Grigoletto Isis, de Lima Fabiano Francisco, Eto Daniele Akemi, Suzuki Natália Narumi Voltareli, Uzeloto Juliana Souza, Ramos Ercy Mara Cipulo
Department of Physical Therapy, São Paulo State University (UNESP), Faculty of Science and Technology, Presidente Prudente, São Paulo, Brazil.
Department of Physical Therapy, Speech and Occupational Therapy, School of Medicine, University of São Paulo (USP), São Paulo, São Paulo, Brazil.
Patient Prefer Adherence. 2022 Oct 11;16:2759-2772. doi: 10.2147/PPA.S367088. eCollection 2022.
To verify, through quali-quantitative analysis, the satisfaction and adherence of patients with Chronic Obstructive Pulmonary Disease (COPD) to the insertion of functional circuit training into conventional training.
23 patients with COPD from a randomized clinical trial were invited to participate in a quali-quantitative analysis after the training finalization, divided into FTG (Functional Training Group) and CTG (Conventional Training Group). A total of 21 patients participated [(FTG: n=10; 65.80±7.31 years; FEV/FVC: 56.44±12.67%) and CTG (n=11; 70.36±7.02 years; FEV/FVC: 55.89±8.20)]. For the qualitative evaluation, focus groups were performed, using a previously developed script. Adherence was verified by the presence in the training sessions that were prescribed, and the quantitative analysis was performed using questionnaires with multiple-choice questions (evaluation of the aspects that can interfere in a training). The participants were asked to define a grade between zero and ten regarding the aspects of the training (satisfaction).
In both groups, there was similar adherence (p=0.965) and satisfaction (p=0.341). The qualitative analysis identified seven themes and 17 codes, representing factors related to satisfaction and negative aspects, as follows: factors associated with satisfaction: self-efficacy management, physical and psychosocial improvement, interpersonal relationships, and proposed exercises. Negative aspects: pains, comorbidities, beliefs, and personal demotivation. In the quantitative analysis, was verified that an increase in the symptoms, the distance between home and training center, and personal problems were not factors that interfered in the adherence of the participants (p<0.05).
Similar satisfaction and adherence of patients with COPD were observed in the FTG and CTG and patients from FTG reported higher fatigue.
通过定性和定量分析，验证慢性阻塞性肺疾病（COPD）患者对在传统训练中加入功能循环训练的满意度和依从性。
23名来自一项随机临床试验的COPD患者在训练结束后被邀请参与定性和定量分析，分为功能训练组（FTG）和传统训练组（CTG）。共有21名患者参与[FTG：n = 10；65.80±7.31岁；FEV/FVC：56.44±12.67%]以及CTG（n = 11；70.36±7.02岁；FEV/FVC：55.89±8.20）。对于定性评估，采用预先制定的脚本进行焦点小组讨论。通过是否参加规定的训练课程来验证依从性，并使用多项选择题问卷进行定量分析（评估可能干扰训练的方面）。要求参与者就训练的各个方面（满意度）在0到10分之间打分。
两组的依从性（p = 0.965）和满意度（p = 0.341）相似。定性分析确定了七个主题和17个编码，代表与满意度和负面方面相关的因素，如下：与满意度相关的因素：自我效能管理、身体和心理社会改善、人际关系以及建议的锻炼。负面方面：疼痛、合并症、信念和个人动力不足。在定量分析中，证实症状增加、家庭与训练中心之间的距离以及个人问题并非影响参与者依从性的因素（p<0.05）。
FTG和CTG中COPD患者的满意度和依从性相似，且FTG患者报告疲劳程度更高。
