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Advisor(s)
Abstract(s)
Os Cuidados Paliativos advogam um fim de vida com qualidade e sem sofrimento. A
dimensão emocional é potencialmente afetada, pelo que a intervenção especializada se
torna necessária.
Objetivou-se avaliar o otimismo/pessimismo da pessoa com necessidade de cuidados
paliativos; averiguar a influência das variáveis sociodemográficas, clinicas e satisfação com
os cuidados no nível de otimismo/pessimismo.
Estudo transversal e descritivo, numa amostra não probabilística por conveniência de 83
pessoas. A média de idades foi de 70,9 anos, na maioria mulheres (50,6%), a residir em
meio rural (65,1%), analfabetos (45,8%), com rendimento mensal correspondente ao
ordenado mínimo (75,9%) e relatando prática religiosa (94,0%). Duração da doença inferior
a dois anos (45,8%), maioritariamente com três internamentos (39,6%) e tempo de
internamento máximo de duas semanas (36,5%). Utilizou-se um Questionário
sociodemográfico, a Escala de Sonolência de Epworth (Jonhs, 1991), o Patient Satisfaction
EORTC IN PATSAT 32, (EORTC Quality of Life Group, 2011) e o Teste de Orientação de
Vida LOT-R (Monteiro, Tavares e Pereira, 2005)
Relataram sonolência moderada 32,5% dos participantes e 48,2% satisfeito com os
cuidados. Apurou-se que 55,4% pontuaram com otimismo e 12% mostraram-se pessimistas.
Inferiu-se que a sonolência tem relação positiva com o otimismo/pessimismo e a satisfação
com os cuidados, uma relação inversa.
Os resultados sugerem efeito da sonolência e da satisfação sobre o otimismo/pessimismo
dos participantes. Advoga-se a necessidade de desenvolver investigações sobre esta
temática, de forma a desenvolver novos conhecimentos que suportem estratégias
promotoras do otimismo da pessoa com necessidade de cuidados paliativos.
Palavras-Chave: Cuidados Paliativos; Sonolência; Satisfação; Otimismo/Pessimismo
Abstract Framework: Palliative care advocates a quality end of life, without suffering. At this stage, the emotional dimension is potentially affected, which might call for a specialized intervention. The objective was to evaluate the level of optimism/pessimism in the person in need of palliative care; ascertain the influence of social and demographic variables, as well as clinical and satisfaction, in the levels of optimism/pessimism. Transversal and descriptive study, preformed on a non-probabilistic and by convenience sample of 83 people. The average age is 70,9 years, with the majority of the female gender (50,6%), residing in rural areas (65,1%), illiterate subjects (45,8%), with monthly income corresponding to a minimum salary (75,9%), and reports of religious affiliation (94,0%). Duration of the illness less than two years (45,8%), admitted for treatment for a maximum of three years (39,6%), the majority admitted for a maximum of two weeks (36,5%) . We used a social and demographical questionnaire, Sleepiness EPWORTH Scale (Johns, 1991), the Patient Satisfaction EORTC IN PATSAT 32 (EORTC Quality of Life Group, 2011) and the Test for the Orientation of Life LOT-R (Monteiro, Tavares e Pereira, 2005). Moderate sleepiness was reported by 32,5% of participants and 48,2% of the inquired were satisfied with the care given. We ascertained that 55,4% scored with optimism and 12% showed pessimism. We inferred also that sleepiness has a positive relation with optimism/pessimism, and satisfaction with care has an inverse relation. The results suggest the existence of an effect of the sleepiness levels and satisfaction over the degree of optimism/pessimism of participants. We advocate the necessity to develop further investigation over this theme, so that new knowledge is developed which supports strategies that promote optimism of the person in need of palliative care. Key-words: Palliative care, sleepiness, satisfaction, optimism/pessimism.
Abstract Framework: Palliative care advocates a quality end of life, without suffering. At this stage, the emotional dimension is potentially affected, which might call for a specialized intervention. The objective was to evaluate the level of optimism/pessimism in the person in need of palliative care; ascertain the influence of social and demographic variables, as well as clinical and satisfaction, in the levels of optimism/pessimism. Transversal and descriptive study, preformed on a non-probabilistic and by convenience sample of 83 people. The average age is 70,9 years, with the majority of the female gender (50,6%), residing in rural areas (65,1%), illiterate subjects (45,8%), with monthly income corresponding to a minimum salary (75,9%), and reports of religious affiliation (94,0%). Duration of the illness less than two years (45,8%), admitted for treatment for a maximum of three years (39,6%), the majority admitted for a maximum of two weeks (36,5%) . We used a social and demographical questionnaire, Sleepiness EPWORTH Scale (Johns, 1991), the Patient Satisfaction EORTC IN PATSAT 32 (EORTC Quality of Life Group, 2011) and the Test for the Orientation of Life LOT-R (Monteiro, Tavares e Pereira, 2005). Moderate sleepiness was reported by 32,5% of participants and 48,2% of the inquired were satisfied with the care given. We ascertained that 55,4% scored with optimism and 12% showed pessimism. We inferred also that sleepiness has a positive relation with optimism/pessimism, and satisfaction with care has an inverse relation. The results suggest the existence of an effect of the sleepiness levels and satisfaction over the degree of optimism/pessimism of participants. We advocate the necessity to develop further investigation over this theme, so that new knowledge is developed which supports strategies that promote optimism of the person in need of palliative care. Key-words: Palliative care, sleepiness, satisfaction, optimism/pessimism.
Description
Keywords
Doente terminal Otimismo Pessimismo Satisfação do doente Tratamento paliativo Optimism Palliative care Patient satisfaction Pessimism Terminally ill