Elaboração de um protocolo de posicionamento na execução do teste de espirometria em obesos grau III

• Ano de defesa: 2021
• Autor(a) principal: Cruz, Wesley Cavalcante
• Orientador(a): Coutinho, Giselda Félix
• Banca de defesa: Galdino, Kátia Elizabete, Gurjão, Edmar Candeia
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Estadual da Paraíba
• Programa de Pós-Graduação: Programa de Pós-Graduação Profissional em Ciência e Tecnologia em Saúde - PPGCTS
• Departamento: Pró-Reitoria de Pós-Graduação e Pesquisa - PRPGP
• País: BR
• Palavras-chave em Português: Obesidade; Espirometria; Ventiladores pulmonares
• Palavras-chave em Inglês: Obesity; Spirometry
• Área do conhecimento CNPq: CIENCIAS DA SAUDE
• Link de acesso: https://repositorio.uepb.edu.br/handle/123456789/72844

INTRODUCTION: Obesity is considered a pathological condition in which excess adipose tissue replaces healthy tissue, causing functional changes in the body's most diverse organic systems. The respiratory system is mostly penalized with this condition since the resistance imposed by excess weight will cause changes in ventilatory mechanics, thus reducing lung volumes and capacities. Therefore, the spirometry exam aims to quantify ventilatory disorders, which is essential in clinical practice. The positioning in the test execution is a significant challenge to be evaluated by the examiner since it is possible to find changes in values quantified by spirometry with the change of positioning of individuals in the test OBJECTIVE: To propose a positioning protocol for the execution of the Spirometry in obese individuals, grade III. METHODOLOGY: This is a cross-sectional, descriptive study with a quantitative approach, and the measures of analysis are the spirometric variables of forced vital capacity (FVC) and forced expiratory volume in the first second (FEV1). The sample was composed of 30 grade III individuals (BMI> 40) who agreed to participate in the research and signed a Free and Informed Consent Term. All data obtained in this study were statistically evaluated. The experimental design adopted was completely randomized blocks. The results were analyzed by comparing the averages using the test and Tukey, with statistical significance at the level of 5% probability. Data analysis performed using the Sisvar software. RESULTS: the final sample of the study was 30 patients of both sexes, being the number of women (n = 16) and men (n = 14), the patients were submitted to the spirometric test in different positions to measure the FEV1 variables (volume expired in the first second) and FVC (forced vital capacity). They presented 73, 33% of the patients had values different from the standard value for the variable FEV1 in the different positions, and the variable FVC 86.66% of the participants diverged in absolute values from the value considered as normal. When assessing the ratio between these variables (FEV1 / FVC), 83.33% of the sample patients differed from the values considered normal. FINAL CONSIDERATIONS: Checking the position in the spirometric test's performance allows bringing more accuracy to the exam, thus providing which clinical and therapeutic treatment strategy is best suited to grade III obese individuals.