RESUMO
Bronchial asthma is a chronically disease with huge social economical consequences. Educational programs, which have been design for asthmatic patients and diminish asthma mobility and reduce medical cost. They also improve the patients quality of life. We show the results of our educational programs for asthmatic adults which were evaluated through a questionnaire applied to these patient one year after the program was introduced. The results show decreased of medicine required asthmatic crisis.
Assuntos
Asma/fisiopatologia , Educação de Pacientes como Assunto , Adulto , Feminino , Humanos , MasculinoRESUMO
BACKGROUND: Rhinitis is clinically defined by obstruction, sneezing, pruritus and rhinorrhea. MATERIAL AND METHOD: There were studied 69 consecutive patients, from clinical immunology and allergy service of Hospital de Especialidades del Centro Medico Nacional Siglo XXI. RESULTS: 53 of them were women and 16 were men, all of them with ages between 15 and 55 years. They all had perennial allergic rhinitis, 50.7% of them had atopy, 47.8%, asthma as an added disease, 27.5%, nasal polyposis and 44.9%, sinusitis, in maxillary sinus 59.9%, in ethmoid 36.2% in 7.2% frontal. With septal deviation 33.3%, in 7.2% septal deviation with spur, obstruction of the osteomeatal complex in 4.3%, turbinate hypertrophy in 53.5%, polyps in 27.5% and bullous conchae in 7.2%. The diagnosis was performed by axial computerized tomography of paranasal sinuses. The chi square determined the association between structural alterations and the presence of sinusitis, with p = 0.001, with close relation between allergic rhinitis and sinusitis. CONCLUSIONS: Diagnosis and appropriate treatment proved to be very important in handling this disease.