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Desempenho do Pediatric Asthma Quality of Life Questionnaire adaptado em pacientes com bronquiolite obliterante / Performance of the Paediatric Asthma Quality of Life Questionnaire adapted in patients with bronchiolitis obliterans

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Previous issue date: 2016-03-31 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Objective: To evaluate the performance of the Paediatric Asthma Quality of Life Questionnaire Adapted in patients with bronchiolitis obliterans. Methods: The Paediatric Asthma Quality of Life Questionnaire (PAQLQ) adapted was applied, through interviews, in patients diagnosed with bronchiolitis obliterans Post-infectious (BO) and asthma, aged 8 and 17, who were monitoring in a specialized pediatric pulmonology outpatient clinic in Porto Alegre, Brazil. To evaluate the performance of the questionnaire were studied the psychometric properties: Reliability and Validity. The reliability was evaluated by internal consistence measuring the coefficient ? Cronbach (?-C). The validity through convergent validity, determining specific correlations between total score and domains and lung function Divergent validity was assessed by the difference between the average domains and total score of the questionnaire of patients with BO and Asthma. The ceiling and floor effects were also evaluated. Results: The study included 41 patients diagnosed with BO and 41 patients with asthma. The average age of the groups was 11.8 ? 2.3 and 66 (81%) of the patients were patients with male sex. The BO showed significantly lower values of pulmonary function to subjects with asthma (P <0.001). In relation to the average reliability Cronbach's alpha coefficient was 0.923 (0.870 to 0.961) .The correlations were strong and significant (P <0.001) between the domains and the overall score, suggesting an acceptable convergent validity. However, the correlations between the domains and total score with lung function were not found and not significant. It was not observed statistical differences and clinically relevant between the average of the areas and the overall score between groups, a similar score in the media among patients with asthma and patients with BO shows that both subjectively presented a good quality of life. Unidentified ceiling or floor effects in the fields and in the total score. Conclusion: Paediatric Asthma Quality of Life Questionnaire Adaptade proved to be a valuable tool in assessing the quality of life of patients with bronchiolitis obliterans, despite being a specific instrument for assessing Related Quality of Life Health of patients with asthma. / Objetivo: Avaliar o desempenho do Paediatric Asthma Quality of Life Questionnaire Adaptado em pacientes com Bronquiolite Obliterante. M?todos: Foi aplicado o Paediatric Asthma Quality of Life Questionnaire (PAQLQ) adaptado, por meio de entrevista, em pacientes com diagn?stico de Bronquiolite Obliterante P?s-infecciosa (BO) e com Asma, com idades entre 8 e 17 anos, que estavam em acompanhamento em um ambulat?rio especializado de pneumologia pedi?trica em Porto Alegre, Brasil. Para avalia??o do desempenho do question?rio foram estudadas as propriedades psicom?tricas: Confiabilidade e Validade. A confiabilidade foi avaliada por meio daconsist?ncia interna, medindo o coeficiente ? de Cronbach (?-C). A validade mediante a validade convergente, determinando-se correla??es espec?ficas entre escore global e os dom?nios e com a fun??o pulmonar A validade divergente foi avaliada mediante as diferen?as das m?dias dos dom?nios e escore total do question?rio dos pacientes com BO e com Asma. Os efeitos teto e ch?o tamb?m foram avaliados. Resultados: Participaram do estudo 41 pacientes com diagn?stico de BO e 41 pacientes com asma. A m?dia de idade dos grupos foi de 11,8?2,3 e 66 (81%) dos pacientes eram do sexo masculino.Os pacientes com BO apresentaram valores da fun??o pulmonar significativamente inferiores aos participantes com asma (P<0,001). Em rela??o ? confiabilidade a m?dia do coeficiente de alpha de Cronbach foi 0,923 (0,870-0,961).As correla??es foram fortes e significativas (P<0,001), entre os dom?nios e escore global, sugerindo uma validade convergente aceit?vel. No entanto, as correla??es entre os dom?nios e escore total com a fun??o pulmonar n?o foram observadas associa??es significativas. N?o foram observadas diferen?as estat?sticas e clinicamente relevantes entre as m?dias dos dom?nios e do escore global entre os grupos. Foi observado um escore similar nas medias entre os pacientes com asma e os pacientes com BO o que demonstra que ambos apresentaram subjetivamente uma boa qualidade de vida. N?o identificados efeitos teto ou ch?o nos dom?nios e no escore total. Conclus?o: O Paediatric Asthma Quality of Life Questionnaire Adaptado demonstrou ser um instrumento v?lido na avalia??o da qualidade de vida dos pacientes com Bronquiolite Obliterante, apesar de ser um instrumento espec?fico para a avalia??o da Qualidade de Vida Relacionada ? Sa?de de pacientes com Asma.

Identiferoai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/7037
Date31 March 2016
CreatorsMoura, Angela de
ContributorsMattiello, Rita
PublisherPontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Medicina/Pediatria e Sa?de da Crian?a, PUCRS, Brasil, Faculdade de Medicina
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis
Formatapplication/pdf
Sourcereponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS
Rightsinfo:eu-repo/semantics/openAccess
Relation3098206005268432148, 600, 600, 600, 600, -8624664729441623247, -969369452308786627, 2075167498588264571

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