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Advisor(s)
Abstract(s)
Em Cuidados Paliativos, a comunicação entre pares e a promoção da melhoria de cuidados é facilitada pela uniformização de instrumentos de avaliação de sintomas.
Pretende-se conhecer os instrumentos mais frequentemente utilizados em investigação em Cuidados Paliativos, na avaliação da obstipação, diarreia e vómitos, no período compreendido entre janeiro de 2008 a novembro de 2018, assim como saber se os mesmos se encontram validados para a população portuguesa, e desta forma contribuir para a uniformização destes instrumentos em Portugal.
Método: Revisão sistemática da literatura realizada em 2018 utilizando as bases de dados eletrónicas, Pubmed e EBSCO (MEDLINE, CINAHL, Academic Search Complete e MedicLatina).
Resultados: Selecionadas 12 publicações relativas à obstipação. Identificados 10 instrumentos diferentes (5 unidimensionais, 2 multidimensionais e 3 de qualidade de vida).
Selecionadas 7 publicações relativas à diarreia. Identificados 5 instrumentos diferentes (2 unidimensionais e 3 de qualidade de vida).
Selecionadas 9 publicações relativas aos vómitos. Identificados 8 instrumentos diferentes (3 multidimensionais, 1 unidimensional e 4 de qualidade de vida).
Conclusão: Relativamente à obstipação e à diarreia e aos vómitos, a maioria dos estudos utilizou instrumentos de avaliação unidimensionais e de avaliação da qualidade de vida destacando-se a Edmonton Symptom Assessment Scale (ESAS) e o European Organization for Research and Treatment of Cancer quality of Life Questionnaire- C30 (EORTC QLQ-C30) respetivamente.
Quanto à validação para Portugal dos instrumentos identificados, existe espaço para melhoria.
In palliative care the communication between peers and the promotion of care improvement is facilitated by the uniformization of symptom assessment instruments. The aim is to know the most frequently used instruments in palliative care investigation in constipation, diarrhea and vomiting assessment during the period between january 2008 and november 2018, and to determine if these instruments are validated for the Portuguese population, in order to contribute to its uniformization in Portugal. Method: Regular revision of the literature published in 2018, using the electronic databases Pubmed and EBSCO (MEDLINE, CINAHL, Academic Search Complete and MedicLatina). Results: Selected 12 assays on constipation. 10 different instruments identified (5 unidimensional, 2 multidimensional and 3 related to quality of life). Selected 7 assays on diarrhea. 5 different instruments identified (2 unidimensional and 3 on quality of life). Selected 9 assays on vomiting. 8 different instruments identified (3 multidimensional, 1 unidimensional and 4 on quality of life). Conclusion: As to constipation, diarrhea and vomiting the majority of the studies used unidimensional and quality of life assessment instruments, namely the Edmonton Symptom Assessment Scale (ESAS) and the Organization for Research and Treatment of Cancer quality of Life Questionnaire- C30 (EORTC QLQ-C30), respectively. As for the validation of the identified instruments for Portugal, there is room for improvement.
In palliative care the communication between peers and the promotion of care improvement is facilitated by the uniformization of symptom assessment instruments. The aim is to know the most frequently used instruments in palliative care investigation in constipation, diarrhea and vomiting assessment during the period between january 2008 and november 2018, and to determine if these instruments are validated for the Portuguese population, in order to contribute to its uniformization in Portugal. Method: Regular revision of the literature published in 2018, using the electronic databases Pubmed and EBSCO (MEDLINE, CINAHL, Academic Search Complete and MedicLatina). Results: Selected 12 assays on constipation. 10 different instruments identified (5 unidimensional, 2 multidimensional and 3 related to quality of life). Selected 7 assays on diarrhea. 5 different instruments identified (2 unidimensional and 3 on quality of life). Selected 9 assays on vomiting. 8 different instruments identified (3 multidimensional, 1 unidimensional and 4 on quality of life). Conclusion: As to constipation, diarrhea and vomiting the majority of the studies used unidimensional and quality of life assessment instruments, namely the Edmonton Symptom Assessment Scale (ESAS) and the Organization for Research and Treatment of Cancer quality of Life Questionnaire- C30 (EORTC QLQ-C30), respectively. As for the validation of the identified instruments for Portugal, there is room for improvement.
Description
Keywords
Instrumentos de avaliação de sintomas Cuidados paliativos Symptom assessment instruments Palliative care