
Texto Completo: | https://repositorio.ufpb.br/jspui/handle/123456789/13030 |
Resumo: | As a result of the increase in life expectancy, population aging has been considered a major demographic phenomenon of the century. In Brazil, this process has been happening in an accelerated way and there is not enough time to reorganize the health service to supply this demand, becoming a challenge for public health system. In this context, the Health Information System (SIS), in the brazilian abbreviation, shall be seen as an important tool to follow the behavior of Chronic Non-communicable Diseases (NCD), responsible for compromising the functionality of the elderly, to implement effective prevention actions and institute an adequate surveillance system for the control of these diseases. Considering that the issue of ISIS in the area of physiotherapy is not yet widely discussed and researched, and the implementation of an information system allows that the decision-making are based on evidences and health actions are programmed in a more assertive way, the present thesis sought to develop a software prototype to support the clinical decision-making of the Physiotherapist in the elaboration of the elderly care plan, based on the use of artificial intelligence. For that, a methodological research of the applied type was carried out, developed in seven stages: the first was the construction of a software prototype, from the physiotherapeutic assessment form directed to the elderly; the second, an addition of other relevant data to the prototype; the third, the elaboration of a decision model, from the literature used to subsidize the study; fourth, the implementation of decision rules related to physiotherapeutic procedures; fifth, constitution of a database; sixth, evaluation and validation of physical therapy proposed by the prototype; seventh, development of the software prototype, called the Physiotherapy Information System, SISFISIO, in the Brazilian Portuguese abbreviation. For the evaluation and validation of physiotherapeutic conduct, it was necessary the participation of two specialists in the area of Physiotherapy in the health of the elderly; and for the development of the database and the prototype, the team of teachers and students of the Computer Science Course of the University Center in João Pessoa - Unipê. The study was initially developed in the Fábrica de Software, a software company, and followed in the Clinical School of Physiotherapy, both part of the referred educational institution. Students of the seventh period of the Physiotherapy Course took part of the study, as well as the teachers of the curricular component Physiotherapy in the health of the elderly and the elderly patients who are individually assisted by this component. Concerning to the data analysis, the Rules Based Model was used to construct the Decision Support Model and the R software to evaluate the descriptive measures, in order to validate the elaborated physiotherapeutic protocols by the system. Regarding the results, considering the common part in the physiotherapeutic protocols pointed by the specialists as the most representative measure to be compared with the protocol elaborated by the system, it was verified that these protocols presented normal distribution according to the Shapiro-Wilk test and, when compared by the t-paired test, it was noticed that there is no difference between the physiotherapeutic common protocols to both specialists and the physiotherapeutic protocol proposed by the system. Thus, despite the need for some adjustments and the limitations of the prototype constructed and presented in this research, it can be verified that this corresponds to an important methodological tool for the teaching and learning process and also for the health service, by providing a look and care, as well as assisting in the decision making. |
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Desenvolvimento de um protótipo para apoio à decisão do fisioterapeuta no cuidado ao idosoIdosoFisioterapiaSistema de informaçãoTomada de decisãoElderlyPhysiotherapyInformation systemDecision-makingCNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVAAs a result of the increase in life expectancy, population aging has been considered a major demographic phenomenon of the century. In Brazil, this process has been happening in an accelerated way and there is not enough time to reorganize the health service to supply this demand, becoming a challenge for public health system. In this context, the Health Information System (SIS), in the brazilian abbreviation, shall be seen as an important tool to follow the behavior of Chronic Non-communicable Diseases (NCD), responsible for compromising the functionality of the elderly, to implement effective prevention actions and institute an adequate surveillance system for the control of these diseases. Considering that the issue of ISIS in the area of physiotherapy is not yet widely discussed and researched, and the implementation of an information system allows that the decision-making are based on evidences and health actions are programmed in a more assertive way, the present thesis sought to develop a software prototype to support the clinical decision-making of the Physiotherapist in the elaboration of the elderly care plan, based on the use of artificial intelligence. For that, a methodological research of the applied type was carried out, developed in seven stages: the first was the construction of a software prototype, from the physiotherapeutic assessment form directed to the elderly; the second, an addition of other relevant data to the prototype; the third, the elaboration of a decision model, from the literature used to subsidize the study; fourth, the implementation of decision rules related to physiotherapeutic procedures; fifth, constitution of a database; sixth, evaluation and validation of physical therapy proposed by the prototype; seventh, development of the software prototype, called the Physiotherapy Information System, SISFISIO, in the Brazilian Portuguese abbreviation. For the evaluation and validation of physiotherapeutic conduct, it was necessary the participation of two specialists in the area of Physiotherapy in the health of the elderly; and for the development of the database and the prototype, the team of teachers and students of the Computer Science Course of the University Center in João Pessoa - Unipê. The study was initially developed in the Fábrica de Software, a software company, and followed in the Clinical School of Physiotherapy, both part of the referred educational institution. Students of the seventh period of the Physiotherapy Course took part of the study, as well as the teachers of the curricular component Physiotherapy in the health of the elderly and the elderly patients who are individually assisted by this component. Concerning to the data analysis, the Rules Based Model was used to construct the Decision Support Model and the R software to evaluate the descriptive measures, in order to validate the elaborated physiotherapeutic protocols by the system. Regarding the results, considering the common part in the physiotherapeutic protocols pointed by the specialists as the most representative measure to be compared with the protocol elaborated by the system, it was verified that these protocols presented normal distribution according to the Shapiro-Wilk test and, when compared by the t-paired test, it was noticed that there is no difference between the physiotherapeutic common protocols to both specialists and the physiotherapeutic protocol proposed by the system. Thus, despite the need for some adjustments and the limitations of the prototype constructed and presented in this research, it can be verified that this corresponds to an important methodological tool for the teaching and learning process and also for the health service, by providing a look and care, as well as assisting in the decision making.NenhumaEm decorrência do aumento da expectativa de vida, o envelhecimento populacional tem sido considerado como grande fenômeno demográfico do século. No Brasil, este processo vem ocorrendo de forma acelerada, não havendo tempo suficiente para reorganizar o serviço de saúde para suprir a demanda, tornando-se um desafio para a saúde pública. Nesse contexto, o Sistema de Informação em Saúde (SIS) corresponde a uma importante ferramenta para acompanhar o comportamento das doenças crônicas não-transmissíveis (DCNT), responsáveis pelo comprometimento da funcionalidade do idoso, para implementar ações efetivas de prevenção e instituir um sistema de vigilância adequado a esses agravos. Assim, considerando que na área da Fisioterapia a temática envolvendo SIS ainda não é tão amplamente discutida e pesquisada, e que a implantação de um sistema de informação possibilita que as tomadas de decisões sejam baseadas em evidências e as ações de saúde sejam programadas de forma mais assertivas, a presente tese buscou desenvolver um protótipo de software para apoio à tomada de decisão clínica do Fisioterapeuta na elaboração do plano de cuidados ao idoso, a partir do uso da inteligência artificial. Para tanto, realizou-se uma pesquisa metodológica do tipo aplicada, desenvolvida em sete etapas: a primeira, construir um protótipo, a partir de ficha de avaliação fisioterapêutica direcionada ao idoso; segunda, a acrescentar outros dados relevantes ao protótipo; terceira, elaborar o modelo de decisão, a partir da literatura utilizada para subsidiar o estudo; quarta, implantar as regras de decisão, relacionadas às condutas fisioterapêuticas; quinta, constituir um banco de dados; sexta, avaliar e validar as condutas fisioterapêuticas propostas pelo protótipo; sétima, desenvolver o protótipo de software, denominado Sistema de informação em Fisioterapia (SISFISIO). Para a avaliação e validação das condutas fisioterapêuticas, foi necessária a participação de dois especialistas na área de Fisioterapia na saúde do idoso; e, para o desenvolvimento do banco de dados e do protótipo, recorreu-se a equipe de docentes e discentes do Curso de Ciências da Computação do Unipê, O estudo foi desenvolvido inicialmente na Fábrica de Software, e em seguida na Clínica Escola de Fisioterapia da referida instituição de ensino. Participaram do estudo discentes do sétimo período do Curso de Fisioterapia, docentes do Componente Curricular “Fisioterapia na saúde do idoso”, e idosos que são assistidos individualmente neste Componente Curricular. No que diz respeito à análise dos dados, utilizou-se o Modelo Baseado em Regras para a construção do modelo de apoio à decisão, e o software R para avaliar as medidas descritivas com a finalidade de validar os protocolos fisioterapêuticos elaborados pelo sistema. No que tange aos resultados, considerando a parte comum nos protocolos fisioterapêuticos apontada pelos especialistas como a medida mais representativa a ser comparada com o protocolo elaborado pelo sistema, constatou-se que estes têm distribuição normal segundo o Teste de Shapiro-Wilk e, ao serem comparados pelo teste t-emparelhado percebeu-se que não há diferença entre os protocolos fisioterapêuticos comuns dos dois especialistas e o protocolo fisioterapêutico proposto pelo sistema. Assim, apesar da necessidade de alguns ajustes e das limitações do protótipo, pode-se constatar que este corresponde a uma importante ferramenta tecnológica para o processo de ensino-aprendizagem; e para o serviço de saúde, ao proporcionar um olhar e cuidado mais amplo e integral, além de auxiliar na tomada de decisão do profissional de fisioterapia.Universidade Federal da ParaíbaBrasilCiências Exatas e da SaúdePrograma de Pós-Graduação em Modelos de Decisão e SaúdeUFPBSantos, Sérgio Ribeiro doshttp://lattes.cnpq.br/2057116013573850Nascimento, João Agnaldo dohttp://lattes.cnpq.br/6866270928240455Pessoa, Juliana da Costa Santos2019-01-21T20:44:14Z2019-01-212019-01-21T20:44:14Z2018-02-09info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesishttps://repositorio.ufpb.br/jspui/handle/123456789/13030porAttribution-NoDerivs 3.0 Brazilhttp://creativecommons.org/licenses/by-nd/3.0/br/info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UFPBinstname:Universidade Federal da Paraíba (UFPB)instacron:UFPB2019-01-21T20:44:14Zoai:repositorio.ufpb.br:123456789/13030Biblioteca Digital de Teses e Dissertaçõeshttps://repositorio.ufpb.br/PUBhttp://tede.biblioteca.ufpb.br:8080/oai/requestdiretoria@ufpb.br|| diretoria@ufpb.bropendoar:2019-01-21T20:44:14Biblioteca Digital de Teses e Dissertações da UFPB - Universidade Federal da Paraíba (UFPB)false |
dc.title.none.fl_str_mv |
Desenvolvimento de um protótipo para apoio à decisão do fisioterapeuta no cuidado ao idoso |
title |
Desenvolvimento de um protótipo para apoio à decisão do fisioterapeuta no cuidado ao idoso |
spellingShingle |
Desenvolvimento de um protótipo para apoio à decisão do fisioterapeuta no cuidado ao idoso Pessoa, Juliana da Costa Santos Idoso Fisioterapia Sistema de informação Tomada de decisão Elderly Physiotherapy Information system Decision-making CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA |
title_short |
Desenvolvimento de um protótipo para apoio à decisão do fisioterapeuta no cuidado ao idoso |
title_full |
Desenvolvimento de um protótipo para apoio à decisão do fisioterapeuta no cuidado ao idoso |
title_fullStr |
Desenvolvimento de um protótipo para apoio à decisão do fisioterapeuta no cuidado ao idoso |
title_full_unstemmed |
Desenvolvimento de um protótipo para apoio à decisão do fisioterapeuta no cuidado ao idoso |
title_sort |
Desenvolvimento de um protótipo para apoio à decisão do fisioterapeuta no cuidado ao idoso |
author |
Pessoa, Juliana da Costa Santos |
author_facet |
Pessoa, Juliana da Costa Santos |
author_role |
author |
dc.contributor.none.fl_str_mv |
Santos, Sérgio Ribeiro dos http://lattes.cnpq.br/2057116013573850 Nascimento, João Agnaldo do http://lattes.cnpq.br/6866270928240455 |
dc.contributor.author.fl_str_mv |
Pessoa, Juliana da Costa Santos |
dc.subject.por.fl_str_mv |
Idoso Fisioterapia Sistema de informação Tomada de decisão Elderly Physiotherapy Information system Decision-making CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA |
topic |
Idoso Fisioterapia Sistema de informação Tomada de decisão Elderly Physiotherapy Information system Decision-making CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA |
description |
As a result of the increase in life expectancy, population aging has been considered a major demographic phenomenon of the century. In Brazil, this process has been happening in an accelerated way and there is not enough time to reorganize the health service to supply this demand, becoming a challenge for public health system. In this context, the Health Information System (SIS), in the brazilian abbreviation, shall be seen as an important tool to follow the behavior of Chronic Non-communicable Diseases (NCD), responsible for compromising the functionality of the elderly, to implement effective prevention actions and institute an adequate surveillance system for the control of these diseases. Considering that the issue of ISIS in the area of physiotherapy is not yet widely discussed and researched, and the implementation of an information system allows that the decision-making are based on evidences and health actions are programmed in a more assertive way, the present thesis sought to develop a software prototype to support the clinical decision-making of the Physiotherapist in the elaboration of the elderly care plan, based on the use of artificial intelligence. For that, a methodological research of the applied type was carried out, developed in seven stages: the first was the construction of a software prototype, from the physiotherapeutic assessment form directed to the elderly; the second, an addition of other relevant data to the prototype; the third, the elaboration of a decision model, from the literature used to subsidize the study; fourth, the implementation of decision rules related to physiotherapeutic procedures; fifth, constitution of a database; sixth, evaluation and validation of physical therapy proposed by the prototype; seventh, development of the software prototype, called the Physiotherapy Information System, SISFISIO, in the Brazilian Portuguese abbreviation. For the evaluation and validation of physiotherapeutic conduct, it was necessary the participation of two specialists in the area of Physiotherapy in the health of the elderly; and for the development of the database and the prototype, the team of teachers and students of the Computer Science Course of the University Center in João Pessoa - Unipê. The study was initially developed in the Fábrica de Software, a software company, and followed in the Clinical School of Physiotherapy, both part of the referred educational institution. Students of the seventh period of the Physiotherapy Course took part of the study, as well as the teachers of the curricular component Physiotherapy in the health of the elderly and the elderly patients who are individually assisted by this component. Concerning to the data analysis, the Rules Based Model was used to construct the Decision Support Model and the R software to evaluate the descriptive measures, in order to validate the elaborated physiotherapeutic protocols by the system. Regarding the results, considering the common part in the physiotherapeutic protocols pointed by the specialists as the most representative measure to be compared with the protocol elaborated by the system, it was verified that these protocols presented normal distribution according to the Shapiro-Wilk test and, when compared by the t-paired test, it was noticed that there is no difference between the physiotherapeutic common protocols to both specialists and the physiotherapeutic protocol proposed by the system. Thus, despite the need for some adjustments and the limitations of the prototype constructed and presented in this research, it can be verified that this corresponds to an important methodological tool for the teaching and learning process and also for the health service, by providing a look and care, as well as assisting in the decision making. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-02-09 2019-01-21T20:44:14Z 2019-01-21 2019-01-21T20:44:14Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/doctoralThesis |
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doctoralThesis |
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publishedVersion |
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https://repositorio.ufpb.br/jspui/handle/123456789/13030 |
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https://repositorio.ufpb.br/jspui/handle/123456789/13030 |
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por |
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por |
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Attribution-NoDerivs 3.0 Brazil http://creativecommons.org/licenses/by-nd/3.0/br/ info:eu-repo/semantics/openAccess |
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Attribution-NoDerivs 3.0 Brazil http://creativecommons.org/licenses/by-nd/3.0/br/ |
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openAccess |
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Universidade Federal da Paraíba Brasil Ciências Exatas e da Saúde Programa de Pós-Graduação em Modelos de Decisão e Saúde UFPB |
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Universidade Federal da Paraíba Brasil Ciências Exatas e da Saúde Programa de Pós-Graduação em Modelos de Decisão e Saúde UFPB |
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Biblioteca Digital de Teses e Dissertações da UFPB |
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Biblioteca Digital de Teses e Dissertações da UFPB |
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Biblioteca Digital de Teses e Dissertações da UFPB - Universidade Federal da Paraíba (UFPB) |
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