Submitted by Caroline Xavier (caroline.xavier@pucrs.br) on 2017-06-30T17:59:06Z No. of bitstreams: 1 DIS_MARIELE_CUNHA_RIBEIRO_PARCIAL.pdf: 672571 bytes, checksum: 27c2bd20182f999e450542417e172b4e (MD5) / Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2017-06-30T17:59:13Z (GMT) No. of bitstreams: 1 DIS_MARIELE_CUNHA_RIBEIRO_PARCIAL.pdf: 672571 bytes, checksum: 27c2bd20182f999e450542417e172b4e (MD5) / Made available in DSpace on 2017-06-30T17:59:20Z (GMT). No. of bitstreams: 1 DIS_MARIELE_CUNHA_RIBEIRO_PARCIAL.pdf: 672571 bytes, checksum: 27c2bd20182f999e450542417e172b4e (MD5) Previous issue date: 2017-03-10 / Objective: to evaluate the theoretical and practical knowledge of the inhaled technique of asthmatic children and their parents, in an outpatient clinic setting, and the association with control of disease. Methods: a cross-sectional and prospective study was carried out to evaluate the knowledge of inhaled technique in children and adolescents with asthma and their parents, in two outpatient clinics from Southern Brazil. Questionnaires assessing control of the disease and adherence to treatment, and evaluation of inhaled technique were applied. Results: 119 children and their parents were included. Only 24/119 (20%) of the parents reached the expected levels of theoretical knowledge about inhaled technique. In the practical evaluation of the inhalation technique by metered-dose inhaler (MDI), 31/59 (53%) of the parents reached satisfactory knowledge levels, and, of the 57 children evaluated by ID technique, only 9/57 (16%) of the children evaluated with MDI reached satisfactory knowledge levels, and only 11/28 (39%) of the children assessed with dry powder devices scored satisfactorily. In general, the evaluation of inhaled technique reached satisfactory levels in only 44/119 (37%) of the patients. There was no significant association between asthma control and knowledge levels of inhaled technique. Conclusion: Our results demonstrate that children and their parents have reduced mastery of inhalation techniques. This basic problem of managing childhood asthma needs to be reviewed in the strategies used for disease education in real-life clinical settings. / Objetivo: avaliar o conhecimento te?rico-pr?tico da terapia inalat?ria de pais e pacientes com asma, em acompanhamento ambulatorial, e sua rela??o com controle da doen?a. M?todos: foi realizado um estudo transversal, para avaliar o dom?nio das t?cnicas inalat?rias em crian?as com asma e seus pais, em acompanhamento em dois centros ambulatoriais no sul do Brasil. Foram aplicados question?rios incluindo avalia??o do controle da doen?a e ades?o ao tratamento, e avalia??o te?rico-pr?tica da t?cnica inalat?ria. Resultados: foram inclu?das 119 crian?as e respectivos pais. Deste total, apenas 24 (20%) dos pais alcan?aram os n?veis esperados de conhecimento te?rico sobre inaloterapia. Na avalia??o pr?tica da t?cnica inalat?ria por inalador dosimetrado (ID), 31/59 (53%) dos pais alcan?aram n?veis satisfat?rios, e na avalia??o pr?tica aplicada ?s crian?as (ID e p? seco), 9/57 (16%) das crian?as usando ID alcan?aram n?veis satisfat?rios e 11/28 (39%) das crian?as usando p? seco obtiveram pontua??o satisfat?ria. No geral, apenas 44/119 (37%) dos pacientes pontuaram de forma satisfat?ria na avalia??o da t?cnica inalat?ria. N?o houve associa??o significativa entre o controle da asma e n?veis de conhecimento em inaloterapia. Conclus?o: nossos resultados demonstram que crian?as e seus pais apresentam reduzido dom?nio das t?cnicas inalat?rias. Este problema b?sico de manejo da asma infantil necessita ser revisado nas estrat?gias utilizadas para educa??o da doen?a em cen?rios cl?nicos de vida real.

Submitted by PPG Pediatria e Sa?de da Crian?a (pediatria-pg@pucrs.br) on 2018-11-01T14:43:59Z No. of bitstreams: 1 TESE REVISADA 11.pdf: 1670065 bytes, checksum: b89c59f7fd857c80bace24d161f11331 (MD5) / Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2018-11-06T16:27:20Z (GMT) No. of bitstreams: 1 TESE REVISADA 11.pdf: 1670065 bytes, checksum: b89c59f7fd857c80bace24d161f11331 (MD5) / Made available in DSpace on 2018-11-06T16:39:53Z (GMT). No. of bitstreams: 1 TESE REVISADA 11.pdf: 1670065 bytes, checksum: b89c59f7fd857c80bace24d161f11331 (MD5) Previous issue date: 2018-09-28 / Objective: To evaluate the level of knowledge in asthma and health literacy of parents of children and adolescents diagnosed with the disease. Methods: A cross-sectional study that evaluated 120 children and adolescents aged between one and 17 years and their legal guardians in the city of Vit?ria / ES. The following questionnaires were applied: Brazil's Economic Classification Criteria (CCEB), Clinical Questionnaire, Global Initiative for Asthma (GINA), Knowledge in Pediatric Asthma (QCAP), Short Assessment of Health Literacy for Portuguese Adults (SAHLPA-18). To evaluate the inhalation techniques, a questionnaire on theoretical inhalotherapy and practical analysis was applied. For the purpose of analyzing the understanding of the medical prescription, the type of prescription (rescue or preventive) and the understanding about the medical prescription were evaluated with the parents. Results: Most asthmatic patients (75%) do not have disease control. In the last 12 months the results showed that the controlled asthma group had the highest percentages of continuous treatment (p <0.01), with lower scores for use of oral corticosteroids (p = 0.01) and bronchodilator use (p = 0.01). In the evaluation of the level of reading of the medical prescription and understanding about the prescription and the type of treatment, the results demonstrate that the greater the control of the disease, the better the percentage of understanding on the part of those responsible. Conclusion: The difficulty of control is a relevant problem in the management of children with asthma. Parents of children with controlled asthma demonstrate a higher level of knowledge about health and asthma, as well as having a better understanding about medical prescription, treatment techniques for the disease. / Objetivo: Avaliar o n?vel de conhecimento em asma e alfabetismo em sa?de de pais de crian?as e adolescentes com diagn?stico da doen?a. Met?dos: Estudo transversal que avaliou 120 crian?as e adolescentes com idade entre um a 17 anos e seus respons?veis legais no munic?pio de Vit?ria/ES. Foram aplicados os seguintes question?rios: Crit?rio de Classifica??o Econ?mica Brasil (CCEB), Question?rio Clinico, Global Initiative for Asthma (GINA), Conhecimento em Asma Pedi?trica (QCAP), Short Assessment of Health Literacy for Portuguese Adults (SAHLPA-18). Para avalia??o das t?cnicas inalat?rias foi aplicado um question?rio sobre inaloterapia te?rico e an?lise pr?tica. Para fins de an?lise do entendimento do receitu?rio m?dico, foi avaliado junto aos pais o tipo de receitu?rio (resgate ou preventivo) e o entendimento sobre a prescri??o m?dica. Resultados: A maior parte dos pacientes asm?ticos (75%) n?o possui controle da doen?a. Nos ?ltimos 12 meses os resultados demonstram que o grupo de asma controlada possui os maiores percentuais de tratamento cont?nuo (p<0,01), com menores escores para uso de corticoides orais (p=0,01) e uso de broncodilatadores (p=0,01). Na avalia??o do n?vel de leitura do receitu?rio m?dico e entendimento sobre a prescri??o e o tipo de tratamento os resultados demonstram que quanto maior ? o controle da doen?a, melhores s?o os percentuais de entendimento por parte dos respons?veis. Conclus?o: A dificuldade de controle ? um problema relevante no manejo de crian?as com asma. Pais de crian?as com asma controlada demonstram possuir maior n?vel de conhecimento sobre sa?de e sobre asma, al?m de possu?rem melhor entendimento sobre prescri??o m?dica, t?cnicas de tratamento para a doen?a.