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Previous issue date: 2012-07-06 / Pulmonary Rehabilitation, especially due to aerobic exercise, positive impact in reducing morbidity/mortality of patients with COPD, however the economic impact with costs of implementing simple programs of aerobic exercise are scarce. This is a blind randomized clinical trials, which aimed to evaluate the costs and benefits of a simple program of aerobic exercise in individuals with COPD, considering the financial costs of the Public Health System and its secondary endpoints. We evaluated lung function, the distance walked during six minutes of walking, the respiratory and peripheral muscle strength, quality of life related to health (QLRH), body composition and level of activity of daily living (ADL) before and after eight weeks of an aerobic exercise program consisting of educational guidance for both groups, control and intervention and supervised walks to the intervention group. The health costs generated in both groups were calculated following table Brazilian Public Health System. The sample consisted of forty patients, two being excluded in the initial phase of desaturation during the walk test six minutes. Were randomized into control and intervention group thirty-eight patients, three were excluded from the control group and one was excluded from the intervention group. At the end, thirty-four COPD comprised the sample, 16 in the control group and 18 in the intervention group (FEV1: 50.9 ? 14% pred and FEV1: 56 ? 0.5% pred, respectively). After for intervention, the intervention group showed improvement in meters walked, the sensation of dyspnea and fatigue at work, BODE index (p <0.01) in QLRH, ADL level (p <0.001) as well as increased strength lower limbs (p <0.05). The final cost of the program for the intervention group was R $ 148.75, including: assessments, hiking supervised by a physiotherapist and reassessments. No patient had exacerbation of IG, while 2 patients in the CG exacerbated, generating an average individual cost of R $ 689.15. The aerobic exercises in the form of walking showed significant clinical benefits and economic feasibility of its implementation, due to low cost and easy accessibility for patients, allowing them to add their daily practice of aerobic exercises / A Reabilita??o Pulmonar, especialmente devido aos exerc?cios aer?bios, impacta positivamente na redu??o da morbidade/mortalidade do paciente com DPOC, entretanto o impacto econ?mico com custos de da implementa??o de programas simples de exerc?cios aerobios s?o escassos. Trata-se de um ensaio cl?nico aleat?rio controlado cego, que objetivou avaliar os custos e os benef?cios de um programa simples de exerc?cios aer?bios em indiv?duos com DPOC, considerando os custos financeiros do Sistema P?blico de Sa?de e seus desfechos secund?rios. Foram avaliadas a fun??o pulmonar, a dist?ncia percorrida no teste da caminhada dos 6 minutos, a for?a muscular respirat?ria e perif?rica, a qualidade de vida relacionada ? sa?de (QVRS), a composi??o corporal e o n?vel de atividade de vida di?ria (AVD) antes e ap?s oito semanas de um programa de exerc?cios aer?bicos composto por de orienta??es educacionais para ambos os grupos, controle e interven??o e caminhadas supervisionadas para o grupo interven??o. Os custos sanit?rios gerados em ambos os grupos foram calculados seguindo tabela do Sistema de Sa?de P?blico Brasileiro. A amostra foi composta por quarenta pacientes, sendo dois exclu?dos na fase inicial por dessatura??o durante o teste de caminhada de seis minutos. Foram aleatorizados em grupo controle e grupo interven??o trinta e oito pacientes, sendo que tr?s foram exclu?dos do grupo controle e um foi exclu?do do grupo interven??o. Ao final, trinta e quatro DPOC compuseram a amostra, 16 no grupo controle e 18 no grupo interven??o (VEF1: 50.9 ? 14 %pred e VEF1: 56 ? 0.5 %pred, respectivamente). Ap?s para interven??o, o grupo interven??o apresentou melhora nos metros caminhados, na sensa??o de dispneia e fadiga, no trabalho realizado, ?ndice de BODE (p<0.01), na QVRS, no n?vel de AVD (p<0.001) al?m de incremento da for?a dos membros inferiores (p<0.05). O custo final do programa para o grupo interven??o foi de R$ 148.75, incluindo: avalia??es, caminhadas supervisionadas por um fisioterapeuta e as reavalia??es. Nenhum paciente do GI apresentou exacerba??o, enquanto no GC 2 pacientes exacerbaram, gerando um custo individual m?dio de R$ 689.15. Os exerc?cios aer?bios na modalidade de caminhadas demonstraram significantes benef?cios cl?nicos e a viabilidade econ?mica de sua implementa??o, devido ao baixo custo e de f?cil acessibilidade para os pacientes, permitindo que estes possam adicionar as suas atividades di?rias a pr?tica de exerc?cios aer?bios
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/16730 |
| Date | 06 July 2012 |
| Creators | Farias, Catharinne Ang?lica Carvalho de |
| Contributors | CPF:02357307935, http://lattes.cnpq.br/2201375154363914, Bruno, Selma Sousa, CPF:44456042400, http://lattes.cnpq.br/4056770607573210, Silva, Audrey Borghi, CPF:87947986991, SILVA, Audrey Borghi., Fregonezi, Guilherme Augusto de Freitas |
| Publisher | Universidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Fisioterapia, UFRN, BR, Movimento e Sa?de |
| 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:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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