AVALIAÇÃO DA DISTÂNCIA PERCORRIDA NO TESTE DE CAMINHADA DE SEIS MINUTOS E ATENDIMENTOS EM FISIOTERAPIA NOS PACIENTES SUBMETIDOS A CIRURGIA TORÁCICA POR NEOPLASIA PULMONAR.

Ano: 2013 | Volume: 15 | Número: 2

Autores: I. A. B. Saad, M. S. Barusso, C. P. C. R. R. Gonçalves, B. Melo

Palavras-chave: Neoplasias Pulmonares. Complicações Pós-Operatórias. Fisioterapia

Resumo Português:

A ressecção pulmonar é a principal opção de cura para pacientes com neoplasia, entretanto representa risco de complicações pulmonares pós-operatórias (CPPO). A fisioterapia respiratória no pré-operatório é fundamental para reduzir tais complicações, além da avaliação submáxima da capacidade ao exercício através do teste de caminhada de seis minutos (TC6). O objetivo deste estudo foi avaliar a distância percorrida no TC6 no pré-operatório de pacientes com neoplasia pulmonar e a correlação com o surgimento de CPPO e caracterizar os atendimentos de fisioterapia. Realizou-se um estudo retrospectivo através da revisão de prontuários de janeiro de 2009 a setembro de 2011. Os dados foram armazenados no programa Microsoft Excel 2007, e, posteriormente, analisados através do Statistical Package for the Social Sciences (SPSS) versão 17.0 para Windows. Avaliou-se 85 prontuários, porém apenas 21 foram incluídos no estudo, onde constava a avaliação física e funcional pré-operatória. Observou-se que não houve correlação entre a distância percorrida e o surgimento de CPPO (r=0,148). Dentre os incluídos, 76,2% eram do gênero masculino, 52,38% ex-tabagistas, 28,57% apresentaram carcinoma epidermóide e outros 28,57% adenocarcinoma. Quanto à cirurgia, 76,2% foram submetidos à lobectomia. O tempo médio de internação hospitalar foi de 11,38 dias e na UTI 3,34 dias. Concluiu-se que a média da distância percorrida foi de 414,16m e que não houve correlação entre a distância percorrida e o aparecimento de CPPO. Em relação ao acompanhamento fisioterapêutico, ocorreram em média 6,9 atendimentos por internação por paciente, sendo realizados, principalmente, exercícios de reexpansão pulmonarPulmonary resection is the primary curative therapy for patients with cancer, however represents the risk of postoperative pulmonary complications (PPC). Either respiratory physiotherapy and the evaluation of sub-maximal exercise capacity by the Six Minutes Walk Test (6MWT) are essential to reduce such complications. The aim of this study was to evaluate the distance traveled in the 6MWT in preoperative of patients with lung cancer and the correlation with PPC and to characterize the physiotherapy care. It was conducted a retrospective study by chart review from January 2009 to September 2011. The data were stored in Microsoft Excel 2007, and subsequently analyzed using the Statistical Package for Social Sciences (SPSS) version 17.0 for Windows. It was evaluated 85 charts, but only 21 were included in the study, since it contained a physical and preoperative functional evaluation. There was no correlation between the distance traveled in the 6MWT and the emergence of PPC (r=0,148). Among those patients studied, 76.2% were male, 52.38% were ex-smokers, 28.57% had squamous cell carcinoma and 28,57% presented adenocarcinoma. Concerning the surgery, 76.2% underwent lobectomy. The average hospital stay was 11.38 days and 3.34 days in the ICU. The average distance traveled was 414.16 m there was no correlation between the traveled distance and the emergence of PPC. In relation to physiotherapy, on average 6.9 sessions per patient per hospitalization occurred and pulmonary expansion exercises were performed mainly

Resumo Inglês:

Pulmonary resection is the primary curative therapy for patients with cancer, however represents the risk of postoperative pulmonary complications (PPC). Either respiratory physiotherapy and the evaluation of sub-maximal exercise capacity by the Six Minutes Walk Test (6MWT) are essential to reduce such complications. The aim of this study was to evaluate the distance traveled in the 6MWT in preoperative of patients with lung cancer and the correlation with PPC and to characterize the physiotherapy care. It was conducted a retrospective study by chart review from January 2009 to September 2011. The data were stored in Microsoft Excel 2007, and subsequently analyzed using the Statistical Package for Social Sciences (SPSS) version 17.0 for Windows. It was evaluated 85 charts, but only 21 were included in the study, since it contained a physical and preoperative functional evaluation. There was no correlation between the distance traveled in the 6MWT and the emergence of PPC (r=0,148). Among those patients studied, 76.2% were male, 52.38% were ex-smokers, 28.57% had squamous cell carcinoma and 28,57% presented adenocarcinoma. Concerning the surgery, 76.2% underwent lobectomy. The average hospital stay was 11.38 days and 3.34 days in the ICU. The average distance traveled was 414.16 m there was no correlation between the traveled distance and the emergence of PPC. In relation to physiotherapy, on average 6.9 sessions per patient per hospitalization occurred and pulmonary expansion exercises were performed mainly