Search

Objective: To develop and validate a questionnaire to assess awareness of Chronic Obstructive Pulmonary Disease in primary care professionals. Methods: Methodological study with primary care professionals. It developed the questionnaire using the Likert scale. After semantic validation was applied on two occasions with an interval of 15 to 20 days. We evaluated the reproducibility by Kappa and reliability by Cronbach's alpha. Results: The construction of the questionnaire included different topics of Chronic Obstructive Pulmonary Disease prevention, diagnosis, treatment and monitoring distributed in 16 items. After phrase and semantic validation adjustments we applied the questionnaire in 89 professionals from primary health care, three items passed phrase reconstruction before being applied to present 57.14% of disagreement between the judges. The questionnaire presented reliability with Cronbach α = 0.763 and reproducibility on most items (87.5%) of good to excellent (Kappa: 0.61 to 0.88). Conclusion: The questionnaire has met the psychometric properties and was reliable and reproducible evaluation of knowledge of Chronic Obstructive Pulmonary Disease among primary care professionals

Objective: To describe the respiratory involvement in neuromuscular diseases and treatments available for ventilatory support in such pathologies. Methods: Bibliographical survey of scientific articles searched in databases (Capes, Pubmed and SciELO) and articles / book chapters available at http://www.doctorbach.com. Results: 37 articles / chapters related to ventilatory failure in neuromuscular diseases and their management were selected and reviewed. Conclusion: There is evidence from the literature indicating the use of noninvasive ventilation in this group of patients, with the aim of improving gas exchange, relieving dyspnea, resting the inspiratory muscles, reducing the incidence of nosocomial infections, hospitalizations and mortality.

Objective: To translate, culturally adapt the hospital discharge checklist proposed by the Global Initiative for Chronic Obstructive Lung Disease (GOLD) and develop a form that allows a standardized assessment of important items at hospital discharge of patients with Chronic Obstructive Pulmonary Disease (COPD). Methods: A methodological study performed in patients at the time of hospital discharge after decompensation for Chronic Obstructive Pulmonary Disease (COPD) in three hospitals in the city of Goiânia. The translation and cultural adaptation of the checklist proposed by GOLD was carried out, containing seven items to be evaluated at the time of hospital discharge for two pulmonologists, then the retranslation of the same by English-speaking professional and then created a final version in Portuguese. To assess the reproducibility and responsiveness of the document created, the same was applied in ten patients by two researchers. The kappa coefficient for statistical analysis of reliability was used. Results: After the translation and cultural adaptation of the discharge checklist proposed by GOLD, a standardized form was prepared for measuring all seven items in the checklist. The kappa coefficient is equal to 1 for all seven items of the document. Conclusion: The standardized form for evaluating the items of the hospital discharge checklist proposed by GOLD was reproducible, reliable and fast to use, and can be used by a multidisciplinary team at discharge from patients hospitalized for COPD, thus allowing a standardized verification of Essential for the best management of these patients.

Objective: To describe the epidemiology of smoking in hospitals, to understand the approach for hospitalized smoking patients, comparing the patient's motivational stage before and during hospitalization as well as interventions during the hospitalization period and after discharge. Methods: This is an integrative literaturereview. The articles search strategy includes research in online databases: SciELO, PubMed, Virtual Health Library and BIREME, using the MeSH: "hospitalization", "smoking", "smoking cessation." Inclusion criteria were articles published in English and Portuguese, full access availability to the articles and publication period varying from 2005 and 2015. Results: The levels found in smoking prevalence range from 12.1 to 18.7%. After the hospitalization, the most found motivation stage was the active stage (34.1%). The evolution of the motivational stage is the main evidence that hospitalization interferes positively in smoking cessation. However the patient may suffer from nicotine withdrawal syndrome, which requires specific care for the effectiveness of promoting the cessation of smoking. This effectiveness depends on the following given to the addiction treatment of post-discharge inpatients. Conclusion: It is suggestive that hospitalization increases the ease of approach towards smoking cessation and towards the success of smoking cessation, certainly, duel to the motivacional stage advances, though it is not common to find protocols for the treatment of smoking patients focused at the abandonment of smoking

Objective: To produce a set of information about the respiratory symptoms occasioned by adverse effects of antihypertensive correlating them with their clinical importance. Methods: Integrative review developed in a descriptive and observational study, based on the analysis of package inserts of antihypertensive drugs registered in ANVISA, discussed by scientific articles that evidencing the clinical application of these effects or the conceptions about the problem. Whereupon the articles were search on electronic basis, published between 2002 and 2014, in the databases: Cochrane Library, MEDLINE, Excerpta Medica, LILACS and SciELO. Results: In the 31 drugs of antihypertensive drug classes covered in the survey, the majority (38.7%) had reactions such as cough and dyspnea as a common side effect. Other effects such as rhinitis and bronchospasm are present in the use of 29% of the drugs, but with lower frequency of symptoms (unusual). Being pronounced such events in inhibiting group angiotensin converting enzyme inhibitors, diuretics subgroups while loop, thiazide and β-adrenergic antagonists (with the exception of Metoprolol) were far safer for therapy in patients with respiratory problems. Final consideration: The results presented shows worrying about the treatment of hypertension, especially when it comes to selection of hypotensive agents in patients with asthma, Chronic Obstructive Pulmonary Disease or other respiratory conditions. In addition, the results shows that cough and nasal obstruction, commonly associated with various diseases, and described as one of the most frequent causes of seeking medical care may be associated with adverse effects of medication.

Objective: analyzing strategies for the implementation of reference and counter reference system electronically in health services. Methods: among the strategies was greater integration between Primary Health Care and other levels of care through better communication among doctors. In the study involved three Family Health Units. One of them worked as a routine service, and the other two interventions were performed: encouragement and guidance to professionals and patients. In one, it was made available the system of reference and counter reference computerized. We evaluated the number of referrals of patients to medical specialists and counter reference the Family Health Units referral source. Results: during the study period the rate of referrals was 8.56%. The time for expert consultation ranged from 1 to 90 days after the issuance of the reference forwarding, and the patient return time to the Health Unit of origin was 6-110 days. The study also showed that were requested and scheduled further consultations in the Family Health Units of the Intervention. Conclusions: the study confirmed flaws in the system, such as people's access difficulties to specialists and low number of return patients referred to Health Units of origin. It was also verified that guidance and encouragement to professionals and patients positively influence the return of these and counter-reference, and that it is feasible to implement the system of reference and counter reference electronically in the Health Units.