Relação entre a capacidade funcional e a percepção de limitação em atividades de vida diária de pacientes com DPOC
DOI:
https://doi.org/10.590/1809-2950/12836522022015Resumo
O objetivo deste estudo foi verificar se há correlação entre a capacidade funcional e a percepção da limitação em atividades de vida diária (AVDs) de pacientes com doença pulmonar obstrutiva crônica (DPOC). Trinta pacientes com DPOC foram submetidos a: avaliação antropométrica, espirometria, escala London Chest Activity of Daily Living (LCADL), teste de caminhada de seis minutos (TC6min) e teste de AVD-Glittre (TGlittre). A normalidade dos dados foi testada por meio do teste de Shapiro-Wilk. Para verificar a existência de correlação entre as variáveis, utilizou-se o coeficiente de correlação de Spearman. Uma regressão linear simples e uma regressão linear múltipla stepwise foram aplicadas utilizando-se o percentual da escala LCADL (LCADL%total) como variável dependente e os testes (TGlittre e TC6min) como independentes. O TGlittre correlacionou-se moderadamente com o LCADL%total (r=0,58; p<0,05), o domínio "cuidados pessoais" (r=0,45; p<0,05) e o domínio "lazer" (r=0,54; p<0,05) da escala LCADL. O LCADL%total e o domínio "lazer" apresentaram moderada e fraca correlação negativa com o TC6min (r=0,45 e r=-0,53; p<0,05, respectivamente), enquanto o domínio "cuidados pessoais" não se correlacionou com o mesmo. A variabilidade do TGlittre foi capaz de explicar 44% (p<0,01) da variabilidade do LCADL%total,enquanto do TC6min apenas 20% (p<0,05). No modelo de regressão linear múltipla, apenas o TGlittre foi selecionado como preditor do LCADL%total (R²=0,44; p<0,01). Portanto, o TGlittre e o TC6min refletem as limitações nas AVD percebidas e relatadas por pacientes com DPOC. Entretanto, o TGlittre parece ser mais sensível para refletir a percepção do comprometimento funcional dos pacientes.Downloads
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