Barreiras à adesão ao programa de reabilitação pulmonar de pacientes com doença pulmonar obstrutiva crônica
Resumo
Introdução: A reabilitação pulmonar é de suma importância para pacientes com DPOC. Entretanto, a adesão ao tratamento é baixa. Compreender os motivos da baixa adesão é imprescindível para o sucesso da terapia. Objetivo: Identificar as barreiras ao comparecimento e adesão de pacientes com DPOC à reabilitação pulmonar. Métodos: Realizou-se uma revisão integrativa da literatura. A localização e seleção dos estudos foi realizada por meio de pesquisa nas bases de dados eletrônicas Medline (acessada pelo PubMed) e Scientific Electronic Library Online (SciELO). A estratégia utilizada foi o cruzamento dos descritores “COPD”, “Treatment Adherence and Compliance” e “Rehabilitation”. Foram incluídos artigos publicados a partir de 2009 até maio de 2019, escritos nos idiomas inglês, português e espanhol, elegendo como população alvo indivíduos com DPOC que realizaram reabilitação pulmonar e tendo como desfecho a adesão ao tratamento. Resultados: A busca resultou em um achado de 566 artigos nas bases de dados MEDLINE, SCIELO e LILACS, que destes 16 foram incluídos no estudo. Conclusão: As principais barreiras de adesão a reabilitação pulmonar foram tabagismo atual, falta de informação acerca da patologia e da efetividade de tratamento, presença de comorbidades, percepção negativa do estado de saúde, dificuldades de mobilidade e transporte e a falta de apoio social.
Palavras-chave
Referências
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Submetido em:
28/12/2020
Aceito em:
05/05/2021
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