Avaliação da capacidade e comprometimento funcional em pacientes traqueotomizados de um hospital público de Curitiba
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações do UTP |
Texto Completo: | http://tede.utp.br:8080/jspui/handle/tede/1465 |
Resumo: | INTRODUCTION: tracheotomized patients after long period of hospitalization and mechanical ventilation present changes in their functional performance. It is necessary to determine their degree of dependence in order to assess which daily activities feature the highest deficit to guide multidisciplinary team intervention, to point impairments at the moment of hospital discharge, and signal the need of a caregiver. OBJECTIVE: to assess and describe degrees of functional performance and impairment in tracheotomized patients at a public hospital in Curitiba, Paraná State/Brazil, to assess and describe the interrelationship between functional performance and impairment. METHODOLOGY: quantitative, descriptive, crosscut, case-control study. This study was held at a hospital of tertiary reference linked to the Unified Health System. Functional performance and impairment were assessed by means of Barthel Index and Karnofsky Performance Scale in tracheotomized and non-tracheotomized patients admitted to Internal Medicine, Infectology, Neurosurgery and Neurology. The study group was paired to the control group considering age, sex, and disease which caused the hospitalization. RESULTS: the sample consisted of 26 tracheostomized and 26 non-tracheotomized patients, among them, 30 male patients and 22 female patients. Average age in the study group was 55.4 years (SD – 15.6), and 55.1 years of age (SD – 14.1) in the control group. Statistical analysis of Barthel Index in the study group rated 84.62% of the patients as totally dependent to carry on 10 domains of the instrument, unlike control group where only 15.38% of the patients presented this degree of physical dependence, while 53.85% feature total independence to carry on the same activities. The assessment by Karnofsky Scale evidenced that 57.69% of the study group scored 40%, which signals impairment and need of special care and assistance, different from the control group where 42.31% scored 90%, being able to lead a normal life with very few signs or symptoms of disease. CONCLUSIONS: There was a large implication of functional performance and impairment in tracheotomized patients, which demands a new look on the part of the multidisciplinary team at the identified disabilities, showing that despite the facilitation of mechanical ventilation weaning, hospitalization causes a major impact on patients’ quality of life. |
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Santos, Rosane SampaioMotter, Arlete AnaMarques, Jair Mendeshttp://lattes.cnpq.br/5293887332392101Gomes, Regina Helena Senff2018-07-05T18:35:27Z2014-11-26Gomes, Regina Helena Senff. Avaliação da capacidade e comprometimento funcional em pacientes traqueotomizados de um hospital público de Curitiba. 2014. 79 f. Dissertação( Mestrado em Distúrbios da Comunicação) - Universidade Tuiuti do Paraná, Curitiba, 2014.http://tede.utp.br:8080/jspui/handle/tede/1465INTRODUCTION: tracheotomized patients after long period of hospitalization and mechanical ventilation present changes in their functional performance. It is necessary to determine their degree of dependence in order to assess which daily activities feature the highest deficit to guide multidisciplinary team intervention, to point impairments at the moment of hospital discharge, and signal the need of a caregiver. OBJECTIVE: to assess and describe degrees of functional performance and impairment in tracheotomized patients at a public hospital in Curitiba, Paraná State/Brazil, to assess and describe the interrelationship between functional performance and impairment. METHODOLOGY: quantitative, descriptive, crosscut, case-control study. This study was held at a hospital of tertiary reference linked to the Unified Health System. Functional performance and impairment were assessed by means of Barthel Index and Karnofsky Performance Scale in tracheotomized and non-tracheotomized patients admitted to Internal Medicine, Infectology, Neurosurgery and Neurology. The study group was paired to the control group considering age, sex, and disease which caused the hospitalization. RESULTS: the sample consisted of 26 tracheostomized and 26 non-tracheotomized patients, among them, 30 male patients and 22 female patients. Average age in the study group was 55.4 years (SD – 15.6), and 55.1 years of age (SD – 14.1) in the control group. Statistical analysis of Barthel Index in the study group rated 84.62% of the patients as totally dependent to carry on 10 domains of the instrument, unlike control group where only 15.38% of the patients presented this degree of physical dependence, while 53.85% feature total independence to carry on the same activities. The assessment by Karnofsky Scale evidenced that 57.69% of the study group scored 40%, which signals impairment and need of special care and assistance, different from the control group where 42.31% scored 90%, being able to lead a normal life with very few signs or symptoms of disease. CONCLUSIONS: There was a large implication of functional performance and impairment in tracheotomized patients, which demands a new look on the part of the multidisciplinary team at the identified disabilities, showing that despite the facilitation of mechanical ventilation weaning, hospitalization causes a major impact on patients’ quality of life.INTRODUÇÃO: pacientes traqueotomizados após longo período de internação e ventilação mecânica prolongada apresentam alteração da sua capacidade funcional. Determinar o grau de dependência e o comprometimento funcional faz-se necessário para avaliar em quais atividades cotidianas o déficit é maior, para direcionar a intervenção da equipe multidisciplinar, apontar as limitações no momento da alta hospitalar e sinalizar a necessidade de um cuidador. OBJETIVOS: avaliar e descrever os graus de capacidade e comprometimento funcionais em pacientes traqueotomizados de um hospital público de Curitiba e avaliar as inter-relações entre capacidade e comprometimento funcional. METODOLOGIA: estudo caso-controle, quantitativo, descritivo e transversal. O estudo foi realizado em um hospital de referência terciária, vinculado ao Sistema Único de Saúde. A capacidade e comprometimento funcional foram avaliados por meio do Índice de Barthel e da Escala de Desempenho de Karnofsky, em pacientes traqueotomizados e não traqueotomizados e internados na Clínica Médica, Infectologia, Neurocirurgia e Neurologia. O grupo de estudo foi pareado com o grupo controle levando-se em conta a idade, o sexo e a doença que ocasionou a internação. RESULTADOS: a amostra foi composta por 26 pacientes traqueotomizados e 26 não traqueotomizados, sendo 30 do sexo masculino e 22 do sexo feminino. A média de idade entre o grupo de estudo foi de 55,4 anos (DP-15,6) e no grupo controle de 55,1 anos (DP-14,1). A análise estatística do Índice de Barthel no grupo de estudo classificou 84,62% dos pacientes como totalmente dependentes para a realização dos dez domínios do instrumento, ao contrário do grupo controle no qual somente 15,38% dos pacientes apresentaram este grau de dependência física e 53,85% apresentavam total independência para a realização das mesmas atividades. O levantamento da escala Karnofsky evidenciou que 57,69% do grupo estudo apresentava escore de 40%, que sinaliza a incapacidade e necessidade de cuidados e assistência especiais, diferentemente do grupo controle onde 42,31% obteve escore de 90%, sendo capazes de levar vida normal, com poucos sinais ou sintomas da doença. CONCLUSÕES: Houve implicação da capacidade e comprometimento funcional nos pacientes traqueotomizados, fato que demanda novo olhar da equipe multidisciplinar frente às incapacidades identificadas e demonstra que independente da traqueotomia facilitar o desmame da ventilação mecânica e consequentemente o período de internação, causa importante impacto na qualidade de vida dos pacientes.Submitted by Divanete Paiva (divanete.paiva@utp.br) on 2018-07-05T18:35:27Z No. of bitstreams: 1 AVALIACAO DA CAPACIDADE.pdf: 691316 bytes, checksum: 8898f11cba0777468087100d03b962e2 (MD5)Made available in DSpace on 2018-07-05T18:35:27Z (GMT). No. of bitstreams: 1 AVALIACAO DA CAPACIDADE.pdf: 691316 bytes, checksum: 8898f11cba0777468087100d03b962e2 (MD5) Previous issue date: 2014-11-26application/pdfporUniversidade Tuiuti do ParanaMestrado em Distúrbios da ComunicaçãoUTPBrasilDistúrbios da ComunicaçãoDisfagiaDoenças crônicas não transmissíveisTraqueotomiaDysphagiaChronic non-communicable diseasesTracheotomyCIENCIAS DA SAUDE::FONOAUDIOLOGIAAvaliação da capacidade e comprometimento funcional em pacientes traqueotomizados de um hospital público de Curitibainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-6104338271566220491500500600-1465691230269154980-1446670330325391347info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações do UTPinstname:Universidade Tuiuti do Paranáinstacron:UTPLICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/1465/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51ORIGINALAVALIACAO DA CAPACIDADE.pdfAVALIACAO DA CAPACIDADE.pdfapplication/pdf691316http://localhost:8080/tede/bitstream/tede/1465/2/AVALIACAO+DA+CAPACIDADE.pdf8898f11cba0777468087100d03b962e2MD52tede/1465oai:localhost:tede/14652018-07-05 15:35:27.877TEDEtede@utp.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 |
dc.title.por.fl_str_mv |
Avaliação da capacidade e comprometimento funcional em pacientes traqueotomizados de um hospital público de Curitiba |
title |
Avaliação da capacidade e comprometimento funcional em pacientes traqueotomizados de um hospital público de Curitiba |
spellingShingle |
Avaliação da capacidade e comprometimento funcional em pacientes traqueotomizados de um hospital público de Curitiba Gomes, Regina Helena Senff Disfagia Doenças crônicas não transmissíveis Traqueotomia Dysphagia Chronic non-communicable diseases Tracheotomy CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
title_short |
Avaliação da capacidade e comprometimento funcional em pacientes traqueotomizados de um hospital público de Curitiba |
title_full |
Avaliação da capacidade e comprometimento funcional em pacientes traqueotomizados de um hospital público de Curitiba |
title_fullStr |
Avaliação da capacidade e comprometimento funcional em pacientes traqueotomizados de um hospital público de Curitiba |
title_full_unstemmed |
Avaliação da capacidade e comprometimento funcional em pacientes traqueotomizados de um hospital público de Curitiba |
title_sort |
Avaliação da capacidade e comprometimento funcional em pacientes traqueotomizados de um hospital público de Curitiba |
author |
Gomes, Regina Helena Senff |
author_facet |
Gomes, Regina Helena Senff |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Santos, Rosane Sampaio |
dc.contributor.referee1.fl_str_mv |
Motter, Arlete Ana |
dc.contributor.referee2.fl_str_mv |
Marques, Jair Mendes |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/5293887332392101 |
dc.contributor.author.fl_str_mv |
Gomes, Regina Helena Senff |
contributor_str_mv |
Santos, Rosane Sampaio Motter, Arlete Ana Marques, Jair Mendes |
dc.subject.por.fl_str_mv |
Disfagia Doenças crônicas não transmissíveis Traqueotomia |
topic |
Disfagia Doenças crônicas não transmissíveis Traqueotomia Dysphagia Chronic non-communicable diseases Tracheotomy CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
dc.subject.eng.fl_str_mv |
Dysphagia Chronic non-communicable diseases Tracheotomy |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
dc.description.abstract.eng.fl_txt_mv |
INTRODUCTION: tracheotomized patients after long period of hospitalization and mechanical ventilation present changes in their functional performance. It is necessary to determine their degree of dependence in order to assess which daily activities feature the highest deficit to guide multidisciplinary team intervention, to point impairments at the moment of hospital discharge, and signal the need of a caregiver. OBJECTIVE: to assess and describe degrees of functional performance and impairment in tracheotomized patients at a public hospital in Curitiba, Paraná State/Brazil, to assess and describe the interrelationship between functional performance and impairment. METHODOLOGY: quantitative, descriptive, crosscut, case-control study. This study was held at a hospital of tertiary reference linked to the Unified Health System. Functional performance and impairment were assessed by means of Barthel Index and Karnofsky Performance Scale in tracheotomized and non-tracheotomized patients admitted to Internal Medicine, Infectology, Neurosurgery and Neurology. The study group was paired to the control group considering age, sex, and disease which caused the hospitalization. RESULTS: the sample consisted of 26 tracheostomized and 26 non-tracheotomized patients, among them, 30 male patients and 22 female patients. Average age in the study group was 55.4 years (SD – 15.6), and 55.1 years of age (SD – 14.1) in the control group. Statistical analysis of Barthel Index in the study group rated 84.62% of the patients as totally dependent to carry on 10 domains of the instrument, unlike control group where only 15.38% of the patients presented this degree of physical dependence, while 53.85% feature total independence to carry on the same activities. The assessment by Karnofsky Scale evidenced that 57.69% of the study group scored 40%, which signals impairment and need of special care and assistance, different from the control group where 42.31% scored 90%, being able to lead a normal life with very few signs or symptoms of disease. CONCLUSIONS: There was a large implication of functional performance and impairment in tracheotomized patients, which demands a new look on the part of the multidisciplinary team at the identified disabilities, showing that despite the facilitation of mechanical ventilation weaning, hospitalization causes a major impact on patients’ quality of life. |
dc.description.abstract.por.fl_txt_mv |
INTRODUÇÃO: pacientes traqueotomizados após longo período de internação e ventilação mecânica prolongada apresentam alteração da sua capacidade funcional. Determinar o grau de dependência e o comprometimento funcional faz-se necessário para avaliar em quais atividades cotidianas o déficit é maior, para direcionar a intervenção da equipe multidisciplinar, apontar as limitações no momento da alta hospitalar e sinalizar a necessidade de um cuidador. OBJETIVOS: avaliar e descrever os graus de capacidade e comprometimento funcionais em pacientes traqueotomizados de um hospital público de Curitiba e avaliar as inter-relações entre capacidade e comprometimento funcional. METODOLOGIA: estudo caso-controle, quantitativo, descritivo e transversal. O estudo foi realizado em um hospital de referência terciária, vinculado ao Sistema Único de Saúde. A capacidade e comprometimento funcional foram avaliados por meio do Índice de Barthel e da Escala de Desempenho de Karnofsky, em pacientes traqueotomizados e não traqueotomizados e internados na Clínica Médica, Infectologia, Neurocirurgia e Neurologia. O grupo de estudo foi pareado com o grupo controle levando-se em conta a idade, o sexo e a doença que ocasionou a internação. RESULTADOS: a amostra foi composta por 26 pacientes traqueotomizados e 26 não traqueotomizados, sendo 30 do sexo masculino e 22 do sexo feminino. A média de idade entre o grupo de estudo foi de 55,4 anos (DP-15,6) e no grupo controle de 55,1 anos (DP-14,1). A análise estatística do Índice de Barthel no grupo de estudo classificou 84,62% dos pacientes como totalmente dependentes para a realização dos dez domínios do instrumento, ao contrário do grupo controle no qual somente 15,38% dos pacientes apresentaram este grau de dependência física e 53,85% apresentavam total independência para a realização das mesmas atividades. O levantamento da escala Karnofsky evidenciou que 57,69% do grupo estudo apresentava escore de 40%, que sinaliza a incapacidade e necessidade de cuidados e assistência especiais, diferentemente do grupo controle onde 42,31% obteve escore de 90%, sendo capazes de levar vida normal, com poucos sinais ou sintomas da doença. CONCLUSÕES: Houve implicação da capacidade e comprometimento funcional nos pacientes traqueotomizados, fato que demanda novo olhar da equipe multidisciplinar frente às incapacidades identificadas e demonstra que independente da traqueotomia facilitar o desmame da ventilação mecânica e consequentemente o período de internação, causa importante impacto na qualidade de vida dos pacientes. |
description |
INTRODUCTION: tracheotomized patients after long period of hospitalization and mechanical ventilation present changes in their functional performance. It is necessary to determine their degree of dependence in order to assess which daily activities feature the highest deficit to guide multidisciplinary team intervention, to point impairments at the moment of hospital discharge, and signal the need of a caregiver. OBJECTIVE: to assess and describe degrees of functional performance and impairment in tracheotomized patients at a public hospital in Curitiba, Paraná State/Brazil, to assess and describe the interrelationship between functional performance and impairment. METHODOLOGY: quantitative, descriptive, crosscut, case-control study. This study was held at a hospital of tertiary reference linked to the Unified Health System. Functional performance and impairment were assessed by means of Barthel Index and Karnofsky Performance Scale in tracheotomized and non-tracheotomized patients admitted to Internal Medicine, Infectology, Neurosurgery and Neurology. The study group was paired to the control group considering age, sex, and disease which caused the hospitalization. RESULTS: the sample consisted of 26 tracheostomized and 26 non-tracheotomized patients, among them, 30 male patients and 22 female patients. Average age in the study group was 55.4 years (SD – 15.6), and 55.1 years of age (SD – 14.1) in the control group. Statistical analysis of Barthel Index in the study group rated 84.62% of the patients as totally dependent to carry on 10 domains of the instrument, unlike control group where only 15.38% of the patients presented this degree of physical dependence, while 53.85% feature total independence to carry on the same activities. The assessment by Karnofsky Scale evidenced that 57.69% of the study group scored 40%, which signals impairment and need of special care and assistance, different from the control group where 42.31% scored 90%, being able to lead a normal life with very few signs or symptoms of disease. CONCLUSIONS: There was a large implication of functional performance and impairment in tracheotomized patients, which demands a new look on the part of the multidisciplinary team at the identified disabilities, showing that despite the facilitation of mechanical ventilation weaning, hospitalization causes a major impact on patients’ quality of life. |
publishDate |
2014 |
dc.date.issued.fl_str_mv |
2014-11-26 |
dc.date.accessioned.fl_str_mv |
2018-07-05T18:35:27Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
status_str |
publishedVersion |
format |
masterThesis |
dc.identifier.citation.fl_str_mv |
Gomes, Regina Helena Senff. Avaliação da capacidade e comprometimento funcional em pacientes traqueotomizados de um hospital público de Curitiba. 2014. 79 f. Dissertação( Mestrado em Distúrbios da Comunicação) - Universidade Tuiuti do Paraná, Curitiba, 2014. |
dc.identifier.uri.fl_str_mv |
http://tede.utp.br:8080/jspui/handle/tede/1465 |
identifier_str_mv |
Gomes, Regina Helena Senff. Avaliação da capacidade e comprometimento funcional em pacientes traqueotomizados de um hospital público de Curitiba. 2014. 79 f. Dissertação( Mestrado em Distúrbios da Comunicação) - Universidade Tuiuti do Paraná, Curitiba, 2014. |
url |
http://tede.utp.br:8080/jspui/handle/tede/1465 |
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por |
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500 500 600 |
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Universidade Tuiuti do Parana |
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Mestrado em Distúrbios da Comunicação |
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UTP |
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Brasil |
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Distúrbios da Comunicação |
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Universidade Tuiuti do Parana |
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UTP |
bitstream.url.fl_str_mv |
http://localhost:8080/tede/bitstream/tede/1465/1/license.txt http://localhost:8080/tede/bitstream/tede/1465/2/AVALIACAO+DA+CAPACIDADE.pdf |
bitstream.checksum.fl_str_mv |
bd3efa91386c1718a7f26a329fdcb468 8898f11cba0777468087100d03b962e2 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 |
repository.name.fl_str_mv |
TEDE |
repository.mail.fl_str_mv |
tede@utp.br |
_version_ |
1623392710350077952 |