Proposta de core set a partir da anamnese em fonoaudiologia pela classificação internacional de funcionalidade, incapacidade e saúde (CIF)
Data
2015-01-31
Autores
Pinto, Fernanda Chequer de Alcantara 
Orientadores
Perissinoto, Jacy
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Objetivo: propor core set para Transtornos de Linguagem e de Fala relatados em entrevista inicial de anamnese de fonoaudiologia. Métodos: pesquisa de caráter retrospectivo de acervo parcial de registros de entrevista fonoaudiológica de clínica-escola, correspondente a mil (1000) casos avaliados entre os anos de 2004 a 2013; após cálculo estatístico da pré-amostra, constituímos amostra por conveniência de cento e dez (110) protocolos. Consideramos, para a inclusão na pesquisa, a presença de informações sobre sexo, idade, escolaridade e profissão do indivíduo; queixa, história pregressa da queixa atual, antecedentes familiares, constitucionais, circunstanciais e de desenvolvimento; e como critério de exclusão, protocolo com relatos de anamnese cujas queixas referiam-se à quadros específicos de autismo, disfluência, deficiência auditiva, deficiência intelectual, transtorno de atenção e hiperatividade, alterações de voz e disfagia. Analisamos os registros da anamnese de acordo com os 362 itens do nível dois da CIF. Identificamos a frequência de queixas e as agrupamos em: aprendizagem e fala; dificuldade de aprendizagem; fala errado; não fala e outros. Pontuamos as frequências de ocorrências de itens para cada um dos tipos de queixa, como identificação inicial de core set da CIF; e consideramos na seleção uma ocorrência de 95% de presença como corte, para os itens de cada domínio entrarem no agrupamento ou proposta de core set. Para o tratamento estatístico adotamos o Teorema do Limite Central e a Leis dos Grandes Números com um erro de 9,0%, para o cálculo pré-amostral; o índice de Concordância de Kappa, para avaliação do grau de concordância entre juízes em 50% dos casos; o teste não-paramétrico Igualdade de Duas Proporções, na análise da frequência dos itens. Resultados: os itens mais frequentes foram: b176 (funções mentais para a sequência de movimentos complexos), d310 (comunicar e receber mensagens orais), d330 (falar) e e410 (atitudes individuais de membros da família próxima). Na distribuição por domínio da CIF, em funções do corpo o item mais frequente foi "funções mentais para a sequência de movimentos complexos"; nas estruturas do corpo: "estrutura do ouvido médio"; nas atividades/participação: "comunicar e receber mensagens orais?" e nos fatores ambientais: "atitudes individuais de membros da família próxima". Os componentes mais frequentes foram função do corpo e atividades/participação, o menos frequente os fatores ambientais e estrutura do corpo. As queixas "aprendizagem e fala" e "dificuldades de aprendizagem" foram as que apresentaram mais itens nos componentes da CIF. Conclusão: verificamos ser possível a criação de core set através dos relatos da anamnese fonoaudiológica.
Purpose: propose core set for Speech and Language Disorders reported in the initial interview of speech and language pathology's history. Methods: Retrospective character research of partial collection of speech interview records of clinical-school, corresponding to one thousand (1000) cases evaluated between the years 2004-2013; after statistical calculation of the pre-sample, we constituted a convenience sample with a hundred and ten (110) protocols. We considered, for inclusion in the study, the presence of information about sex, age, education and occupation of the individual; complaint, a history of the present complaint, family history, constitutional, circumstantial and development; and as an exclusion criterion, protocol with history reports whose complaints referred to the specific frames of autism, disfluency, hearing impairment, intellectual disability, attention deficit hyperactivity disorder, speech and dysphagia changes. We analyzed the medical history records according to 362 items of level two of the ICF. We identify the recurrence of complaints and grouped into: learning and speech; learning disability; speaks wrong; does not speak and others. We pointed items frequencies of occurrences for each type of complaint, as initial identification of core set of ICF; and consider in selecting an occurrence of 95% attendance as cutting, for the items of each domain enter the group or proposal of core set. For the statistical analysis we adopted the Central Limit Theorem and the Law of Large Numbers with a 9.0% error for the pre-sample calculation; the Kappa concordance index, to evaluate the degree of agreement between judges in 50% of cases; Non-parametric test equality of two proportions, in the analysis of frequency of items. Results: the most frequent items were: b176 (mental functions to the sequence of complex movements), d310 (communicate and receive spoken messages), d330 (talk) and e410 (Individual attitudes of close family members). In the distribution area of the CIF, in body functions the most frequent item was "mental functions to the sequence of complex movements"; in body structure, "middle-ear structure"; in the activities / participation, "communicate and receive spoken messages" and in environmental factors, "individual attitudes of close family members". The most common components were body function and activities/ participation, the less frequent the environmental factors and body structure. Complaints "learning and speech " and " learning disabilities" showed the more items in the components of ICF. Conclusions: We conclude as possible the creation of a core set through the speech and language pathology's history reports.
Purpose: propose core set for Speech and Language Disorders reported in the initial interview of speech and language pathology's history. Methods: Retrospective character research of partial collection of speech interview records of clinical-school, corresponding to one thousand (1000) cases evaluated between the years 2004-2013; after statistical calculation of the pre-sample, we constituted a convenience sample with a hundred and ten (110) protocols. We considered, for inclusion in the study, the presence of information about sex, age, education and occupation of the individual; complaint, a history of the present complaint, family history, constitutional, circumstantial and development; and as an exclusion criterion, protocol with history reports whose complaints referred to the specific frames of autism, disfluency, hearing impairment, intellectual disability, attention deficit hyperactivity disorder, speech and dysphagia changes. We analyzed the medical history records according to 362 items of level two of the ICF. We identify the recurrence of complaints and grouped into: learning and speech; learning disability; speaks wrong; does not speak and others. We pointed items frequencies of occurrences for each type of complaint, as initial identification of core set of ICF; and consider in selecting an occurrence of 95% attendance as cutting, for the items of each domain enter the group or proposal of core set. For the statistical analysis we adopted the Central Limit Theorem and the Law of Large Numbers with a 9.0% error for the pre-sample calculation; the Kappa concordance index, to evaluate the degree of agreement between judges in 50% of cases; Non-parametric test equality of two proportions, in the analysis of frequency of items. Results: the most frequent items were: b176 (mental functions to the sequence of complex movements), d310 (communicate and receive spoken messages), d330 (talk) and e410 (Individual attitudes of close family members). In the distribution area of the CIF, in body functions the most frequent item was "mental functions to the sequence of complex movements"; in body structure, "middle-ear structure"; in the activities / participation, "communicate and receive spoken messages" and in environmental factors, "individual attitudes of close family members". The most common components were body function and activities/ participation, the less frequent the environmental factors and body structure. Complaints "learning and speech " and " learning disabilities" showed the more items in the components of ICF. Conclusions: We conclude as possible the creation of a core set through the speech and language pathology's history reports.
Descrição
Citação
PINTO, Fernanda Chequer de Alcantara. Proposta de core set a partir da anamnese em fonoaudiologia pela classificação internacional de funcionalidade, incapacidade e saúde (CIF). 2015. 117 f. Dissertação (Mestrado em (Fonoaudiologia) - Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, 2016.