Use of audiovisual media for education and self-management of patients with Chronic Obstructive Pulmonary Disease – COPD / Utilização de material audiovisual para educação e automanejo de pacientes com Doença Pulmonar Obstrutiva Crônica – DPOC

Introduction Chronic Obstructive Pulmonary Disease (COPD) is considered a disease with high morbidity and mortality, even though it is a preventable and treatable disease. Objective To assess the effectiveness of an audiovisual educational material about the knowledge and self-management in COPD. Methods Quasi-experimental design and convenience sample was composed of COPD patients of Pulmonary Rehabilitation (PR) (n = 42), in advanced stage of the disease, adults of both genders, and with low education. All subjects answered a specific questionnaire before and post-education audiovisual session, to assess their acquired knowledge about COPD. Results Positive results were obtained in the topics: COPD and its consequences, first symptom identified when the disease is aggravated and physical exercise practice. Regarding the second and third symptoms, it was observed that the education session did not improve this learning, as well as the decision facing the worsening of COPD. Conclusion COPD patients showed reasonable knowledge about the disease, its implications and symptomatology. Important aspects should be emphasized, such as identification of exacerbations of COPD and decision facing this exacerbation. .

Introdução A Doença Pulmonar Obstrutiva Crônica (DPOC) é considerada uma doença de alta morbidade e mortalidade, mesmo sendo tratável e havendo a possibilidade de prevenção. Objetivo O objetivo foi avaliar a efetividade de um material educativo audiovisual sobre conhecimento e automanejo da doença em portadores de Doença Pulmonar Obstrutiva Crônica (DPOC). Métodos Estudo de delineamento quase-experimental e amostragem de conveniência, composto por 42 portadores de DPOC do programa de Reabilitação Pulmonar (RP), com doença em estágio avançado, em idade adulta, de ambos os sexos e baixa escolaridade. Todos os sujeitos foram submetidos à aplicação de um questionário específico pré e pós-sessões de educação com material audiovisual, para avaliar o conhecimento adquirido sobre o DPOC. Resultados Foram obtidos resultados positivos nos temas: doenças que compreendem a DPOC e suas consequências, primeiro sintoma identificado quando a doença está agravada e prática de exercício físico. Quanto ao segundo e terceiro sintomas, observou-se que a sessão de educação não aperfeiçoou esse aprendizado, assim como a tomada de decisão diante do agravamento da DPOC. Conclusão Os portadores de DPOC têm razoável conhecimento da doença, de suas implicações e sintomatologia. Aspectos importantes devem ser enfatizados, como identificação da exacerbação da DPOC e tomadas de decisão diante dessa exacerbação. .

CAT correlates positively with respiratory rate and is a significant predictor of the impact of COPD on daily life of patients: a cross sectional study.

BACKGROUND: The pathophysiological changes of COPD tend to worsen with progression, triggering limiting symptoms and implying the decrease in the activities of daily living and quality of life. The COPD Assessment Test (CAT) is a questionnaire designed to measure the impact of COPD on the health status. The aim of this study was to evaluate the impact of the disease through the CAT in a Brazilian sample of COPD patients and to correlate symptoms at rest with the CAT score in these patients. METHODS: Study of cases with COPD patients was conducted by pulmonary rehabilitation program (RP). Respiratory rate (RR) and symptoms (dyspnea by Modified Borg Scale Dyspnea Index; symptoms by CAT) were analyzed at the beginning of the RP. RESULTS: The study analyzed 28 COPD patients, both genders, age 65.93 ± 7.84 years and many patients ranging from severe and very severe disease. The majority of patients were rated by CAT with low impact-disease (n = 13/46, 4%);medium (n = 11/39, 3%) and the high impact-diseases were observed in a few subjects (n = 4/14.3%). The difference between all CAT scores was significant, p = 0.000. There was a positive correlation between respiratory rate and CAT scores impact-level (r = 0.585, p = 0.001). The results obtained by the Borg Scale revealed a high presence of symptoms in these COPD patients but no association with CAT. CONCLUSION: The CAT is a sensitive tool to assess the current health status of COPD patients, and in Southern Brazil it is positively correlated with respiratory rate.