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Concordância interobservador e fiabilidade da avaliação do padrão respiratório de forma remota em pessoas com doença pulmonar obstrutiva crónica
| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| Projeto de graduação_42128 | 2.17 MB | Adobe PDF |
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Introdução: A avaliação do padrão respiratório é essencial na gestão da doença pulmonar obstrutiva crónica (DPOC). Este estudo avaliou a fiabilidade interobservador do Breathing Pattern Assessment Tool (BPAT), aplicado presencialmente e remotamente, por vídeo. Métodos: Participaram 18 pessoas com DPOC (72% mulheres; média 80 anos). O BPAT foi aplicado por quatro avaliadores um presencial e três remotos com base em vídeos. A concordância foi analisada pelo coeficiente de correlação intraclasse (CCI) e o teste de Friedman avaliou diferenças entre pontuações. Resultados: O BPAT obteve CCI total de 0,70 (suficiente). Itens como fluxo expiratório (CCI=0,88) e via respiratória (CCI=0,84) revelaram alta concordância. Movimento, ritmo e fome de ar tiveram menor consistência (CCI≈0,32–0,38). O teste de Friedman indicou ausência de diferenças estatisticamente significativas (p=0,245). Conclusão: O BPAT demonstrou fiabilidade suficiente na avaliação remota do padrão respiratório em pessoas com DPOC, destacando-se como um instrumento com aplicabilidade em contextos de teleconsulta.
Introduction: Respiratory pattern assessment is essential in the management of Chronic Obstructive Pulmonary Disease (COPD). This study evaluated the inter-rater reliability of the BPAT, applied both in person and remotely via video. Methods: Eighteen individuals with COPD participated (72% women; mean age 80 years). The BPAT was applied by four raters (one in-person, three remote) using recorded videos. Inter-rater agreement was assessed using the Intraclass Correlation Coefficient (ICC), and the Friedman test was used to evaluate differences between scores. Results: The BPAT showed an overall intraclass correlation coefficient (ICC) of 0.70 (considered sufficient). Items such as expiratory flow (ICC=0.88) and respiratory route (ICC=0.84) demonstrated high agreement. Movement, rhythm, and air hunger showed lower consistency (ICC≈0.32–0.38). Inspiratory flow had an undefined ICC in remote assessment. The Friedman test indicated no statistically significant differences between assessment conditions (p=0.245). Conclusion: The BPAT showed moderate reliability in the remote assessment of respiratory pattern in people with COPD, supporting its usefulness in teleconsultation settings.
Introduction: Respiratory pattern assessment is essential in the management of Chronic Obstructive Pulmonary Disease (COPD). This study evaluated the inter-rater reliability of the BPAT, applied both in person and remotely via video. Methods: Eighteen individuals with COPD participated (72% women; mean age 80 years). The BPAT was applied by four raters (one in-person, three remote) using recorded videos. Inter-rater agreement was assessed using the Intraclass Correlation Coefficient (ICC), and the Friedman test was used to evaluate differences between scores. Results: The BPAT showed an overall intraclass correlation coefficient (ICC) of 0.70 (considered sufficient). Items such as expiratory flow (ICC=0.88) and respiratory route (ICC=0.84) demonstrated high agreement. Movement, rhythm, and air hunger showed lower consistency (ICC≈0.32–0.38). Inspiratory flow had an undefined ICC in remote assessment. The Friedman test indicated no statistically significant differences between assessment conditions (p=0.245). Conclusion: The BPAT showed moderate reliability in the remote assessment of respiratory pattern in people with COPD, supporting its usefulness in teleconsultation settings.
Descrição
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em Fisioterapia.
Palavras-chave
DPOC Padrão respiratório Avaliação remota BPAT COPD Breathing pattern Remote assessment