Navegando por Assunto "Pneumopatias"

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Análise da técnica e da compreensão do uso de dispositivos inalatórios em pacientes com doenças respiratórias em uma clínica de especialidades médicas em Belém do Pará
(Centro Universitário do Estado do Pará, 2021) Pereira, Juliana de Ponte Souza; Silva, Renato Batista da; Monteiro, José Tadeu Colares; http://lattes.cnpq.br/7627103187307808
Introduction: The inhalation route is currently the preferred method for administering drugs in the treatment of chronic respiratory diseases, contributing to improving the quality of life of patients. There are several inhalation systems available: dry powder inhalers, pressurized inhalers and nebulizers. The amount of drug deposited at the level of the airways depends, among other factors, on the device used and on the way the inhalation technique is performed. Objectives: This study aimed to analyze the technique and understanding of the use of inhalation devices in patients with chronic respiratory diseases, identifying the main errors and the different clinical profiles of patients. Methodology: This is a cross-sectional observational study, using a standardized questionnaire and checklist as a data collection instrument submitted to patients undergoing chronic lung diseases, seen at the pulmonology outpatient clinic of the CESUPA Medical Specialties Center (CEMEC). Data collection started with socioeconomic variables. Then, the clinical conditions of each patient were questioned and, finally, patients were asked to demonstrate objectively the way in which they used their respective devices. Results: Among the 50 participants, 98% performed the inhalation technique incorrectly and 28% stated that they had never received any guidance regarding the use of the devices. Among the 29 users of pressurized devices, a total of 85 errors were verified in the inhalation technique, while among the 26 who used powdered devices, a total of 55 errors were verified. Among patients who used dry powder devices, expiration and removal of the used capsule were the steps with the most errors, and among users of pressurized devices, the device's agitation and tilting the head back were the most compromised phases. Conclusion: Factors such as age, education and socioeconomic conditions can influence the patient's learning and, therefore, practical measures must be taken in order to reduce the amount of errors in the use of the devices, observing the learning capacity and the main difficulties of learning. each group of patients. Errors were more frequent among those who used pressurized devices compared to those who used dry powder devices.
Perfil clínico e epidemiológico dos pacientes portadores de doenças intersticiais pulmonares em um Centro De Especialidades Médicas em Belém-PA
(Centro Universitário do Estado do Pará, 2022) Sarmento, Matheus Alonso de Souza; Silva, Paulo André Dias da; Monteiro, José Tadeu Colares; http://lattes.cnpq.br/7627103187307808
Objective: To characterize the epidemiological profile associated with the clinical repercussions of patients diagnosed with interstitial pulmonary disease who are being accompanied by the Center of Medical Specialties of the Centro Universitário do Estado do Pará (CEMEC-CESUPA) in Belém do Pará, to thru it contribute as a source for other papers. Methodology: The study developed is cross-sectional, descriptive and observational with quantitative and qualitative, descriptive and analytical approach, with data collection in the medical records of patients older than 18 years treated at the Center of Medical Specialties of the Centro Universitário do Estado do Pará (CEMEC-CESUPA) conducted from January 2018 to June 2022. Results: 74 patients were included. The majority (51 or 68.9%) were female and 23 (31.1%) were male. More than half (42 or 56.8%) were aged 60 years or older. 36.5% of the individuals had final diagnosis of idiopathic pulmonary fibrosis, 22 (29.7%) had hypersensitivity pneumopathy, 10 (13.5%) had pneumopathy secondary to rheumatoid arthritis. Regarding the exposure of patients with IPD, it was identified that 15 individuals (20.3%) had exposure to birds and 11 (14.9%) had exposure to mold. As for the symptoms presented, most (68 or 91.9%) had dyspnea, (57 or 77%) had a cough, and 45 or 60.8% had Velcro crackles. Among the tomographic alterations, most (58 or 78.4%) had ground glass, (57 or 77.0%) had septal thickening, (45 or 60.8%) bronchiectasis and (43 or 58.1%) had fibrosis. Regarding the main drugs used in the treatment of patients diagnosed with IPD, it was found that prednisone corresponds to 55.4%, nintedanib 21.6%, acetylcysteine 14.9% and azathioprine 13.5%. Conclusion: This study contributed with important clinical and epidemiological information for the creation of a clinical profile of patients, in addition to expanding the knowledge about their tomographic changes and the main therapies used in the treatment of interstitial lung diseases.
Principais aspectos clínicos e radiológicos pulmonares em pacientes portadores de artrite reumatóide em um Centro de Especialidades Médicas em Belém-PA
(Centro Universitário do Estado do Pará, 2019) Castro, Erick Garcia; Fernandes, Marina Assis da Escóssia; Monteiro, José Tadeu Colares; Ohashi, Claudia Barros; http://lattes.cnpq.br/0889116450004563; http://lattes.cnpq.br/7627103187307808
Objective: To analyze the main repercussions pulmonary, clinical and radiological, in patients diagnosed with rheumatoid arthritis who are being monitored by the Center for Medical Specialties of the Pará State University Center (CEMEC-CESUPA), and from there serve as a source for secondary studies. Methods: The study is cross-sectional, descriptive and observational with quantitative and qualitative descriptive and analytical approach, with data collection in the medical records of patients treated at the Center of Medical Specialties of the University Center of the State of Pará (CESUPA), in the period between january 2014 to december 2018. Results: 156 patients with rheumatoid arthritis were analyzed. The age group and the most affected sex were, respectively, patients older than 60 years and female. Regarding smoking, 53.8% non-smokers, 37.2% former smokers and 9% smokers. Regarding the performance or not of laboratory tests, it was found that 56.4% of the patients performed PPD, 83.3% of the DAS 28 was calculated and 99.4% of the rheumatoid factor. Among the pulmonary symptoms present in 40 patients (24.5%), the most common was dyspnea, followed by chest pain and cough. Regarding the imaging exams, it was concluded that 85.3% had documented in the medical records the description of chest radiography or computed tomography or magnetic resonance, among them, 30.8% presented alteration in the exam. The main documented radiological alteration was the acinar pattern present in 75.0% of patients with alteration, followed by interstitial pattern (66.7%), pulmonary nodule (27.1), pleural pattern (10.4%) and others. Conclusion: It is necessary to perform the analysis of all patients with rheumatoid arthritis, with special attention to pulmonary repercussions due to the significant appearance of clinical and / or radiological alterations in these patients.