Detalhes bibliográficos
| Ano de defesa: |
2014 |
| Autor(a) principal: |
Cidade, Simone Falcão
 |
| Orientador(a): |
Pitrez, Paulo Márcio Condessa
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| Banca de defesa: |
Não Informado pela instituição |
| Tipo de documento: |
Dissertação
|
| Tipo de acesso: |
Acesso aberto |
| Idioma: |
por |
| Instituição de defesa: |
Pontifícia Universidade Católica do Rio Grande do Sul
|
| Programa de Pós-Graduação: |
Programa de Pós-Graduação em Medicina e Ciências da Saúde
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| Departamento: |
Faculdade de Medicina
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| País: |
BR
|
| Palavras-chave em Português: |
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| Área do conhecimento CNPq: |
|
| Link de acesso: |
http://tede2.pucrs.br/tede2/handle/tede/1778
|
Resumo: |
Introduction: Asthma is a chronic disease with high prevalence worldwide, especially in the last two decades. For an effective self-management of the disease, management of disease should be approached in different ways. Asthma education is one of the outcomes that should be applied to self-management in order to increase adherence to treatment, and thus control the disease. Objective: To identify the major studies on asthma education intervention, describing their results to discuss its importance in the treatment and control of disease, and to validate to Portuguese a questionnaire of knowledge of asthma. Methods: Two articles were written: a systematic review to identify the major studies that have applied measures (objective and/or subjective) pre and post intervention for asthma education; and the translation, and cross-cultural and linguistic validation of a questionnaire on knowledge of asthma (NAKQ) for Portuguese - BR. For this article article, we applied the logic search in PubMed, Lilacs, Scopus, ScienceDirect and Cochrane databases. Articles were included after complete description of the applicability of the measures, their answers and conclusions for the outcome in asthma education programs for children and adolescents. For the original study, 2 translations of NAKQ into Portuguese were performed. These two versions were compared for a first draft version. Then, we proceeded to the application of 17 questionnaires to academics and health professionals, for possible adjustments in language translation. Internal validation, reproducibility and concordance analysis was performed. For that, Alpha Cronbach (αC) coefficient, test and retest, and Kappa (K) analysis was applied. Results: Twelve studies were included in the article review. Different authors have presented different educational interventions on asthma. Four of the interventions found were considered the most advisable for presenting satisfactory results in an enhanced understanding of the various aspects of asthma (symptoms, seizures, medication, etc.). Contributing pair disease control and improved quality of life for patients. For translation and validation of the Newcastle Asthma Knowledge Questionnaire (NAKQ), 2 translations into Portuguese NAKQ were performed. After, both translations were compared to that draft a preliminary version. We then removed the application from 17 questionnaires to academics and health professionals for possible adjustments in language translation. Then, the internal validation of reproducibility and compliance were performed. For this, the coefficient αCronback(αC), test and re- test, and analysis of Kappa (K) were applied . Results: The linguistic / cultural fit fitness needed only the question number 2 knowledge evaluation of the 78 participants was 21 points. The medical group had an average of 22.94 and other health professionals an average of 19.06 points. Regarding the analysis of internal consistency for the total score, the instrument got value αC equal to 68.8 points. However, for the analysis items in αC values were 64.4 and 70.7 for minimum score. Conclusions: Asthma education is essential both for the access of home care as for effective self-control of the disease. Therefore, it is strongly recommended that in order to achieve the goals of the best possible quality of life and self-control of the disease are achieved, the educational process should be individualized, continuous, progressive, dynamic and sequential. NAKQ questionnaire validated for Portuguese was effective for the highest distinction between people who have knowledge about asthma from those with less knowledge |
