scholarly journals Percepção dos pacientes sobre os cuidados paliativos

2019 ◽  
Vol 13 (5) ◽  
pp. 1485
Author(s):  
Bruna Dias França ◽  
Kênia Lara Silva ◽  
Jocelly De Araújo Ferreira ◽  
Alexandre Ernesto Silva ◽  
Francisca Das Chagas Cunha Gonçalves Neta

RESUMOObjetivo: identificar, na produção científica, como os cuidados paliativos são ofertados sob a percepção dos pacientes que necessitam dessa terapia. Método: trata-se de estudo bibliográfico, descritivo, tipo revisão integrativa, de estudos publicados entre 2006 e 2016, nas bases de dados MEDLINE, BDENF, IBECS e LILACS. Utilizaram-se descritores controlados contemplados no DeCS, e resultados apresentados em forma de tabelas e figuras, discutidos com a literatura. Resultados: identificaram-se 27 publicações, as quais compuseram a amostra final. Elaboraram-se duas categorias temáticas: A percepção dos pacientes quanto aos cuidados paliativos ofertados por equipes especializadas e pelas equipes não especializadas e, As diferenças dos cuidados paliativos segundo o ambiente: atenção domiciliar versus atenção hospitalar. Conclusão: evidencia-se que os cuidados paliativos ofertados, segundo a percepção dos pacientes, devem abranger a totalidade do sujeito. Identificou-se que as equipes especializadas conseguem atender melhor os pacientes em cuidados paliativos. Ressalta-se que este estudo irá contribuir para a carência de publicações na temática, levando em consideração a ascensão dos cuidados paliativos, sendo necessário compreender a percepção do paciente sobre a oferta desse cuidado. Descritores: Cuidados Paliativos; Percepção; Pacientes; Assistência Hospitalar; Assistência domiciliar; Medicina Paliativa.ABSTRACT Objective: to identify, in scientific production, how palliative care is offered under the perception of patients who need this therapy. Method: this is a descriptive, descriptive, integrative review, of studies published between 2006 and 2016 in the MEDLINE, BDENF, IBECS and LILACS databases. Controlled descriptors were used, in DeCS, and results presented in the form of tables and figures, discussed with the literature. Results: 27 publications were identified, which comprised the final sample. Two thematic categories were elaborated: Patients' perception of palliative care offered by specialized teams and non-specialized teams; and Differences in palliative care according to the environment: home care versus hospital care. Conclusion: it is evident that the palliative care offered, according to the patients' perception, should cover the totality of the subject. It was identified that specialized teams are able to better serve patients in palliative care. It should be emphasized that this study will contribute to the lack of publications on the subject, taking into account the rise of palliative care, and it is necessary to understand the patient's perception about the provision of this care. Descriptors: Palliative Care; Perception; Patients; Hospital Assistance; Home assistance; Palliative Medicine.RESUMEN Objetivo: identificar, en la producción científica, cómo los cuidados paliativos son ofrecidos bajo la percepción de los pacientes que necesitan esa terapia. Método: se trata de estudio bibliográfico, descriptivo, tipo revisión integrativa, de estudios publicados entre 2006 y 2016, en las bases de datos MEDLINE, BDENF, IBECS y LILACS. Se utilizaron descriptores controlados contemplados en el DeCS, y resultados presentados en forma de tablas y figuras, discutidos con la literatura. Resultados: se identificaron 27 publicaciones, las cuales compusieron la muestra final. Se elaboraron dos categorías temáticas: La percepción de los pacientes en cuanto a los cuidados paliativos ofrecidos por equipos especializados y por los equipos no especializados y, Las diferencias de los cuidados paliativos según el ambiente: atención domiciliar frente a la atención hospitalaria. Conclusión: se evidencia que los cuidados paliativos ofrecidos, según la percepción de los pacientes, deben abarcar la totalidad del sujeto. Se identificó que los equipos especializados logran atender mejor a los pacientes en cuidados paliativos. Se resalta que este estudio contribuirá a la carencia de publicaciones en la temática, teniendo en cuenta la ascensión de los cuidados paliativos, siendo necesario comprender la percepción del paciente sobre la oferta de ese cuidado. Descritores: Cuidados Paliativos; Percepción; Pacientes; Atención Hospitalaria; Atención Domiciliaria de Salud; Medicina Paliativa.

2009 ◽  
Vol 8 (3) ◽  
Author(s):  
Luciane Favero ◽  
Tatiana Braga de Camargo ◽  
Maria Helena Lenardt ◽  
Verônica de Azevedo Mazza ◽  
Maria Ribeiro Lacerda

Author(s):  
Dayara de Nazaré Rosa de Carvalho ◽  
Viviane Ferraz Ferreira de Aguiar ◽  
Manuela Furtado Veloso de Oliveira ◽  
Monique Lindsy Silva de Souza ◽  
Sandra Suely Silva de Oliveira ◽  
...  

Objective: This study aims to quantify and describe the characteristics of scientific production in Brazilian Nursing on Palliative Care between the years 2015-2020. Methodology: This is a descriptive, bibliometric study. At the end of the selection stage, the final sample of 98 publications emerged. Results: Of the total number of publications, 28 (28.57%) in the VHL database and 70 (71.43%) in SciELO. Most publications occurred in 2018 with 26 (26.53%) and 2016 with 19 (19.39%) publications, followed by 2017 with 16 (15.36%) publications. Conclusion: The findings in this study show that in the past 5 years, Brazilian nursing has been discussing and researching palliative care. However, it was also observed that the concentration of Brazilian nursing publications in palliative care is in the Southeast and South regions of Brazil, with the North region falling far short of study in the area.


2018 ◽  
Vol 12 (42) ◽  
pp. 102-110
Author(s):  
Robson Pereira da Silva ◽  
Ivelise Fhrideriad Alves Furtado da Costa

Abstract: Objective: To quantify and analyze the scientific production on the knowledge of nurses regarding the etiological, clinical aspects of Alzheimer's disease (AD) and its inherent complications. Methods: this is an integrative review of publications published between 2016 and 2017. The articles analyzed were found by consulting the databases: Scientific Electronic Library Online and Virtual Health Library. We collected 428 articles with the descriptors DA, Nursing, and Diagnosis, 15 of which were selected. Results: predominance of studies addressing the diagnosis but without making reference to clinical aspects of the disease was observed, reinforcing the initial concerns of this survey. Research about this subject does not emphasize all clinical aspects, and the analysis of the knowledge for interventions by nurses is unfeasible. Conclusion: It is essential stay up-to-date to be able to adopt a professional conduct on the subject, directing the care so as to reduce the impacts of the disease.  


BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e041432
Author(s):  
Hsien Seow ◽  
Rinku Sutradhar ◽  
Fred Burge ◽  
Kimberlyn McGrail ◽  
Dawn M Guthrie ◽  
...  

ObjectivesTo investigate whether cancer decedents who received palliative care early (ie, >6 months before death) and not-early had different risk of using hospital care and supportive home care in the last month of life.Design/settingWe identified a population-based cohort of cancer decedents between 2004 and 2014 in Ontario, Canada using linked administrative data. Analysis occurred between August 2017 to March 2019.ParticipantsWe propensity-score matched decedents on receiving early or not-early palliative care using billing claims. We created two groups of matched pairs: one that had Resident Assessment Instrument (RAI) home care assessments in the exposure period (Yes-RAI group) and one that did not (No-RAI group) to control for confounders uniquely available in the assessment, such as health instability and pain. The outcomes were the absolute risk difference between matched pairs in receiving hospital care, supportive home care or hospital death.ResultsIn the No-RAI group, we identified 36 238 pairs who received early and not-early palliative care. Those in the early palliative care group versus not-early group had a lower absolute risk difference of dying in hospital (−10.0%) and receiving hospital care (−10.4%) and a higher absolute risk difference of receiving supportive home care (23.3%). In the Yes-RAI group, we identified 3586 pairs, where results were similar in magnitude and direction.ConclusionsCancer decedents who received palliative care earlier than 6 months before death compared with those who did not had a lower absolute risk difference of receiving hospital care and dying in hospital, and an increased absolute risk difference of receiving supportive home care in the last month of life.


10.3823/2396 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Emilie De Oliveira Costa ◽  
Patrícia Serpa de Souza Batista ◽  
Jessyka Cibelly Minervina da Costa Silva ◽  
Débora Rodrigues Alves de Lima ◽  
Priscilla De Freitas Farias ◽  
...  

Objectives: to characterize the scientific production on Palliative Care in the process of human terminality in the Health field, from 2007 to 2016. Methods: integrative review of the literature conducted in September and October 2016, available from the Virtual Health Library through the electronic databases: SciELO, LILACS and BDENF. The guiding question was: What is the characterization of the scientific production on Palliative Care in the process of the human terminality disseminated in online journals in the Health field, from 2007 to 2016? The study sample consisted of 27 publications related to the investigated topic, using the descriptors "palliative care and terminality". The analyzed data were grouped and presented in figures. Results: from the selected publications, two thematic categories emerged: Palliative care to the terminal patient with an emphasis on humanization and Assistance to the terminal patient in palliative  care. Conclusion: this review verified that the production is incipient, and that technical and humanized actions guide the practice of palliative care.  


2019 ◽  
Vol 8 (1) ◽  
pp. 221-235 ◽  
Author(s):  
Daniella De Paula Chiesa ◽  
Mário Antônio Sanches ◽  
Daiane Priscila Simão-Silva

O estudo do Planejamento familiar, no contexto da bioética, abre-se para diversas perspectivas, entre elas a valorização dos seus diferentes atores. Situado neste contexto o artigo tem como objetivo identificar o perfil de gênero na produção científica sobre Planejamento Familiar no Brasil, entre 2000 e 2014, assim como a área de formação e especialização dos autores. Foram utilizadas metodologias que permitiram mapear o estado da arte do tema estudado, a partir de uma revisão da literatura. O resultado da pesquisa identifica que a produção científica sobre Planejamento Familiar no Brasil se compõe de perfil destacadamente feminino (71,76%). Dos 73 artigos analisados, 42 (57,53%) o foco do tema está direcionado à mulher assim como evidencia-se a área de ciências da saúde com maior concentração das publicações do tema.  Este aspecto da pesquisa abre para uma realidade complexa onde se buscam criticamente as razões para a pesquisa em Planejamento Familiar ter ênfase na mulher e ser um tema de relevância nas ciências da saúde.Palavras-chave: Produção científica, Planejamento Familiar, Gênero.  ABSTRACT: The study of Family Planning, in the context of bioethics, opens to diverse perspectives, among them the appreciation of their different agents. Situated in this context the article aims to identify the profile of gender in scientific literature on Family Planning in Brazil, between 2000 and 2014, as well as the area of training and specialization of the authors. Methodologies were used which allowed to map the State of the art of the subject studied, from a review of the literature. The results found identify that the scientific production on Family Planning in Brazil is formed with a outstandingly female profile (71,76%). Of the 73 articles examined, 42 (57.53%) the focus of the topic is directed to women as well as showing the health sciences area with highest concentration of publications. This aspect of the research opens to a complex reality where we seek critically the reasons for Research in Family Planning have emphasis on woman and be a topic of relevance in health sciences.Keywords: Scientific Production, Family Planning, Gender.


1970 ◽  
Vol 5 (1) ◽  
Author(s):  
Linlin Lindayani ◽  
Nenden Nur Asriyani Maryam

Asuhan palitif untuk pasien dengan HIV/AIDS merupakan elemen inti dari asuhan pasien dengan HIV/AIDS. Asuhan paliatif yang berbasis home care saat ini menjadi elemen penting yang digunakan di berbagainegara. Akan tetapi, tidak ada studi atau tinjauan sebelumnya yang menganalisis efektifitas dari asuhanpaliatif yang berbasis home care pada pasien dengan HIV/AIDS. Tujuan dari tinjauan sistematik ini adalahuntuk mengevaluasi efektivitas Palliative Home Care untuk pasien dengan HIV/AIDS terhadap nyeri,pengendalian gejala, meningkatkan kualitas hidup, meningkatkan kepuasan asuhan, dan efektivitas biaya.Pencarian awal terbatas dilakukan di MEDLINE dan CINAHL. Kedua database tersebut dipilih denganpertimbangan bahwa keduanya merupakan database terbesar di bidang kesehatan dan kedokteran. Kemudiastrategi pencarian lainnya dilakukan pada database lain meliputi: Cochrane Library, UpToDate, Ovid, AIDSCare, Journal of Palliative Care, dan Journal of Palliative Medicine. Studi yang diterbitkan dalam Bahasa Inggrisdan tahun 2000-2016 dipertimbangkan untuk dimasukkan dalam tinjauan ini. Data diekstrak oleh penulis dandiringkas menggunakan alat ekstraksi data dari JBI (Joanna Briggs Institute). Kami menemukan 4 studi yangmasuk kedalam kriteria tinjauan kami, satu studi randomizes control trial dan tiga studi prospectively control.Hasil dari tinjauan ini menunjukkan bahwa Palliative Home Care terbukti efektif dalam mengontol nyeridan gejala-gelaja lain, mempertahankan dan meningkatkan kualitas hidup pasien, tingginya kepuasan daripasien dan kelurga terhadap asuhan Palliative Home Care berkisar 93% - 96% dan lebih cost-effectivenessdibandingkan dengan Hospital-Based Palliative Care. Dengan demikian, penting untuk mengembangkanPalliative Home Care untuk pasien dengan HIV/AIDS terutama untuk negara dengan sumber daya yang terbatas.


1998 ◽  
Vol 6 (2) ◽  
pp. 79-85 ◽  
Author(s):  
BR Ferrell ◽  
R Virani ◽  
M Grant

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