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Abstract(s)
Introdução: Este estudo tem como objetivo avaliar as necessidades biopsicossociais das
pessoas em situação de sem-abrigo de Lisboa. Esta é uma população de alto risco,
considerada como o mais extremo de exclusão social, com problemas complexos
(materiais, sociais, psicológicos, patológicos), levando a um aumento significativo da
taxa de mortalidade. Devido a iniquidades socioeconómicas, o acesso a serviços de saúde
primários é difícil e a serviços especializados, como cuidados paliativos, é quase
inexistente.
Metodologia: A população-alvo (n=30) de pessoas em situação de sem-abrigo de Lisboa,
comparada com antigos sem-abrigo internados na Comunidade Vida e Paz (n=35). Foi
desenvolvido um estudo quantitativo correlacional, aplicando o FACIT-G, versão 4 e um
questionário sociodemográfico.
Resultados: as pessoas em situação de sem-abrigo manifestam em média piores resultados
no FACIT-G do que os utentes da Comunidade Vida e Paz (55.87 contra 65.66). Mesmo
os sem-abrigo acompanhados em serviços médicos especializados reportam sofrimento
biopsicossocial.
Conclusão: os participantes reportam menos sofrimento após terem apoio biopsicossocial
(por serviços de saúde ou pela comunidade vida e paz), mas continuam a manifestar dor
total. Com apoio biopsicossocial manifestam mais insight e capacidade de autoanálise.
Sugere-se a criação de serviços específicos, com equipas multidisciplinares baseadas na
filosofia dos Cuidados Paliativos para amenizar o seu sofrimento.
Introduction: This thesis aims to evaluate the homeless’s psychosocial palliative needs in Lisbon. This is a high-risk population, considered as having the most extreme social exclusion, with complex problems (material, social, psychological, pathologic), causing a significant rise in the mortality rate. Socioeconomic inequities make it difficult to access health services, as for specialized health services, as palliative care, the access is almost non-existent. Methods: the target population (n=30) are the homeless people of Lisbon, being compared with former homeless people admitted at Comunidade Vida e Paz (n=35). A correlational quantitative study was developed, applying a validated and adapted version to the FACITG, version 4, and a socio-demographic questionnaire. Results: Homeless people report worse results in FACIT-G than patients at Comunidade Vida e Paz (55.87 against 65.99). Even those homeless cared for by specialized doctors report biopsychosocial pain. Conclusion: This study’s participants show less pain after receiving biopsychosocial support (by health care centres or by the Comunidade Vida e Paz), yet they still show signs of total pain. With biopsychosocial support there are signs of raised self-awareness and more insight. The creation of well-defined health services, with multidisciplinary teams with knowledge of the philosophy of Palliative Care could subside homeless’ suffering.
Introduction: This thesis aims to evaluate the homeless’s psychosocial palliative needs in Lisbon. This is a high-risk population, considered as having the most extreme social exclusion, with complex problems (material, social, psychological, pathologic), causing a significant rise in the mortality rate. Socioeconomic inequities make it difficult to access health services, as for specialized health services, as palliative care, the access is almost non-existent. Methods: the target population (n=30) are the homeless people of Lisbon, being compared with former homeless people admitted at Comunidade Vida e Paz (n=35). A correlational quantitative study was developed, applying a validated and adapted version to the FACITG, version 4, and a socio-demographic questionnaire. Results: Homeless people report worse results in FACIT-G than patients at Comunidade Vida e Paz (55.87 against 65.99). Even those homeless cared for by specialized doctors report biopsychosocial pain. Conclusion: This study’s participants show less pain after receiving biopsychosocial support (by health care centres or by the Comunidade Vida e Paz), yet they still show signs of total pain. With biopsychosocial support there are signs of raised self-awareness and more insight. The creation of well-defined health services, with multidisciplinary teams with knowledge of the philosophy of Palliative Care could subside homeless’ suffering.
Description
Keywords
Pessoa em situação de sem-abrigo Necessidades paliativas Necessidades biopsicossociais Homeless people Palliative needs Biopsychosocial needs