Search

Objective: To identify the factors associated with selfcare of chronic cardiopulmonary diseases. Methods: An integrative literature review with the purpose of synthesizing the evidence produced on the topic. The search was performed using the descriptors: Selfcare, self management, heart disease, lung disease and patient cooperation, from the Scielo, Pubmed, PEDro, Lilacs and Capes databases, published between the year 2013 to 2020, in Portuguese, English and Spanish. 46 studies were included after analyzing and selecting the content of the articles. Results: Better selfcare was seen in patients with greater knowledge of the disease, more comorbidities, symptom monitoring, employment relationship, social support, motivation, belief in treatment, spirituality, educational strategies and educational interventions that were culturally appropriate. A worse selfcare was associated with a higher body mass index, black race, living alone, anxiety and depression, and lack of empathy with the team. Conclusion: The selfmanagement process is complex and involves several determinants that can influence it, understanding these factors is necessary in order to have parameters for effective interventions and even to identify groups at risk for less selfcare. [ABSTRACT FROM AUTHOR]

Objective: To evaluate the degree of adherence to physiotherapeutic treatment in adolescents with Cystic Fibrosis (CF) followed up in a multidisciplinary program. Method: Observational cross-sectional study with 14 patients from the multidisciplinary CF outpatient clinic from May 2016 to October 2016. A questionnaire was used to determine the adherence of physiotherapy. Together with the adhesion of the drug alpha dornase, analyzed by the Morisky-Green Test and the severity of the disease was evaluated by applying the Shwachman-Kulczycki Score. Results: Patients' ages ranged from a mean of 15.14 years, of which 8 (57.1%) were male. According to the degree of adhesion, 5 (35,7%) were classified with low adhesion, 4 (28,7%) with moderate adhesion and 5 (35,7%) with high adhesion. The Shwachman-Kulczycki score was classified as excellent in 6 (48.8%), good 4 (28.5%), mild 3 (21.4%), moderate 1 (7.1%), severe (0%). In the present study, no correlation was observed between the adherence of physiotherapy and the severity score, and also with the use of the alphadornase medication. Conclusion: Satisfactory (moderate to high) adherence to respiratory physiotherapy was observed in 64.3% of the CF adolescents investigated. However, a balance between low adherence and high adherence (35.7%) for this treatment was noted. [ABSTRACT FROM AUTHOR]