Aderência ao tratamento da asma

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Fontes Baganha" "autores" => array:7 [ 0 => array:2 [ "nombre" => "Cláudia" "apellidos" => "Santos" ] 1 => array:2 [ "nombre" => "Ana" "apellidos" => "Norte" ] 2 => array:2 [ "nombre" => "Fátima" "apellidos" => "Fradinho" ] 3 => array:2 [ "nombre" => "Alexandra" "apellidos" => "Catarino" ] 4 => array:2 [ "nombre" => "António Jorge" "apellidos" => "Ferreira" ] 5 => array:2 [ "nombre" => "Mário" "apellidos" => "Loureiro" ] 6 => array:2 [ "nombre" => "M. Fontes" "apellidos" => "Baganha" ] ] ] ] ] "idiomaDefecto" => "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S087321591530009X?idApp=UINPBA00004E" "url" => "/08732159/0000001600000001/v1_201509151437/S087321591530009X/v1_201509151437/pt/main.assets" ] "pt" => array:15 [ "idiomaDefecto" => true "cabecera" => "Artigo de Revisão/Review Article" "titulo" => "Aderência ao tratamento da asma" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "117" "paginaFinal" => "131" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "André Filipe dos Santos Gonçalves" "autores" => array:1 [ 0 => array:4 [ "nombre" => "André Filipe dos Santos" "apellidos" => "Gonçalves" "email" => array:1 [ 0 => "and_go_@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "1" "identificador" => "af0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cr0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Estudante do 6.º ano do curso de Medicina da Faculdade de Medicina da Universidade do Porto/6th year medical student" "etiqueta" => "1" "identificador" => "af0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cr0005" "etiqueta" => "*" "correspondencia" => "Faculdade de Medicina da Universidade do Porto, Director: Prof. Doutor José Agostinho Marques Lopes, Al. Prof. Hernâni Monteiro, 4200-319 Porto, Portugal" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Asthma treatment adherence" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-06-08" "fechaAceptado" => "2009-07-17" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570083" "palabras" => array:3 [ 0 => "Asma" 1 => "tratamento" 2 => "aderência" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570082" "palabras" => array:3 [ 0 => "Asthma" 1 => "treatment" 2 => "adherence" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "A asma é uma doença crónica muito prevalente na população, caracterizada por obstrução reversível das vias respiratórias. Vários estudos mostraram que há um controlo inadequado da doença, e uma das principais razões para isso é a falta de aderência à terapêutica. A não aderência à terapêutica pode ser não intencional ou intencional, e as causas podem ser intrínsecas às motivações, crenças e conhecimentos dos doentes, ou inerentes ao próprio tratamento.As razões para a não aderência são: não compreensão dos objectivos da terapêutica; não compreensão da gravidade da doença; medo relacionado com o uso dos fármacos; factores psicológicos, como depressão; complexidade dos esquemas terapêuticos; e dificuldades associadas às vias de administração, principalmente a inalatória.Reconhecendo estes factores como causa de não aderência, há estratégias que devem ser consideradas: estabelecer uma boa comunicação médico-doente; educar sobre a asma; planear o seguimento médico regular; simplificar o esquema terapêutico.A promoção da aderência ao tratamento da asma é importante para conseguir um melhor controlo da doença, proporcionando uma melhor qualidade de vida ao doente e, simultaneamente, redução dos custos associados à doença.Rev Port Pneumol 2010; XVI (1): 117-131" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "Asthma is a very prevalent chronic disease in the general population, characterized by reversible obstruction of respiratory airways. Multiple studies demonstrate an improper control of the disease, and one of the main reasons for that is reduced adherence to treatment. Non-adherence can be classified as nonintentional or intentional, and the causes can be related to the motivations, beliefs and knowledge of the patient or due to the therapeutic regimen.The reasons for non-adherence are non-comprehension of the treatment goals; non-comprehension of disease severity; fears related to drugs; psychological conditions such as depression; complexity of treatment regimen; difficulties with administration route, mainly inhaler.After recognizing these issues as cause of non-adherence, different approaches should be considered: set up a good physician-patient communication; promote asthma education; schedule regular appointments; simplify therapeutic regimen.It is important to promote adherence to achieve a good asthma control, and consequently a better quality of life and reduction of asthma associated costs.Rev Port Pneumol 2010; XVI (1): 117-131" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:89 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." 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Aderência ao tratamento da asma

Asthma treatment adherence

André Filipe dos Santos Gonçalves1,

Corresponding author

and_go_@hotmail.com

Faculdade de Medicina da Universidade do Porto, Director: Prof. Doutor José Agostinho Marques Lopes, Al. Prof. Hernâni Monteiro, 4200-319 Porto, Portugal

1 Estudante do 6.º ano do curso de Medicina da Faculdade de Medicina da Universidade do Porto/6th year medical student

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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">A asma &#233; uma doen&#231;a cr&#243;nica muito prevalente na popula&#231;&#227;o&#44; caracterizada por obstru&#231;&#227;o revers&#237;vel das vias respirat&#243;rias&#46; V&#225;rios estudos mostraram que h&#225; um controlo inadequado da doen&#231;a&#44; e uma das principais raz&#245;es para isso &#233; a falta de ader&#234;ncia &#224; terap&#234;utica&#46; A n&#227;o ader&#234;ncia &#224; terap&#234;utica pode ser n&#227;o intencional ou intencional&#44; e as causas podem ser intr&#237;nsecas &#224;s motiva&#231;&#245;es&#44; cren&#231;as e conhecimentos dos doentes&#44; ou inerentes ao pr&#243;prio tratamento&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">As raz&#245;es para a n&#227;o ader&#234;ncia s&#227;o&#58; n&#227;o compreens&#227;o dos objectivos da terap&#234;utica&#59; n&#227;o compreens&#227;o da gravidade da doen&#231;a&#59; medo relacionado com o uso dos f&#225;rmacos&#59; factores psicol&#243;gicos&#44; como depress&#227;o&#59; complexidade dos esquemas terap&#234;uticos&#59; e dificuldades associadas &#224;s vias de administra&#231;&#227;o&#44; principalmente a inalat&#243;ria&#46;</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Reconhecendo estes factores como causa de n&#227;o ader&#234;ncia&#44; h&#225; estrat&#233;gias que devem ser consideradas&#58; estabelecer uma boa comunica&#231;&#227;o m&#233;dico-doente&#59; educar sobre a asma&#59; planear o seguimento m&#233;dico regular&#59; simplificar o esquema terap&#234;utico&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall">A promo&#231;&#227;o da ader&#234;ncia ao tratamento da asma &#233; importante para conseguir um melhor controlo da doen&#231;a&#44; proporcionando uma melhor qualidade de vida ao doente e&#44; simultaneamente&#44; redu&#231;&#227;o dos custos associados &#224; doen&#231;a&#46;</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010&#59; XVI &#40;1&#41;&#58; 117-131</span></p></span>"
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        "titulo" => "Abstract"
        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall">Asthma is a very prevalent chronic disease in the general population&#44; characterized by reversible obstruction of respiratory airways&#46; Multiple studies demonstrate an improper control of the disease&#44; and one of the main reasons for that is reduced adherence to treatment&#46; Non-adherence can be classified as nonintentional or intentional&#44; and the causes can be related to the motivations&#44; beliefs and knowledge of the patient or due to the therapeutic regimen&#46;</p><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall">The reasons for non-adherence are non-comprehension of the treatment goals&#59; non-comprehension of disease severity&#59; fears related to drugs&#59; psychological conditions such as depression&#59; complexity of treatment regimen&#59; difficulties with administration route&#44; mainly inhaler&#46;</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall">After recognizing these issues as cause of non-adherence&#44; different approaches should be considered&#58; set up a good physician-patient communication&#59; promote asthma education&#59; schedule regular appointments&#59; simplify therapeutic regimen&#46;</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall">It is important to promote adherence to achieve a good asthma control&#44; and consequently a better quality of life and reduction of asthma associated costs&#46;</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010&#59; XVI &#40;1&#41;&#58; 117-131</span></p></span>"
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Article information

ISSN: 08732159
Original language: Portuguese

DOI:10.1016/S0873-2159(15)30010-6

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Year/Month	Html	Pdf	Total

2024 October	34	34	68
2024 September	44	28	72
2024 August	53	39	92
2024 July	34	26	60
2024 June	33	21	54
2024 May	27	31	58
2024 April	29	28	57
2024 March	25	29	54
2024 February	25	21	46
2024 January	26	27	53
2023 December	17	32	49
2023 November	21	20	41
2023 October	15	20	35
2023 September	21	30	51
2023 August	22	13	35
2023 July	22	32	54
2023 June	29	13	42
2023 May	23	25	48
2023 April	17	17	34
2023 March	20	23	43
2023 February	17	18	35
2023 January	16	17	33
2022 December	18	26	44
2022 November	40	30	70
2022 October	26	33	59
2022 September	24	27	51
2022 August	26	48	74
2022 July	21	40	61
2022 June	19	32	51
2022 May	28	40	68
2022 April	20	26	46
2022 March	21	26	47
2022 February	21	24	45
2022 January	28	42	70
2021 December	28	34	62
2021 November	28	27	55
2021 October	29	47	76
2021 September	28	26	54
2021 August	18	18	36
2021 July	22	27	49
2021 June	14	21	35
2021 May	29	19	48
2021 April	63	79	142
2021 March	50	14	64
2021 February	41	11	52
2021 January	29	10	39
2020 December	20	10	30
2020 November	40	15	55
2020 October	33	17	50
2020 September	45	29	74
2020 August	38	20	58
2020 July	63	14	77
2020 June	52	15	67
2020 May	57	23	80
2020 April	50	5	55
2020 March	59	11	70
2020 February	26	25	51
2020 January	43	23	66
2019 December	48	33	81
2019 November	40	10	50
2019 October	42	19	61
2019 September	45	19	64
2019 August	44	19	63
2019 July	26	13	39
2019 June	32	13	45
2019 May	37	28	65
2019 April	39	31	70
2019 March	39	8	47
2019 February	41	11	52
2019 January	49	15	64
2018 December	10	6	16
2018 November	2	0	2
2018 October	7	9	16
2018 September	14	6	20
2018 August	43	20	63
2018 July	33	26	59
2018 June	56	17	73
2018 May	48	27	75
2018 April	51	27	78
2018 March	43	33	76
2018 February	35	13	48
2018 January	38	22	60
2017 December	44	14	58
2017 November	46	14	60
2017 October	32	16	48
2017 September	23	6	29
2017 August	27	8	35
2017 July	21	13	34
2017 June	31	28	59
2017 May	41	16	57
2017 April	17	7	24
2017 March	20	58	78
2017 February	17	10	27
2017 January	18	3	21
2016 December	18	4	22
2016 November	12	5	17
2016 October	22	11	33
2016 September	9	10	19
2016 August	6	1	7
2016 July	4	1	5
2016 May	8	2	10
2016 April	5	5	10
2016 March	4	5	9
2016 February	3	9	12
2016 January	9	4	13
2015 December	10	7	17
2015 November	3	2	5
2015 October	3	4	7

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