| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 1.93 MB | Adobe PDF |
Advisor(s)
Abstract(s)
Introdução: Os Cuidados Paliativos são considerados actualmente um
imperativo ético. A sua organização, implementação e prestação adequada,
implicam uma avaliação das necessidades dos doentes e seus familiares. Este
estudo teve como objectivo avaliar as necessidades de Cuidados Paliativos das
pessoas que faleceram na Região Autónoma da Madeira (RAM) no ano de
2010.
Metodologia: A população-alvo estudada foi constituída por todas as pessoas
falecidas na RAM no ano de 2010 (N=2642). Os dados relativos ao número de
processo hospitalar, género, idade e concelho de residência, foram cedidos
pelo núcleo de estatística do Serviço de Saúde da RAM. Foi obtida uma
amostra estratificada de 347 pessoas falecidas, distribuídas pelos 11 concelhos
da RAM. As variáveis estudadas foram o género, idade, concelho de
residência, caso de morte por doença com indicação para Cuidados Paliativos,
caso de admissão no serviço de urgência e em internamento nos últimos 12
meses de vida, e local do óbito. Foram utilizados os programas informáticos
Microsoft Office Excel e SPSS versão 20.0, no processamento e análise dos
dados.
Resultados: Apresentaram indicação para Cuidados Paliativos 41,2% dos
óbitos, sendo 55,8% do sexo feminino, com uma média de idades entre
72,7±15,4 anos. O Funchal representou o maior número de casos com
indicação para Cuidados Paliativos (37,0%), as neoplasias foram as causas de
morte mais frequentes (61,6%), as idas ao serviço de urgência nos últimos 12
meses de vida variaram entre 5,3±4,3 e os internamentos variaram entre
2,2±1,9, o local de morte mais frequente foi o internamento hospitalar (76,1%).
Conclusões: Confirma-se a necessidade real de um Programa Regional de
Cuidados Paliativos, com o objectivo de no futuro se diminuir o número de
doentes admitidos nos hospitais da RAM com necessidades de Cuidados
Paliativos não supridas e aumentar o número de óbitos no domicílio com
qualidade.
Introduction: Palliative care is now considered an ethical imperative. Its organization, implementation and adequate provision, involves an assessment of the needs of patients and their families. This study aimed to assess the needs for palliative care of people who died in the Autonomous Region of Madeira (ARM) in 2010. Methods: The target population studied consisted of all deceased persons in ARM in 2010 (N = 2642). The data on the number of hospital process, gender, age and county of residence, were provided by core statistic of Health Service of ARM. Stratified sample of 347 deceased persons, distributed among 11 municipalities of ARM, was obtained. The variables in study were gender, age, county of residence, death by disease with indication for Palliative Care, the case of admission to the emergency department and hospitalization in the last 12 months of life, and place of death. Computer programs Microsoft Office Excel and SPSS version 20.0 were used for processing and data analysis. Results: Presented indication for Palliative Care 41.2 % of deaths, 55.8% were female, with an average age of 72.7 ± 15.4 years. The Funchal represented the largest number of cases indicated for palliative care (37.0 %), neoplasms were the most frequent causes of death (61.6 %), admissions to the emergency department in the last 12 months of life ranged from 5.3 ± 4.3 and hospitalizations ranged between 2.2 ± 1.9, the more frequent site of death was in hospitalization (76.1 %). Conclusions: Attempted to demonstrate the real need of a Regional Palliative Care Program, with the aim of reducing the number of patients admitted to hospitals in ARM with unmet Palliative Care needs and increase the number of deaths at home with quality.
Introduction: Palliative care is now considered an ethical imperative. Its organization, implementation and adequate provision, involves an assessment of the needs of patients and their families. This study aimed to assess the needs for palliative care of people who died in the Autonomous Region of Madeira (ARM) in 2010. Methods: The target population studied consisted of all deceased persons in ARM in 2010 (N = 2642). The data on the number of hospital process, gender, age and county of residence, were provided by core statistic of Health Service of ARM. Stratified sample of 347 deceased persons, distributed among 11 municipalities of ARM, was obtained. The variables in study were gender, age, county of residence, death by disease with indication for Palliative Care, the case of admission to the emergency department and hospitalization in the last 12 months of life, and place of death. Computer programs Microsoft Office Excel and SPSS version 20.0 were used for processing and data analysis. Results: Presented indication for Palliative Care 41.2 % of deaths, 55.8% were female, with an average age of 72.7 ± 15.4 years. The Funchal represented the largest number of cases indicated for palliative care (37.0 %), neoplasms were the most frequent causes of death (61.6 %), admissions to the emergency department in the last 12 months of life ranged from 5.3 ± 4.3 and hospitalizations ranged between 2.2 ± 1.9, the more frequent site of death was in hospitalization (76.1 %). Conclusions: Attempted to demonstrate the real need of a Regional Palliative Care Program, with the aim of reducing the number of patients admitted to hospitals in ARM with unmet Palliative Care needs and increase the number of deaths at home with quality.
Description
Keywords
Cuidados paliativos Avaliação de necessidades Mortalidade Palliative care Needs assessment Mortality