Caracterização do perfil dos pacientes em oxigenoterapia domiciliar em uma cidade do interior do estado de São Paulo

• Ano de defesa: 2014
• Autor(a) principal: Santos, Ezequiel Aparecido dos [UNESP]
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Estadual Paulista (Unesp)
• Palavras-chave em Português: Pulmões - Doenças; Pneumopatias obstrutivas; Oxigenoterapia; Cuidados primários de saúde; Enfermagem domiciliar; Oxygen therapy
• Link de acesso: http://hdl.handle.net/11449/110496

Considering the LTOT importance, the existence of patients with chronic respiratory diseases in Bauru, and the ordinance No 2.029, in August 24, 2011, which establish home care, the goal of this study was to characterize the profile of patients using the LTOT for the creation of a service protocol with a multidisciplinary team performance. Methods: This is a descriptive cross-sectional study. Data were collected through home visits using a questionnaire developed for the study. Results: 54 patients with a mean age of 67 (± 11.7 years) were studied. Most patients (96%) had COPD as the principal diagnosis, and 14.8% were active smokers. The average value of SpO2 of the patients was 86% (± 0.05) in ambient air and 96% (± 0.04) with the prescribed oxygen flow. Most patients do not follow treatment as prescribed and all make use of humidifier. The average extension length was 2.6 m (± 2.3). In the year prior to the visit, 57, 4 % of patients received emergency medical care due to respiratory problems. Quality of life was considered inadequate, only one patient routinely performed physicall and leisure activities and reported that such activities require much effort to develop such activities. Conclusion: Home visits allowed us to identify and meet the population using LTOT. The results of the study suggest that patients are no follow up, with questions of how to benefit from therapy and with poor adherence, in biopsychosocial vulnerability, justifying the need for multidisciplinary teams to monitor these patients in their homes. Therefore, as a product of this study, a protocol for home care in order to provide better tracking of patients and the integration of a care services network at all levels of health care was prepared