Qualidade do sono e qualidade de vida em pacientes com asma grave

Autor: Araújo, Desiane Lima
Přispěvatelé: Machado, Adelmir de Souza, Junior, Argemiro D` Oliveira, Terse, Regina, Salles, Iza Cristina
Jazyk: portugalština
Rok vydání: 2014
Předmět:
Zdroj: Repositório Institucional da UFBA
Universidade Federal da Bahia (UFBA)
instacron:UFBA
Popis: Submitted by Pos-Graduação Medicina e Saúde (ppgms@ufba.br) on 2017-08-25T14:52:19Z No. of bitstreams: 1 DISSERTAÇÃO ENVIADA PARA DESING COM FICHA PRONTO.pdf: 7594394 bytes, checksum: 771f29c0eb905c2ccf15869013373c47 (MD5) Approved for entry into archive by Delba Rosa (delba@ufba.br) on 2017-08-28T14:12:14Z (GMT) No. of bitstreams: 1 DISSERTAÇÃO ENVIADA PARA DESING COM FICHA PRONTO.pdf: 7594394 bytes, checksum: 771f29c0eb905c2ccf15869013373c47 (MD5) Made available in DSpace on 2017-08-28T14:12:14Z (GMT). No. of bitstreams: 1 DISSERTAÇÃO ENVIADA PARA DESING COM FICHA PRONTO.pdf: 7594394 bytes, checksum: 771f29c0eb905c2ccf15869013373c47 (MD5) Objetivo: Estudar a qualidade do sono e qualidade de vida em pacientes com asma grave acompanhados na coorte ambulatorial da Central de Referência do Programa para o Controle de Asma na Bahia (ProAR) entre Abril a Julho de 2013. Métodos: Estudo de corte transversal. Amostra de conveniência composta por 162 pacientes com asma grave. O controle da asma foi definido pelo questionário (ACQ6) com escore > 1,5 para asma não controlada. A qualidade do sono, qualidade de vida e a chance de sonolência excessiva diurna foram mensuradas pelos questionários: (PSQI) com valor > 5 para má qualidade do sono; qualidade de vida na asma (AQLQ) escore de 1 a 7; qualidade de vida geral (SF36) variando de 0 a 100, para ambos quanto maior o escore melhor a qualidade de vida; e a escala de sonolência de Epworth com escore > 10 para grande risco de sonolência excessiva diurna. Foram utilizadas medidas de tendência central, dispersão, freqüência simples e relativa e para análise bivariada foi utilizado o teste de Mann-Whitney com nível de significância de p 1.5 for uncontrolled asthma . The quality of sleep , quality of life and the chance of excessive daytime sleepiness were measured by questionnaires : ( PSQI ) value > 5 for poor sleep quality , quality of life in asthma ( AQLQ ) score 1-7 ; overall quality of life ( SF36 ) ranging from 0 to 100, for both the higher the score the better quality of life , and the Epworth sleepiness Scale scores were> 10 for high risk of excessive daytime sleepiness . Measures of central tendency, dispersion , simple and relative frequencies and bivariate analysis were used the Mann - Whitney test with a significance level of p < 0.05 was used . With power of 89.89 % with a confidence level of 95 % . Results: The mean age was 51 years + 11.04 , predominantly women ( 80.9 % ) , 113 ( 69.8 % ) and 49 with controlled severe asthma ( 30.2 % ) subjects with severe uncontrolled asthma. It was observed that poor sleep quality was present in patients with controlled [x = 7 (Q1 = 5; Q3 = 9)] and severe asthma uncontrolled [x = 9 (Q1 = 7 , Q3 = 12)] indistinctly . Patients with severe uncontrolled asthma had greater impairment in sleep efficiency and overall health status [ x = 47 ( Q1 = 28.50 Q3 = 72 ) ] compared to patients with controlled asthma [ x = 62 ( Q1 = 41 , Q3 = 82) ] . Patients at high risk for excessive daytime sleepiness have been loss in the functional capacity. Conclusion: Patients with severe asthma have a deficit in quality of sleep and quality of life. Sleep quality is associated with quality of life . Key-word: 1.Asthma. 2. Sleep . 3.Quality of Life
Databáze: OpenAIRE
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