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Independência funcional, ansiedade e depressão na pessoa com DPOC: um estudo descritivo e correlacional no serviço de urgência
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Abstract(s)
TEMA: A Doença Pulmonar Obstrutiva Crónica (DPOC) é uma doença que
compromete a qualidade de vida das pessoas. As exacerbações estão na origem de
recursos hospitalares e internamentos, afetam a severidade da doença e conferem um
impacto negativo no estado de saúde e capacidade funcional da pessoa.
OBJETIVOS: Caracterizar as pessoas com DPOC, que recorrem ao serviço de
urgência por dispneia, relativamente às características sociodemográficas e clínicas,
independência funcional, ansiedade e depressão e investigar possíveis relações entre
variáveis.
MATERIAL E MÉTODOS: Estudo quantitativo, descritivo e correlacional.
Amostra constituída por 31 participantes com DPOC. A recolha de dados foi efetuada
durante o episódio de urgência por agudização da doença. Utilizou-se um questionário
com questões fechadas, Índice de Barthel e Escala de Ansiedade e Depressão Hospitalar.
Métodos estatísticos foram utilizados para análise de dados.
RESULTADOS: Amostra constituída maioritariamente por pessoas do sexo
masculino (71%), com baixo nível de escolaridade (67,7% com 1.º ciclo) e exposição a
tabaco (67,8%). A adesão à terapêutica inalatória e vacina antigripal exibida foi boa
(87,1%), no entanto poucos usufruíram de Reabilitação Respiratória (16,1%).
Observaram-se níveis patológicos de ansiedade (32,3%) e de depressão (41,9%) e uma
maioria de participantes independentes (74,2% pelo ponto de corte de Sequeira [2010]),
sendo que pessoas do sexo masculino apresentaram níveis de independência funcional
superior às do feminino (masculino: 𝑀𝐷 = 100,00; 𝐷𝑃 = 8,93; feminino: 𝑀𝐷 = 90,00;
𝐷𝑃 = 24,49; 𝑈 = 48,00; 𝑧 = −2,397; 𝑝 = 0,017). Foram encontradas associações com
significado estatístico entre as variáveis (Índice de Barthel e Ansiedade: 𝑅ℎ𝑜 = −0,385;
𝑝 = 0,032; Índice de Barthel e Depressão: 𝑅ℎ𝑜 = −0,532; 𝑝 = 0,002; Ansiedade e
Depressão: 𝑅ℎ𝑜 = 0,549; 𝑝 = 0,001).
CONCLUSÃO: Os resultados indicam a necessidade de oferecer mais recursos às
pessoas com DPOC. O enfermeiro especialista em enfermagem de reabilitação sustenta
conhecimentos para intervir no processo de reabilitação destas pessoas, devendo integrar
as equipas multidisciplinares que realizam os programas de Reabilitação Respiratória.
BACKGROUND: Chronic Obstructive Pulmonary Disease (COPD) is a disease that compromises people's quality of life. Exacerbations are at the origin of hospital and inpatient resources that affect the disease’s severity and have a negative impact on the person's health status and functional capacity. OBJECTIVES: To characterize people with COPD who come to the emergency department for dyspnea, in terms of sociodemographic and clinical characteristics, functional independence, anxiety and depression, and to investigate possible relationship between variables. MATERIAL AND METHODS: Quantitative, descriptive and correlational study. Sample consisting of 31 participants with COPD. Data collection was carried out during the episode of urgency due to exacerbation of the disease. An enquiry with closed questions, Barthel Index and Hospital Anxiety and Depression Scale were used. Statistical methods were used for data analysis. RESULTS: The sample consisted mostly of males (71%), with a low level of education (67.7% with 1st cycle) and exposure to tobacco (67.8%). Adherence to inhaled therapy and the flu vaccine exhibited was good (87.1%), however few took advantage of Respiratory Rehabilitation (16.1%). Pathological levels of anxiety (32.3%) and depression (41.9%) were observed and most independent participants (74.2% by the cutoff point of Sequeira [2010]), with males showing functional independence levels higher than females (male: 𝑀𝐷 = 100,00; 𝑆𝐷 = 8,93; female: 𝑀𝐷 = 90,00; 𝑆𝐷 = 24,49; 𝑈 = 48,00, 𝑧 = −2,397, 𝑝 = 0,017). Statistically significant associations were found between the variables (Barthel Index and Anxiety: 𝑅ℎ𝑜 = −0,385; 𝑝 = 0,032; Barthel Index and Depression: 𝑅ℎ𝑜 = −0,532; 𝑝 = 0,002; Anxiety and Depression: 𝑅ℎ𝑜 = 0,549; 𝑝 = 0,001). CONCLUSION: The results show the need to offer more resources to people with COPD. The specialist nurse in rehabilitation nursing sustains knowledge to intervene in the rehabilitation process of these people and must be part of the multidisciplinary teams that carry out the Respiratory Rehabilitation programs.
BACKGROUND: Chronic Obstructive Pulmonary Disease (COPD) is a disease that compromises people's quality of life. Exacerbations are at the origin of hospital and inpatient resources that affect the disease’s severity and have a negative impact on the person's health status and functional capacity. OBJECTIVES: To characterize people with COPD who come to the emergency department for dyspnea, in terms of sociodemographic and clinical characteristics, functional independence, anxiety and depression, and to investigate possible relationship between variables. MATERIAL AND METHODS: Quantitative, descriptive and correlational study. Sample consisting of 31 participants with COPD. Data collection was carried out during the episode of urgency due to exacerbation of the disease. An enquiry with closed questions, Barthel Index and Hospital Anxiety and Depression Scale were used. Statistical methods were used for data analysis. RESULTS: The sample consisted mostly of males (71%), with a low level of education (67.7% with 1st cycle) and exposure to tobacco (67.8%). Adherence to inhaled therapy and the flu vaccine exhibited was good (87.1%), however few took advantage of Respiratory Rehabilitation (16.1%). Pathological levels of anxiety (32.3%) and depression (41.9%) were observed and most independent participants (74.2% by the cutoff point of Sequeira [2010]), with males showing functional independence levels higher than females (male: 𝑀𝐷 = 100,00; 𝑆𝐷 = 8,93; female: 𝑀𝐷 = 90,00; 𝑆𝐷 = 24,49; 𝑈 = 48,00, 𝑧 = −2,397, 𝑝 = 0,017). Statistically significant associations were found between the variables (Barthel Index and Anxiety: 𝑅ℎ𝑜 = −0,385; 𝑝 = 0,032; Barthel Index and Depression: 𝑅ℎ𝑜 = −0,532; 𝑝 = 0,002; Anxiety and Depression: 𝑅ℎ𝑜 = 0,549; 𝑝 = 0,001). CONCLUSION: The results show the need to offer more resources to people with COPD. The specialist nurse in rehabilitation nursing sustains knowledge to intervene in the rehabilitation process of these people and must be part of the multidisciplinary teams that carry out the Respiratory Rehabilitation programs.
Description
Curso de Mestrado ministrado em parceria com Escola Superior de Enfermagem S. José de Cluny e Escola Superior de Enfermagem Dr. José Timóteo Montalvão Machado
Keywords
Ansiedade Depressão Enfermagem de Reabilitação
Citation
Ribeiro, M. P. (2021). Independência funcional, ansiedade e depressão na pessoa com DPOC: um estudo descritivo e correlacional no serviço de urgência (Master's thesis, Escola Superior de Saúde de Santa Maria)