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Artigo de Revisão/Review Article
Influência da percepção da doença pulmonar obstrutiva crónica na promoção do autocontrolo da doença
Influence of perception of chronic obstructive pulmonary disease in promotion of self-management of disease
José Miguel dos Santos C Padilha1,
Corresponding author
miguelpadilha@esenf.pt

Rua Beatriz Costa, 51 4435-120, Rio Tinto, Portugal. Telefone: 965789507
1 Professor Adjunto da Escola Superior de Enfermagem do Porto, Portugal. Doutorando em Enfermagem na Universidade Católica Portuguesa. Mestre em Ciências de Enfermagem pelo Instituto de Ciências Biomédicas Abel Salazar, Porto, Portugal
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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Objectivo&#58;</span> Identificar o estado da arte acerca da influ&#234;ncia da percep&#231;&#227;o da doen&#231;a na promo&#231;&#227;o do autocontrolo em doentes com DPOC&#46; <span class="elsevierStyleBold">M&#233;todos&#58;</span> Realizamos uma revis&#227;o sistem&#225;tica da literatura&#44; recorrendo ao m&#233;todo PICOS&#59; a revis&#227;o sistem&#225;tica da literatura engloba os anos 2004 a 2009 e foi realizada entre Agosto e Setembro de 2009&#46; <span class="elsevierStyleBold">Resultados&#58;</span> Quatro artigos preencheram os crit&#233;rios de inclus&#227;o&#44; dos quais um de revis&#227;o da literatura e tr&#234;s estudos qualitativos&#46; Doentes com maior percep&#231;&#227;o de controlo da doen&#231;a e com maior auto-efic&#225;cia&#44; com situa&#231;&#245;es emocionais est&#225;veis&#44; apresentam melhores resultados no autocontrolo da doen&#231;a&#46; A avalia&#231;&#227;o&#44; discuss&#227;o e clarifica&#231;&#227;o das cren&#231;as&#44; atitudes e do impacto destas sobre a autoconfian&#231;a e autocontrolo&#44; devem ser integradas na pr&#225;tica cl&#237;nica&#46; <span class="elsevierStyleBold">Conclus&#227;o&#58;</span> A percep&#231;&#227;o da falta de controlo sobre a evolu&#231;&#227;o da doen&#231;a contribui para a menor qualidade de vida&#44; gera ansiedade&#44; leva ao isolamento social&#44; pode conduzir &#224; depress&#227;o e reduz a motiva&#231;&#227;o para a aquisi&#231;&#227;o de conhecimentos e capacidades para o autocontrolo da doen&#231;a&#46; A desmotiva&#231;&#227;o&#44; a incapacidade em reconhecer&#44; as capacidades cognitivas&#44; instrumentais ou de suporte social e suporte dos profissionais de sa&#250;de&#44; potencia o fraco autocontrolo da doen&#231;a e a n&#227;o ades&#227;o ao regime terap&#234;utico&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010&#59; XVI &#40;4&#41;&#58; 641-648</span></p></span>"
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        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Objective&#58;</span> Identify the state of the art about the influence of illness perceptions in the promotion of self-management in patients with COPD&#46; <span class="elsevierStyleBold">Method&#58;</span> We conducted a systematic review of the literature&#44; using the method of PICOS&#44; the systematic literature review includes the years 2004 to 2009 and was conducted between August and September 2009&#46; <span class="elsevierStyleBold">Results&#58;</span> Four articles met the inclusion criteria&#44; including a review of the literature and three qualitative studies&#46; Clients with higher perception of disease control and greater self-efficacy&#44; with stable emotional situations&#44; have better results in self-control of the disease&#46; The evaluation&#44; discussion and clarification of beliefs&#44; attitudes and their impact on self-confidence and self-control should be integrated into clinical practice&#46; <span class="elsevierStyleBold">Conclusion&#58;</span> The perceived lack of control over the course of the disease contributes to reduced quality of life&#44; creates anxiety&#44; leads to social isolation&#44; can lead to depression&#44; and reduces the motivation to acquire knowledge and skills for self-control disease&#46; The lack of motivation&#44; the inability to recognize the cognitive&#44; instrumental capabilities&#44; social support and support of health professionals&#44; power the low self-control of the disease and non-adherence to therapy&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010&#59; XVI &#40;4&#41;&#58; 641-648</span></p></span>"
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Article information
ISSN: 08732159
Original language: Portuguese
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