Name: | Description: | Size: | Format: | |
---|---|---|---|---|
657.74 KB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Introdução: A doença pulmonar obstrutiva crónica é uma doença inflamatória dos pulmões e vias aéreas, cujo tratamento médico atualmente preconizado se baseia em broncodilatadores inalados. A presente dissertação tem como objetivo esclarecer o impacto da telerreabilitação no tratamento desta doença respiratória, nomeadamente no que respeita às seguintes variÔveis: dispneia, fadiga, tolerância ao esforço, frequência de exacerbações e de hospitalizações, estado de saúde, qualidade de vida e grau de adesão/satisfação face ao programa.
MĆ©todos: Enquanto tipologia de estudo, foi realizada uma revisĆ£o sistemĆ”tica. Foram pesquisados estudos clĆnicos randomizados publicados atĆ© ao dia 20 de dezembro de 2015, nas bases de dados MedLine, Embase, Lilacs, Cochrane e Scisearch, tendo sido utilizada como palavra-chave a expressĆ£o ātelerehabilitation copdā. Dos 35 ensaios identificados, 14 foram selecionados. Destes, apenas 3 foram incluĆdos no estudo, tendo sido, posteriormente, submetidos a uma avaliação metodológica, segundo a escala de PEDro.
Resultados: Registou-se um impacto positivo da telerreabilitação na maioria dos parĆ¢metros avaliados. NĆ£o foi, contudo, possĆvel aferir o impacto desta intervenção na frequĆŖncia de exacerbaƧƵes.
ConclusĆ£o: A telerreabilitação Ć© uma estratĆ©gia terapĆŖutica vĆ”lida, segura e adaptada Ć s caracterĆsticas individuais de cada paciente, que demonstrou apresentar um impacto claramente benĆ©fico na maioria das manifestaƧƵes clĆnicas da DPOC. Apresenta ainda uma importante componente de promoção de um estilo de vida saudĆ”vel e fisicamente ativo, bem como de estimulação da participação ativa dos doentes no controlo da própria patologia.
Introduction: The chronic obstructive pulmonary disease is an inflammatory disease of the lungs and airways, wherein the medical treatment currently envisaged is based on inhaled bronchodilators. The present study aims to clarify the impact of telerehabilitation on the treatment of this respiratory disease, in particular what concerns the following variables: dyspnoea, fatigue, tolerance to exertion, frequency of exacerbations and hospitalization, health condition, life quality and degree of compliance/satisfaction towards the programme. Methods: It was performed a systematic review. Random clinical studies published up to December 20th 2015 were researched in database from MedLine, Embase, Lilacs, Cochrane and Scisearch, using the keyword ātelerehabilitation copdā. From the 35 identified assays, 14 were selected. From these, only 3 were included in the study and later on subject to a methodological assessment, according to the PEDro measure. Results: A positive impact of telerehabilitation was registered in most of the parameters assessed. However, it wasnāt possible to assess the impact of this intervention on the frequency of exacerbations. Conclusion: Telerehabilitation is a valid therapeutic strategy that is safe and adapted to the individual characteristics of each patient, which has shown a clearly beneficial impact on clinic manifestations of the disease. It also shows an important component of promoting a healthy and physically active lifestyle, as well as of fostering an active participation of the patients on the control of their own pathology.
Introduction: The chronic obstructive pulmonary disease is an inflammatory disease of the lungs and airways, wherein the medical treatment currently envisaged is based on inhaled bronchodilators. The present study aims to clarify the impact of telerehabilitation on the treatment of this respiratory disease, in particular what concerns the following variables: dyspnoea, fatigue, tolerance to exertion, frequency of exacerbations and hospitalization, health condition, life quality and degree of compliance/satisfaction towards the programme. Methods: It was performed a systematic review. Random clinical studies published up to December 20th 2015 were researched in database from MedLine, Embase, Lilacs, Cochrane and Scisearch, using the keyword ātelerehabilitation copdā. From the 35 identified assays, 14 were selected. From these, only 3 were included in the study and later on subject to a methodological assessment, according to the PEDro measure. Results: A positive impact of telerehabilitation was registered in most of the parameters assessed. However, it wasnāt possible to assess the impact of this intervention on the frequency of exacerbations. Conclusion: Telerehabilitation is a valid therapeutic strategy that is safe and adapted to the individual characteristics of each patient, which has shown a clearly beneficial impact on clinic manifestations of the disease. It also shows an important component of promoting a healthy and physically active lifestyle, as well as of fostering an active participation of the patients on the control of their own pathology.
Description
Keywords
Capacitação Dpoc ExercĆcio SaĆŗde Telerreabilitação