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Previous issue date: 2014-06-26 / Introduction: Asthma is a chronic disease with high prevalence worldwide, especially in the last two decades. For an effective self-management of the disease, management of disease should be approached in different ways. Asthma education is one of the outcomes that should be applied to self-management in order to increase adherence to treatment, and thus control the disease. Objective: To identify the major studies on asthma education intervention, describing their results to discuss its importance in the treatment and control of disease, and to validate to Portuguese a questionnaire of knowledge of asthma. Methods: Two articles were written: a systematic review to identify the major studies that have applied measures (objective and/or subjective) pre and post intervention for asthma education; and the translation, and cross-cultural and linguistic validation of a questionnaire on knowledge of asthma (NAKQ) for Portuguese - BR. For this article article, we applied the logic search in PubMed, Lilacs, Scopus, ScienceDirect and Cochrane databases. Articles were included after complete description of the applicability of the measures, their answers and conclusions for the outcome in asthma education programs for children and adolescents. For the original study, 2 translations of NAKQ into Portuguese were performed. These two versions were compared for a first draft version. Then, we proceeded to the application of 17 questionnaires to academics and health professionals, for possible adjustments in language translation. Internal validation, reproducibility and concordance analysis was performed. For that, Alpha Cronbach (αC) coefficient, test and retest, and Kappa (K) analysis was applied. Results: Twelve studies were included in the article review. Different authors have presented different educational interventions on asthma. Four of the interventions found were considered the most advisable for presenting satisfactory results in an enhanced understanding of the various aspects of asthma (symptoms, seizures, medication, etc.). Contributing pair disease control and improved quality of life for patients. For translation and validation of the Newcastle Asthma Knowledge Questionnaire (NAKQ), 2 translations into Portuguese NAKQ were performed. After, both translations were compared to that draft a preliminary version. We then removed the application from 17 questionnaires to academics and health professionals for possible adjustments in language translation. Then, the internal validation of reproducibility and compliance were performed. For this, the coefficient αCronback(αC), test and re- test, and analysis of Kappa (K) were applied . Results: The linguistic / cultural fit fitness needed only the question number 2 knowledge evaluation of the 78 participants was 21 points. The medical group had an average of 22.94 and other health professionals an average of 19.06 points. Regarding the analysis of internal consistency for the total score, the instrument got value αC equal to 68.8 points. However, for the analysis items in αC values were 64.4 and 70.7 for minimum score. Conclusions: Asthma education is essential both for the access of home care as for effective self-control of the disease. Therefore, it is strongly recommended that in order to achieve the goals of the best possible quality of life and self-control of the disease are achieved, the educational process should be individualized, continuous, progressive, dynamic and sequential. NAKQ questionnaire validated for Portuguese was effective for the highest distinction between people who have knowledge about asthma from those with less knowledge / Introdu??o: a asma ? uma doen?a cr?nica com elevada preval?ncia no mundo todo, principalmente nas ?ltimas duas d?cadas. Para que haja uma autogest?o efetiva da doen?a, o manejo deve ser abordado de v?rias formas. A educa??o em asma ? um dos aspectos que deve ser aplicado na autogest?o, objetivando aumentar a ades?o ao tratamento e controle da doen?a. Objetivos: identificar os principais estudos sobre interven??o de educa??o em asma, descrevendo seus resultados para discutir sua import?ncia no tratamento e controle da doen?a, e validar para a l?ngua Portuguesa um question?rio sobre conhecimento de asma. M?todos: foram realizados dois artigos nesta disserta??o: uma revis?o sistem?tica para identificar os principais estudos que aplicaram medidas (objetivas e/ou subjetivas) pr? e p?s-interven??o de educa??o em asma, e a tradu??o e valida??o lingu?stica e transcultural do question?rio sobre conhecimento de asma (NAKQ) para a l?ngua portuguesa-BR. Para o artigo de revis?o, aplicou-se a l?gica de pesquisa nas bases de dados PubMed, Lilacs, Scopus, ScienceDirect e Cochrane. Os artigos foram inclu?dos mediante descri??o completa da aplicabilidade das medidas, suas respostas e conclus?es para o desfecho em programas de educa??o em asma para crian?as e adolescentes. Para a tradu??o e valida??o do question?rio Newcastle Asthma Knowledge Questionnaire (NAKQ), foram realizadas 2 tradu??es do NAKQ para a l?ngua portuguesa. Ap?s, foram comparadas ambas as tradu??es a fim de que se elaborasse uma vers?o preliminar. Procedeu-se ent?o a aplica??o de 17 question?rios a acad?micos e profissionais em sa?de para poss?veis ajustes na tradu??o lingu?stica. Em seguida, foram realizadas as valida??es interna, de reprodutividade e de concord?ncia. Para isto, foram aplicados o coeficiente de Alfa de Cronbach (αC), teste e re-teste, e an?lise de Kappa (K). Resultados: doze pesquisas foram inclu?das nesta revis?o. Os diferentes autores apresentaram diferentes interven??es educativas em asma. Das interven??es encontradas, quatro foram consideradas as mais aconselh?veis por apresentarem resultados satisfat?rios em rela??o ? melhor compreens?o dos diversos aspectos da asma (sintomas, crises, medica??o, etc.) o que contribuiu para o controle da doen?a e a melhora na qualidade de vida dos pacientes. No artigo original, a adequa??o lingu?stica/cultural do NAKQ necessitou adequa??o somente da quest?o n?mero 2. A avalia??o do conhecimento dos 78 participantes foi de 21 pontos. O grupo de m?dicos obteve m?dia de 22,94 e o de outros profissionais da sa?de uma m?dia de 19,06 pontos. Em rela??o ? an?lise de consist?ncia interna para o escore total, o instrumento obteve valor de αC igual a 68,8 pontos. J? para a an?lise por itens, os valores de αC foram de 64,4 para pontua??o m?nima, e 70,7. Conclus?es: a educa??o em asma ? fundamental tanto para a ades?o do cuidado domiciliar quanto para o autocontrole eficaz da doen?a, por essa raz?o recomenda-se fortemente que, a fim de sejam alcan?ados os objetivos de atingir a melhor qualidade poss?vel de vida e o autocontrole da doen?a, o processo educativo que deve ser individualizado, cont?nuo, progressivo, din?mico e sequencial. O question?rio NAKQ, validado em l?ngua Portuguesa, mostrou-se eficaz para a distin??o entre as pessoas que t?m conhecimento mais elevado sobre asma daquelas com conhecimento menos elevado
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/1778 |
| Date | 26 June 2014 |
| Creators | Cidade, Simone Falc?o |
| Contributors | Pitrez, Paulo M?rcio Condessa |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Medicina e Ci?ncias da Sa?de, PUCRS, BR, Faculdade de Medicina |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 7620745074616285884, 500, 600, -8624664729441623247 |
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