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Advisor(s)
Abstract(s)
Introdução: A pneumonia caracteriza-se por ser uma doença inflamatória do tecido pulmonar, que causa dano nas vias aéreas distais. É reconhecido como um dos problemas de saúde que afectam um elevado número de pessoas em todo o mundo, responsável por elevadas taxas de morbilidade e mortalidade. A sua terapêutica de primeira linha tem por base os compostos antimicrobianos, no entanto podem ser introduzidas terapias coadjuvantes como a fisioterapia respiratória. Objectivo: 1) Perceber qual o contributo da fisioterapia respiratória, enquanto terapia coadjuvante, no quadro clínico de pneumonia no adulto; 2) Verificar os efeitos da intervenção da fisioterapia em pacientes adultos com pneumonia na: a) Drenagem de secreções; b) Níveis de dispneia; c) Saturação periférica de oxigénio; d) Tempo de internamento. Metodologia: Trata-se de uma revisão sistemática. Foi realizado a pesquisa nas bases de dados, SciELO, LILACS, PubMed, Bireme e B-on para estudos entre 1978 a 2015, com as seguintes palavras-chaves: Eficácia, Fisioterapia respiratória, Pneumonia no adulto, respiratory therapy, respiratory physiotherapy, chest physiotherapy, pneumoniae, chest therapy. Resultados: Dos 47 estudos seleccionados e identificados, foram incluídos apenas nove. Destes nove estudos, cinco demonstraram eficácia nas técnicas utilizadas para a recuperação do doente. Os quatro estudos que não demonstraram eficácia também demonstram falta de robustez no seu desenho. Conclusão: Observou-se uma influência positiva da aplicação de técnicas de fisioterapia respiratória (higiene brônquica, drenagem postural, percussão, vibração-compressão) em combinação com antibioterapia. No entanto, é necessária a realização de mais estudos de forma a contribuírem para um maior esclarecimento quanto ao seu benefício num quadro de pneumonia.
ABSTRACT - Introduction: Pneumonia is characterized by an inflammatory disease of lung tissue, causing damage in the distal airways. It is recognized worldwide as one of the health problems that affect a large number of people around the world, responsible for high rates of morbidity and mortality. Its first-line therapy is based on the antimicrobial compounds, however can be introduced supporting therapies such as physiotherapy. Objective: Realize that the contribution of respiratory therapy as adjunctive therapy in the clinical picture of pneumonia in adults; 2) Check the effects of physiotherapy intervention in adult patients with pneumonia: a) secretions drainage; b) dyspnea levels; c) peripheral oxygen saturation; d) hospitalization time. Methodology: This is a systematic review researche in databases, SciELO, LILACS, PubMed, Bireme and B-on was conducted for studies between 1978 and 2015, with the following key words: Effectiveness, respiratory physiotherapy, pneumonia in adults, respiratory therapy, respiratory physiotherapy, chest physiotherapy, pneumonia, chest therapy. Results: Of the 47 selected and identified studies were included only nine. These nine studies demonstrated efficacy in five respiratory physiotherapy techniques used for the recovery of the patient with pneumoniae. The four studies that did not demonstrate efficacy show a lack of robustness in its design. Conclusion: There was a positive influence of application of respiratory physiotherapy techniques in combination with antibiotics. However further studies are required in order to contribute to further clarification regarding tthe benefits in pneumonia frame.
ABSTRACT - Introduction: Pneumonia is characterized by an inflammatory disease of lung tissue, causing damage in the distal airways. It is recognized worldwide as one of the health problems that affect a large number of people around the world, responsible for high rates of morbidity and mortality. Its first-line therapy is based on the antimicrobial compounds, however can be introduced supporting therapies such as physiotherapy. Objective: Realize that the contribution of respiratory therapy as adjunctive therapy in the clinical picture of pneumonia in adults; 2) Check the effects of physiotherapy intervention in adult patients with pneumonia: a) secretions drainage; b) dyspnea levels; c) peripheral oxygen saturation; d) hospitalization time. Methodology: This is a systematic review researche in databases, SciELO, LILACS, PubMed, Bireme and B-on was conducted for studies between 1978 and 2015, with the following key words: Effectiveness, respiratory physiotherapy, pneumonia in adults, respiratory therapy, respiratory physiotherapy, chest physiotherapy, pneumonia, chest therapy. Results: Of the 47 selected and identified studies were included only nine. These nine studies demonstrated efficacy in five respiratory physiotherapy techniques used for the recovery of the patient with pneumoniae. The four studies that did not demonstrate efficacy show a lack of robustness in its design. Conclusion: There was a positive influence of application of respiratory physiotherapy techniques in combination with antibiotics. However further studies are required in order to contribute to further clarification regarding tthe benefits in pneumonia frame.
Description
Mestrado em Fisioterapia
Keywords
Fisioterapia Medicina de reabilitação Fisioterapia respiratória Pneumonia Revisão sistemática Physiotherapy Rehabilitation Respiratory physiotherapy Pneumoniae Systematic review
Citation
Tavares NB. Eficácia da fisioterapia respiratória em pacientes adultos com pneumonia: revisão sistemática [Dissertation]. Lisboa: Escola Superior de Tecnologia da Saúde de Lisboa/Instituto Politécnico de Lisboa; 2016.
Publisher
Instituto Politécnico de Lisboa, Escola Superior de Tecnologia da Saúde de Lisboa