Adaptação cultural e reprodutibilidade do Breathing Problems Questionnaire (BPQ) em pacientes portadores de doença pulmonar obstrutiva crônica no Brasil
Arquivos
Data
2010
Autores
Silva, Patricia Nobre Calheiros da 
Orientadores
Nascimento, Oliver Augusto
Tipo
Tese de doutorado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Introdução: O reconhecimento da Doenca Pulmonar Obstrutiva Cronica (DPOC) e muito baixo entre a populacao. Ambos os fumantes e ex-fumantes ignoram os principais sintomas, como tosse e expectoracao. Tornando-se preocupante a dificuldade de acesso ao diagnostico e de integracao em programas de apoio e reabilitacao. Dessa forma, busca de novas ferramentas para o monitoramento da qualidade de vida relacionada a Saúde (QVRS) desses pacientes, bem como o impacto de problemas respiratorios em suas atividades diarias. O Questionario de Problemas Respiratorios e um questionario de qualidade de vida especifico para doenca pulmonar cronica desenvolvido a partir das experiencias de pacientes com DPOC, compondo 13 areas, duas subescalas de Saúde e 33 perguntas. Quanto maior a pontuacao, maior o impacto de problemas respiratorios na qualidade de vida.Objetivo: Adaptar para a cultura brasileira e avaliar a reprodutibilidade do Breathing Problems Questionnaire (BPQ) em pacientes com doenca pulmonar obstrutiva cronica e avaliar as correlacoes com outros questionarios de qualidade de vida e variaveis fisiologicas.Metodos: Foi realizada a adaptacao para a cultura brasileira por meio de uma primeira traducao por um tradutor com dominio na lingua inglesa, posteriormente foi aplicado em 8 pacientes visando saber suas duvidas e dificuldades. O questionario foi analisado por uma comissao de experts e definido sua versao final. Foi realizada uma nova traducao para o ingles por um segundo tradutor tambem conhecedor da lingua inglesa e essa versao final foi enviada para o autor original com intuito de assegurar o sentido original do questionario. Apos a aprovacao final do autor, foi avaliada a reprodutibilidade com 50 pacientes portadores de DPOC.Resultados: O tempo medio de resposta foi 9min e 30 seg. Dos 50 pacientes que fizeram a reprodutibilidade, 21 eram do sexo feminino e 29 do sexo masculino com media de idade de 65,8 + 7,5 anos. A maioria se encontrava no estagio II (29,16%) e III (52%) da DPOC segundo o Documento GOLD. O coeficiente de correlacao intraclasse para a pontuacao total foi de 0,94. Os 11 dominios do BPQ e as suas duas subescalas tambem tiveram valor de CCI acima de 0,70. Houve correlacoes moderadas entre os dominios e subescalas do BPQ com os dominios Sintomas, Atividade do SGRQ e todos os dominios do SF-36. As melhores correlacoes obtidas foram com o dominio Impacto e pontuacao do SGRQ. Conclusao: A versao brasileira do questionario BPQ e reprodutivel para a cultura brasileira
Introduction: The recognition of chronic obstructive pulmonary disease (COPD) is very low between the population. Both the smokers and former-smokers ignore the main symptoms, as cough and expectoration. Become worrisome to the difficulty of access the diagnosis and integration in support programs and whitewashing. Of this form, it searches of new tools for monitoring of the quality of life related to the health (QVRS) of these patients, as well as the impact of respiratory problems in theirs daily activities. The Questionnaire of Respiratory Problems is a questionnaire of specific quality of life for chronic pulmonary illness developed from the experiences of patients with COPD, composing 13 areas, two subscales of health and 33 questions. How much bigger the punctuation, greater the impact of respiratory problems in the quality of life. Objective: Adapting in Brazilian culture and evaluating the reproducibility of Breathing Problems Questionnaire (BPQ) in patients with chronicle obstructive pulmonary illness and to evaluate the physiological correlations with other questionnaires of quality of life and variable. Methods: The adaptation for the Brazilian culture by means translation first of all for a translator with domain in the English Language was carried through, later it was applied in 8 patients aiming at knowing the doubts and difficulties. The questionnaire was analyzed by a commission of experts and defined the final version. A new translation for the English was carried through for as translating also expert of the English language and this final version were sent for the original author with intention to assure the original direction of the questionnaire. After the final approval by author, was evaluated the reproducibility with 50 carrying patients of COPD. Results: The average time of 9min and 30second. Of the 50 patients who had made the reproducibility, 21 was of feminine sex and 29 of the masculine sex with average age of 65,8 + 7,5 years. The majority if found according to in period of training II (29.16%) and III (52%) of the COPD Document GOLD. The correlation coefficient intraclass for the total punctuation was of 0, 94. The 11 dominions of the two BPQ and the subscales had also had value of CCI above of 0, 70. It had moderate correlations between the dominions and subscales of the BPQ with the symptoms dominions, activity of the SGRQ and all the dominions of the SF-36. The best correlations had been with the domain impact and punctuation of the SGRQ. Conclusion: The Brazilian version of questionnaire BPQ is reproductive for the Brazilian culture.
Introduction: The recognition of chronic obstructive pulmonary disease (COPD) is very low between the population. Both the smokers and former-smokers ignore the main symptoms, as cough and expectoration. Become worrisome to the difficulty of access the diagnosis and integration in support programs and whitewashing. Of this form, it searches of new tools for monitoring of the quality of life related to the health (QVRS) of these patients, as well as the impact of respiratory problems in theirs daily activities. The Questionnaire of Respiratory Problems is a questionnaire of specific quality of life for chronic pulmonary illness developed from the experiences of patients with COPD, composing 13 areas, two subscales of health and 33 questions. How much bigger the punctuation, greater the impact of respiratory problems in the quality of life. Objective: Adapting in Brazilian culture and evaluating the reproducibility of Breathing Problems Questionnaire (BPQ) in patients with chronicle obstructive pulmonary illness and to evaluate the physiological correlations with other questionnaires of quality of life and variable. Methods: The adaptation for the Brazilian culture by means translation first of all for a translator with domain in the English Language was carried through, later it was applied in 8 patients aiming at knowing the doubts and difficulties. The questionnaire was analyzed by a commission of experts and defined the final version. A new translation for the English was carried through for as translating also expert of the English language and this final version were sent for the original author with intention to assure the original direction of the questionnaire. After the final approval by author, was evaluated the reproducibility with 50 carrying patients of COPD. Results: The average time of 9min and 30second. Of the 50 patients who had made the reproducibility, 21 was of feminine sex and 29 of the masculine sex with average age of 65,8 + 7,5 years. The majority if found according to in period of training II (29.16%) and III (52%) of the COPD Document GOLD. The correlation coefficient intraclass for the total punctuation was of 0, 94. The 11 dominions of the two BPQ and the subscales had also had value of CCI above of 0, 70. It had moderate correlations between the dominions and subscales of the BPQ with the symptoms dominions, activity of the SGRQ and all the dominions of the SF-36. The best correlations had been with the domain impact and punctuation of the SGRQ. Conclusion: The Brazilian version of questionnaire BPQ is reproductive for the Brazilian culture.
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Citação
SILVA, Patricia Nobre Calheiros da. Adaptação cultural e reprodutibilidade do Breathing Problems Questionnaire (BPQ) em pacientes portadores de doença pulmonar obstrutiva crônica no Brasil. Tese (Doutorado em Ciências) - Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, 2010.