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Abstract(s)
INTRODUÇÃO: Os cuidados paliativos são cuidados de saúde especializados, dirigidos a indivíduos com doenças cró-nicas. De acordo com dados de estudos recentes, apenas uma parte da população portuguesa tem acesso a eles, sendo o número de indivíduos referenciados para equipas especializadas inferior ao esperado. Os cuidados de saúde primários podem desenvolver um papel importante na identificação e referenciação dos doentes, pois são o primeiro contacto da população com o Serviço Nacional de Saúde. OBJETIVO: Avaliar a capacidade dos médicos e enfermeiros dos cuidados de saúde primários em identificar doentes de cuidados paliativos e determinar os fatores pessoais facilitadores. MATERIAL E MÉTODOS: É um estudo analítico e transversal, efetuado através da aplicação de um questionário junto a 49 profissionais de saúde de medicina e enfermagem de dois Agrupamentos dos Centros de Saúde de Lisboa, entre junho e setembro de 2014. A análise estatística foi realizada através do programa SPSS® 20. RESULTADOS: Somente 14,3% da amostra identificou corretamente os casos clínicos referenciáveis para cuidados paliativos. Dos vários fatores pessoais analisados, observámos uma relação estatisticamente significativa (p < 0,05) entre o contacto com a área dos cuidados paliativos na vida pessoal e a formação diferenciada e a identificação de doentes de cuidados paliativos por parte dos médicos e enfermeiros dos cuidados de saúde primários. CONCLUSÕES: Os resultados obtidos sugerem a necessidade de reforçar a formação em cuidados paliativos junto dos profissionais de saúde e facilitar a comunicação entre os diferentes elementos envolvidos no processo de identi-ficação e referenciação dos doentes.
INTRODUCTION: Palliative care is a specialized type of healthcare directed to individuals with chronic conditions. According to recent data, only a proportion of the Portuguese population has access to this care, the number of cases referred to specia-lized teams still falling below what would be expected. Doctors and nurses from primary care can play a relevant role in iden-tifying and referring individuals, as they represent their first contact point with the Portuguese National Healthcare Service. OBJECTIVE: Assess the ability of doctors and nurses from primary care to identify palliative care patients and determine facilitating personal factors. MATERIAL & METHODS: Analytical and cross-sectional study, undertaken by submitting a questionnaire to 49 medical and nursing healthcare professionals from two Primary Care Trusts in Lisbon, Portugal, between June and September 2014. Sta-tistical analysis of the data was conducted using the SPSS® 20. RESULTS: Only 14.3% of the sample correctly identified the clinical cases referred to palliative care. From the analyzed con-tributing factors, two were of statistical significance (p < 0.05) in identifying palliative care patients: personal involvement in this area and specific training. CONCLUSIONS: The results obtained demonstrate the need it is essential to strengthen palliative care training among health professionals and facilitate communication between the different elements involved in identifying and referring patients.
INTRODUCTION: Palliative care is a specialized type of healthcare directed to individuals with chronic conditions. According to recent data, only a proportion of the Portuguese population has access to this care, the number of cases referred to specia-lized teams still falling below what would be expected. Doctors and nurses from primary care can play a relevant role in iden-tifying and referring individuals, as they represent their first contact point with the Portuguese National Healthcare Service. OBJECTIVE: Assess the ability of doctors and nurses from primary care to identify palliative care patients and determine facilitating personal factors. MATERIAL & METHODS: Analytical and cross-sectional study, undertaken by submitting a questionnaire to 49 medical and nursing healthcare professionals from two Primary Care Trusts in Lisbon, Portugal, between June and September 2014. Sta-tistical analysis of the data was conducted using the SPSS® 20. RESULTS: Only 14.3% of the sample correctly identified the clinical cases referred to palliative care. From the analyzed con-tributing factors, two were of statistical significance (p < 0.05) in identifying palliative care patients: personal involvement in this area and specific training. CONCLUSIONS: The results obtained demonstrate the need it is essential to strengthen palliative care training among health professionals and facilitate communication between the different elements involved in identifying and referring patients.
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Keywords
Atitude do pessoal de saúde Cuidados paliativos Cuidados de saúde primários Médicos de família Pessoal de enfermagem Pessoal de saúde Portugal Attitude of health personnel Health personnel Nursing staff Palliative care Family physicians Primary health care