RESUMO
BACKGROUND: Asthmatic patients present different degrees of anxiety and depression, being psychiatric pathologies the most frequent alterations related to this illness. In this country there is available information of asthma in children but just a few about adult patients. OBJECTIVES: To know the frequency of anxiety and depression in adult asthmatic patients, compare them with healthy individuals and determine their relationship with the severity of illness. PATIENTS AND METHODS: There were included asthmatic adults (GINA 2002) and as control group healthy individuals, using the HAD scale (Hospital Anxiety and Depression Scale) to determine the presence of anxiety and depression RESULTS: 120 patients participated, 60 in each group with a mean age of 34 years old in the group 1 (asthmatic) and 31 years old in group 2 (healthy individuals). The HAD scale results in group 1 showed that 30% of patients presented anxiety, and 8% showed depression; in group 2 18% had anxiety and 3% depression. There are more anxiety and depression in asthmatic patients than in healthy individuals, p < 0.05, correlation between depression and severity of asthma is r = 0.288. CONCLUSIONS: Anxiety is frequent in asthmatic patients, being less common the presence of depression but related with asthma severity. These results contrast with available information where up to 54% of asthmatic patient present anxiety and 30% depression, using the same scale HAD. It is necessary to identify these problems, with the object to give an integral an accurate treatment to the patient.
Assuntos
Ansiedade/epidemiologia , Asma/psicologia , Depressão/epidemiologia , Adulto , Ansiedade/etiologia , Transtornos de Ansiedade/epidemiologia , Transtornos de Ansiedade/etiologia , Doadores de Sangue/psicologia , Comorbidade , Depressão/etiologia , Transtorno Depressivo/epidemiologia , Transtorno Depressivo/etiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Testes Psicológicos , Índice de Gravidade de DoençaRESUMO
BACKGROUND: The Global Initiative for Asthma (GINA) provides effective medical care to asthmatic patients. Knowledge and appropriate handling of GINAS' management guidelines for medicine residents significantly reduce asthma morbidity and mortality. OBJECTIVE: To evaluate the level of knowledge about asthma on Global initiative for Asthma program before and after an educational strategy in residents. MATERIAL AND METHODS: Forty-four residents of first, second, and third grade of UMF No. 21 and No. 28 took part in this project A magisterial lecture and a workshop about clinical cases on asthma were carried out. The lecture lasted three hours and asthma surveys, before and after the educational strategy; were applied. Descriptive statistics as well as t test in SPSS were used for statistical analysis. RESULTS: Average grade of the 44 residents before the workshop was of 4.24 +/- 1.6, and after the workshop of 6.00 +/- 1.71. Therewere no significant differences among groups peryear of medical residency onthe initial assessment; however, residents of first year showed an increment on asthma knowledge (p < 0.05) in the subsequent test. There were no differences among groups. CONCLUSIONS: Asthma educational workshops increase residents' awareness of asthma, mainly first-year medical students.