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        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall">Em Janeiro 2008&#44; foi implementada&#44; em Portugal&#44; uma nova medida legislativa que condiciona o consumo de tabaco em espa&#231;os colectivos fechados&#46; Como a exposi&#231;&#227;o passiva ao fumo do tabaco provoca a exacerba&#231;&#227;o dos sintomas de asma&#44; tornou-se pertinente conhecer a percep&#231;&#227;o dos doentes asm&#225;ticos sobre as repercuss&#245;es desta nova lei no seu bem-estar&#46;</p><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall">Foi realizado um estudo descritivo transversal&#44; numa amostra de conveni&#234;ncia&#44; constitu&#237;da por 96 doentes asm&#225;ticos da consulta de Pneumologia do Hospital Pulido Valente e do Hospital de Santa Marta&#44; de Lisboa&#46; Os dados foram recolhidos a partir de um question&#225;rio padronizado com respostas volunt&#225;rias&#44; an&#243;nimas e confidenciais&#46; Para tratamento estat&#237;stico recorreu-se ao programa Epi Info<span class="elsevierStyleSup">TM</span> e foi aplicado o teste qui-quadrado para an&#225;lise dos resultados &#40;&#945;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>5&#37;&#41;&#46;</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall">Dos doentes inquiridos&#44; a percentagem dos que estiveram expostos a fumo de tabaco at&#233; Dezembro 2007 foi de 67&#44;7&#37;&#44; com maior preval&#234;ncia no grupo de indiv&#237;duos activos&#46; Apesar de a maioria dos inquiridos n&#227;o referir altera&#231;&#245;es no seu bem-estar&#44; 39&#44;6&#37; referiu altera&#231;&#245;es positivas &#40;melhoria na realiza&#231;&#227;o de actividades di&#225;rias&#44; diminui&#231;&#227;o dos sintomas ou menor necessidade de recorrer a medica&#231;&#227;o SOS&#41;&#46; Destes indiv&#237;duos&#44; que indicaram altera&#231;&#245;es positivas&#44; 81&#44;6&#37; deixaram de estar expostos ap&#243;s entrada da nova lei e 65&#44;8&#37; indicaram-na como factor respons&#225;vel&#46;</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall">Os resultados deste estudo&#44; apenas dois meses ap&#243;s a implementa&#231;&#227;o legal&#44; refor&#231;am a import&#226;ncia da aplica&#231;&#227;o de medidas legais eficazes que evitem a exposi&#231;&#227;o ao fumo de tabaco&#44; como forma de redu&#231;&#227;o da exacerba&#231;&#227;o dos sintomas e de melhoria do bem-estar dos doentes asm&#225;ticos&#46;</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009&#59; XV &#40;1&#41;&#58; 27-42</span></p></span>"
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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">January 2008 saw new legislation implanted in Portugal restricting smoking in closed public spaces&#46; As second-hand smoke worsens asthma symptoms&#44; it is important to understand how asthma patients feel this new legislation impacts on their well-being&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">A descriptive cross-sectional study was conducted in a convenience sample formed of 96 asthma patients who had Pulmonology appointments at the Pulido Valente and Santa Marta Hospitals&#46; All data was collected from a standardised questionnaire with volunteer&#44; anonymous and confidential answers&#46; Epi Info<span class="elsevierStyleSup">TM</span> software was used for statistical processing purposes&#44; and the results analysed using the chi-squared test &#40;&#945;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>5&#37;&#41;&#46;</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">67&#46;7&#37; of the patients polled were exposed to second-hand smoke until December 2007&#44; with a higher percentage in those currently in work&#46; A considerable percentage &#40;39&#46;6&#37;&#41; described positive changes &#40;measured by improved performance of daily life activities&#44; decrease in symptoms or lesser recourse to SOS medication&#41;&#44; even though the majority did not recognise any improvement&#46; 81&#46;6&#37; of those who noted positive changes said they were no longer exposed to second-hand smoke with the passing of the new legislation&#44; and 65&#46;8&#37; stated that the smoking ban was the factor responsible for those changes&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall">These results&#44; only two months after the implementation of the legislative ban on smoking in public spaces&#44; underline the importance of approving effective measures to create and enforce smoke-free environments&#44; reducing worsening of symptoms and improving asthma patients&#8217; well-being&#46;</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009&#59; XV &#40;1&#41;&#58; 27-42</span></p></span>"
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Vol. 15. Issue 1.
Pages 27-42 (January - February 2009)
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Vol. 15. Issue 1.
Pages 27-42 (January - February 2009)
Artigo Original/Original Article
Open Access
Asma e a nova lei do tabaco. O que mudou?
Asthma and the new anti-smoking legislation. What has changed?
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Ágata Areias1, João Duarte1, Joana Figueiredo1, Rita Lucas1, Inês Matos1, João Pires1, Ana Glória Fonseca2, José Luís Castanheira3
1 Aluno do 6.º ano do Mestrado Integrado em Medicina, Departamento de Saúde Pública, Faculdade de Ciências Médicas, Universidade Nova de Lisboa / 6th year medical students, Public Health Department, Faculty of Medical Sciences, New University of Lisbon.
2 Docente convidada do Departamento Universitário de Saúde Pública, Faculdade de Ciências Médicas, Universidade Nova de Lisboa / Guest Professor of University Department of Public Health, Faculty of Medical Sciences, New University of Lisbon
3 Coordenador do Departamento Universitário de Saúde Pública, Faculdade de Ciências Médicas, Universidade Nova de Lisboa / Coordinator of the University Department of Public Health, Faculty of Medical Sciences, New University of Lisbon
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Resumo

Em Janeiro 2008, foi implementada, em Portugal, uma nova medida legislativa que condiciona o consumo de tabaco em espaços colectivos fechados. Como a exposição passiva ao fumo do tabaco provoca a exacerbação dos sintomas de asma, tornou-se pertinente conhecer a percepção dos doentes asmáticos sobre as repercussões desta nova lei no seu bem-estar.

Foi realizado um estudo descritivo transversal, numa amostra de conveniência, constituída por 96 doentes asmáticos da consulta de Pneumologia do Hospital Pulido Valente e do Hospital de Santa Marta, de Lisboa. Os dados foram recolhidos a partir de um questionário padronizado com respostas voluntárias, anónimas e confidenciais. Para tratamento estatístico recorreu-se ao programa Epi InfoTM e foi aplicado o teste qui-quadrado para análise dos resultados (α=5%).

Dos doentes inquiridos, a percentagem dos que estiveram expostos a fumo de tabaco até Dezembro 2007 foi de 67,7%, com maior prevalência no grupo de indivíduos activos. Apesar de a maioria dos inquiridos não referir alterações no seu bem-estar, 39,6% referiu alterações positivas (melhoria na realização de actividades diárias, diminuição dos sintomas ou menor necessidade de recorrer a medicação SOS). Destes indivíduos, que indicaram alterações positivas, 81,6% deixaram de estar expostos após entrada da nova lei e 65,8% indicaram-na como factor responsável.

Os resultados deste estudo, apenas dois meses após a implementação legal, reforçam a importância da aplicação de medidas legais eficazes que evitem a exposição ao fumo de tabaco, como forma de redução da exacerbação dos sintomas e de melhoria do bem-estar dos doentes asmáticos.

Rev Port Pneumol 2009; XV (1): 27-42

Palavras-chave:
Asma
tabaco
exposição
fumo
fumo passivo
lei
Abstract

January 2008 saw new legislation implanted in Portugal restricting smoking in closed public spaces. As second-hand smoke worsens asthma symptoms, it is important to understand how asthma patients feel this new legislation impacts on their well-being.

A descriptive cross-sectional study was conducted in a convenience sample formed of 96 asthma patients who had Pulmonology appointments at the Pulido Valente and Santa Marta Hospitals. All data was collected from a standardised questionnaire with volunteer, anonymous and confidential answers. Epi InfoTM software was used for statistical processing purposes, and the results analysed using the chi-squared test (α=5%).

67.7% of the patients polled were exposed to second-hand smoke until December 2007, with a higher percentage in those currently in work. A considerable percentage (39.6%) described positive changes (measured by improved performance of daily life activities, decrease in symptoms or lesser recourse to SOS medication), even though the majority did not recognise any improvement. 81.6% of those who noted positive changes said they were no longer exposed to second-hand smoke with the passing of the new legislation, and 65.8% stated that the smoking ban was the factor responsible for those changes.

These results, only two months after the implementation of the legislative ban on smoking in public spaces, underline the importance of approving effective measures to create and enforce smoke-free environments, reducing worsening of symptoms and improving asthma patients’ well-being.

Rev Port Pneumol 2009; XV (1): 27-42

Key-words:
Asthma
tobacco
exposure
smoke
second-hand smoke
legislation
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Copyright © 2009. Sociedade Portuguesa de Pneumologia/SPP
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