Avaliação da efetividade do uso de um guia de orientação e cuidado ao idoso portador de doença pulmonar obstrutiva crônica: um ensaio clínico randomizado

Abstract

Introduction: The educational program is a fundamental component in pulmonary rehabilitation programs to promote understanding, more quality of life and a reintroduction of the patient with Chronic Obstructive Pulmonary Disease (COPD) in life in society, provided through basic patient guidance. Objective: To evaluate the effectiveness of a guideline and care in increasing the knowledge of the elderly with COPD on their disease. Methodology: This is a prospective randomized clinical trial, which was collected through a structured questionnaire in the pulmonology outpatient clinic of a public hospital in the Federal District for 12 weeks. The collection was performed on the day of the outpatient appointment that happens once a week. Participants were allocated to two groups, 'with and without booklet', being randomized according to the day of the consultation, being the first week of collection for group ‘with booklet’, the second for group ‘without booklet’, and so on. The initial approach included responding to the Mini Mental for assessment of cognitive status, if they have been able, answered the questionnaire structured in 10 questions and the 'with booklet' group received the guidelines and care book for reading, responding to the same questionnaire after one week, and the ‘without booklet' group received the guidance and care guide after responding again to the questionnaire within a week. Results: It was observed that after reading a booklet, the number of hits from the booklet group rose with a statistically significant difference (p = 0.01). Conclusion: The guideline and care of the patient with COPD was effective in increasing the knowledge of the disease of the patients who participated in the study.