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Advisor(s)
Abstract(s)
É consensual que a uniformização de instrumentos de avaliação de sintomas em cuidados paliativos facilita a comunicação e promove a melhoria dos cuidados.
Contribuindo para essa uniformização em Portugal pretende-se conhecer quais os instrumentos mais frequentemente utilizados em investigação em cuidados paliativos no período de Fevereiro de 2000 a Fevereiro de 2014 para avaliação da astenia/fadiga, dispneia e tosse, e se estes estão validados para a população portuguesa.
Método: Revisão sistemática da literatura realizada em 2014 utilizando as bases de dados eletrónicas, Pubmed e EBSCO.
Resultados: Selecionadas 49 publicações relativas à astenia/fadiga. Identificados 19 instrumentos diferentes (5 unidimensionais,10 multidimensionais e 4 de qualidade de vida).
Selecionadas 31 publicações relativas à dispneia. Identificados 8 instrumentos diferentes (3 unidimensionais, 2 multidimensionais e 3 de qualidade de vida).
Selecionadas 4 publicações relativas à tosse. Identificados 3 instrumentos diferentes; 2 multidimensionais e 1 de qualidade de vida.
Conclusão: Relativamente à astenia/fadiga e à dispneia a maioria dos estudos utilizou instrumentos de avaliação unidimensionais destacando-se a Edmonton Symptom Assessment Scale (ESAS) e a Visual Analogue Scale (VAS) respetivamente.
O total de publicações relativas à tosse não permitiu com evidência garantir tais conclusões.
Quanto à validação para Portugal dos instrumentos identificados, existe espaço para melhoria.
The fact that the assessment symptoms instruments’ standardisation in palliative care renders the communication easier and promotes better health care is commonly agreed. In an attempt to add to that standardisation in Portugal, we intend to identify the instruments in palliative care research the most frequently used over the period from February 2000 to February 2014, within the scope of the study of asthenia/fatigue, dyspnoea and cough, and verify if those instruments are validated for the Portuguese population. Method: Regular revision of the literature published in 2014, using the electronic databases Pubmed and EBSCO. Results: Selected 49 assays on asthenia/fatigue. 19 different instruments identified (5 unidimensional, 10 multidimensional and 4 related to quality of life). Selected 31 assays on dyspnoea. 8 different instruments identified (3 unidimensional, 2 multidimensional and 3 on quality of life). Selected 4 assays on cough. 3 different instruments identified (2 multidimensional and 1 on quality of life). Conclusion: As to asthenia/fatigue and to dyspnoea, the majority of the studies used unidimensional assessment instruments, namely the Edmonton Symptom Assessment Scale (ESAS) and the Visual Analogue Scale (VAS) respectively. The whole amount of literature pieces on the cough did not unequivocally allow us to draw the same conclusions. As for the validation of the identified instruments for Portugal, there is room for improvement.
The fact that the assessment symptoms instruments’ standardisation in palliative care renders the communication easier and promotes better health care is commonly agreed. In an attempt to add to that standardisation in Portugal, we intend to identify the instruments in palliative care research the most frequently used over the period from February 2000 to February 2014, within the scope of the study of asthenia/fatigue, dyspnoea and cough, and verify if those instruments are validated for the Portuguese population. Method: Regular revision of the literature published in 2014, using the electronic databases Pubmed and EBSCO. Results: Selected 49 assays on asthenia/fatigue. 19 different instruments identified (5 unidimensional, 10 multidimensional and 4 related to quality of life). Selected 31 assays on dyspnoea. 8 different instruments identified (3 unidimensional, 2 multidimensional and 3 on quality of life). Selected 4 assays on cough. 3 different instruments identified (2 multidimensional and 1 on quality of life). Conclusion: As to asthenia/fatigue and to dyspnoea, the majority of the studies used unidimensional assessment instruments, namely the Edmonton Symptom Assessment Scale (ESAS) and the Visual Analogue Scale (VAS) respectively. The whole amount of literature pieces on the cough did not unequivocally allow us to draw the same conclusions. As for the validation of the identified instruments for Portugal, there is room for improvement.
Description
Keywords
Assessment symptoms instruments Palliative care