| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 19.45 MB | Adobe PDF |
Authors
Abstract(s)
Introdução: Os cuidados paliativos caracterizam-se por serem cuidados
individualizados focados no bem-estar da pessoa com necessidades paliativas, promovendo
a sua dignidade e maximizando, dentro do possível, a sua qualidade de vida.
Objetivos: Identificar alguns determinantes do padrão emocional da pessoa em
situação paliativa.
Métodos: Estudo correlacional em corte transversal, realizado em contexto paliativo,
numa amostra de 83 participantes (50,6% mulheres), com uma média de 70,95 anos. O
instrumento de recolha de informação ficou constituído por Questionário sociodemográfico e
clínico, Questionário de Sono de Oviedo, Escala de Avaliação de Sintomas de Edmonton,
Herth Hope Index e Termómetros Emocionais.
Resultados: Os doentes estavam internados, principalmente, em ULS (33,7%), com
diagnóstico de neoplasia (67,5%), exibindo como sintomas mais prevalentes cansaço grave
(41,0%), dor (39,8%), da sensação de bem estar e apetite alterados (37,3%), alterações de
sono/insónias (34,9%) e esperança diminuída (27,7%). Relativamente ao padrão emocional,
47,0% apresentou sofrimento emocional e revolta, 48,2% ansiedade, 36,1% depressão e
74,7% referiu necessidade de ajuda.
O padrão emocional da pessoa em situação paliativa mostrou variar em função da
instituição de internamento e sofrer influência do diagnóstico, sintomas e padrão de
sono/insónias. A esperança revelou-se preditor comum dos termómetros emocionais.
Conclusão: Os resultados sugerem que os principais determinantes do padrão
emocional são do foro clínico e psicológico, aportando a necessidade de intervenção
multidisciplinar e especializada no controlo sintomático e na implementação de medidas
promotoras da esperança
Palavras-chave: Cuidados Paliativos, Sintomas, Sono, Esperança, Padrão
Emocional.
Abstract Introduction: Palliative care is characterized by being individualized care focused on the person’s wee-being with palliative needs, thus promoting their dignity and maximizing, as far as possible, their quality of life. Objectives: Identify some determinants of emotional standard in palliative situation patients. Methods: Correlative study in cross section, held in palliative context, with a sample of 83 participants (50,6% women), with an average of 70,95 years. The data collection tool was composed of a sociodemographic and clinical survey, Oviedo Sleep Questionnaire, Edmonton Symptom Assessment Scale, Herth Hope Index and Emotion Thermometers. Results: Patients were hospitalized, mainly in ULS (33,7%) with a diagnosis of cancer (67.5%), displaying as most prevalent symptoms severe fatigue (41,0%), pain (39,8%), altered sense of well being and appetite (37,3%), sleep disorders/insomnia (34,9%) and decreased hope (27,7%). Regarding the emotional standard, 47,0% had emotional distress and anger, 48,2% anxiety, 36,1% depression and 74,7% reported need for help. The emotional standard of the person in palliative situation showed vary according to the inpatient institution and be influenced by the diagnosis, symptoms and sleep pattern/insomnia. Hope proved common predictor of emotion thermometers. Conclusions: Results suggest that the main determinants of emotional standard are the clinical and psychological conditions, providing the need for multidisciplinary and specialized intervention in symptomatic control and by implementing hope promoting interventions.. Keywords: Palliative Care, Symptoms, Sleep, Hope, Emotional Patterns.
Abstract Introduction: Palliative care is characterized by being individualized care focused on the person’s wee-being with palliative needs, thus promoting their dignity and maximizing, as far as possible, their quality of life. Objectives: Identify some determinants of emotional standard in palliative situation patients. Methods: Correlative study in cross section, held in palliative context, with a sample of 83 participants (50,6% women), with an average of 70,95 years. The data collection tool was composed of a sociodemographic and clinical survey, Oviedo Sleep Questionnaire, Edmonton Symptom Assessment Scale, Herth Hope Index and Emotion Thermometers. Results: Patients were hospitalized, mainly in ULS (33,7%) with a diagnosis of cancer (67.5%), displaying as most prevalent symptoms severe fatigue (41,0%), pain (39,8%), altered sense of well being and appetite (37,3%), sleep disorders/insomnia (34,9%) and decreased hope (27,7%). Regarding the emotional standard, 47,0% had emotional distress and anger, 48,2% anxiety, 36,1% depression and 74,7% reported need for help. The emotional standard of the person in palliative situation showed vary according to the inpatient institution and be influenced by the diagnosis, symptoms and sleep pattern/insomnia. Hope proved common predictor of emotion thermometers. Conclusions: Results suggest that the main determinants of emotional standard are the clinical and psychological conditions, providing the need for multidisciplinary and specialized intervention in symptomatic control and by implementing hope promoting interventions.. Keywords: Palliative Care, Symptoms, Sleep, Hope, Emotional Patterns.
Description
Keywords
Emoções Esperança Perturbações do sono-vigília Sono Tratamento paliativo Emotions Hope Palliative care Sleep Sleep wake disorders