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Introdução: Os Cuidados Paliativos são cuidados de saúde especializados, dirigidos a indivíduos com doenças crónicas, progressivas e incuráveis, cuja principal finalidade consiste em melhorar a qualidade de vida dos mesmos e das suas famílias, através de uma abordagem holística. Contudo, e de acordo com dados de estudos recentes, apenas uma parte da população portuguesa tem acesso a este tipo de cuidados, sendo o número de indivíduos referenciados para equipas ou unidades especializadas inferior ao esperado. Os médicos e enfermeiros dos Cuidados de Saúde Primários podem desenvolver um papel importante na referenciação dos mesmos, pois representam o primeiro nível de contacto dos indivíduos 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 que possam interferir.
Metodologia: É um estudo analítico, transversal e observacional, efetuado através da aplicação de um questionário junto a profissionais de saúde de Medicina e Enfermagem de dois Agrupamentos dos Centros de Saúde de Lisboa. A análise estatística foi realizada através do programa SPSS ® 20.
Resultados: Somente 14,3% da amostra identificou corretamente os casos clínicos apresentados, podendo estes serem ou não referenciáveis para Cuidados Paliativos. Dos fatores pessoais analisados, dois obtiveram um resultado estatisticamente significativo (p<0,05) na capacidade dos profissionais de saúde identificarem doentes de Cuidados Paliativos: o contacto com esta área na vida pessoal e a formação diferenciada.
Conclusões: A relação pessoal e/ou profissional, a formação e a prática em Cuidados Paliativos possibilitam ter conhecimentos específicos, valorizar a prestação deste tipo de cuidados, desmistificar certos preconceitos e saber quando e como referenciar para equipas diferenciadas. Deste modo, é fundamental incluir a disciplina de Cuidados Paliativos nos currículos de base de Medicina e Enfermagem, assim como facilitar a comunicação entre os diferentes profissionais de saúde envolvidos no processo de identificação e referenciação dos doentes.
Introduction: Palliative Care is a specialised type of healthcare directed to individuals with chronic, progressive and incurable conditions, which primary aim consists of improving the quality of life of both these individuals and their families by using a holistic approach. However, and according to recent data, only a proportion of the Portuguese population has access to this care, the number of cases referred to specialised teams or units still falling below what would be expected. Doctors and nurses from Primary Care can play a relevant role in referring individuals, as they represent their first contact point with the National Healthcare Service. Objective: Assess the ability of doctors and nurses from Primary Care to identify Palliative Care patients and determine personal factors that may influence this identification. Methods: Analytical, cross-sectional and observational study, undertaken by submitting a questionnaire to medical and nursing healthcare professionals from two Primary Care Trusts in Lisbon, Portugal. Statistical analysis of the data was conducted using the SPSS ® 20. Results: Only 14,3% of the sample correctly identified the clinical cases that were or not referred to Palliative Care. From the analysed contributing factors, two were of statistical significance (p<0,05) in identifying Palliative Care patients: personal involvement in this area and specific training. Conclusions: A personal and/or professional interaction, training and practice in Palliative Care enable to build specific knowledge, to value the input of this type of Care, to demystify some prejudgement and to know when and how to refer to specialised teams. Given the above, it is essential to include Palliative Care in the Medical and Nursing School curriculums and facilitate communication between the different healthcare professionals involved in identifying and referring patients.
Introduction: Palliative Care is a specialised type of healthcare directed to individuals with chronic, progressive and incurable conditions, which primary aim consists of improving the quality of life of both these individuals and their families by using a holistic approach. However, and according to recent data, only a proportion of the Portuguese population has access to this care, the number of cases referred to specialised teams or units still falling below what would be expected. Doctors and nurses from Primary Care can play a relevant role in referring individuals, as they represent their first contact point with the National Healthcare Service. Objective: Assess the ability of doctors and nurses from Primary Care to identify Palliative Care patients and determine personal factors that may influence this identification. Methods: Analytical, cross-sectional and observational study, undertaken by submitting a questionnaire to medical and nursing healthcare professionals from two Primary Care Trusts in Lisbon, Portugal. Statistical analysis of the data was conducted using the SPSS ® 20. Results: Only 14,3% of the sample correctly identified the clinical cases that were or not referred to Palliative Care. From the analysed contributing factors, two were of statistical significance (p<0,05) in identifying Palliative Care patients: personal involvement in this area and specific training. Conclusions: A personal and/or professional interaction, training and practice in Palliative Care enable to build specific knowledge, to value the input of this type of Care, to demystify some prejudgement and to know when and how to refer to specialised teams. Given the above, it is essential to include Palliative Care in the Medical and Nursing School curriculums and facilitate communication between the different healthcare professionals involved in identifying and referring patients.
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Cuidados paliativos Cuidados de saúde primários Capacidade de identificação Referenciação Fatores pessoais facilitadores Palliative care Primary care Identification capacity Referral Facilitating personal factors