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Advisor(s)
Abstract(s)
depressão em doentes em cuidados paliativos”.
È filosofia dos cuidados paliativos proporcionar cuidados de suporte global, visando o
controlo de sintomas e a melhoria da qualidade de vida dos doentes e dos seus familiares.
Nesta perspectiva a avaliação realizada na triagem nutricional permite identificar o risco do
doente; ao conhecermos os resultados desta avaliação torna-se possível enquadrá-lo num
plano nutricional, contribuindo desta forma para o seu bem-estar a nível físico, psíquico e
social. Sendo o diagnóstico de depressão cada vez mais frequente na nossa sociedade e
estando estes doentes mais vulneráveis é impreterível a sua detecção precoce, tratamento e
monitorização no sentido de não a subdiagnosticar.
Optou-se por um estudo quantitativo, transversal, descritivo e correlacional,
recorrendo a um instrumento de colheita de dados, a uma amostra não probabilística,
constituída por 50 doentes, dos quais 52% do sexo feminino e 48% do sexo masculino,
apresentando idades entre os 41 e os 95 anos, 84% esteve internado na UCP uma vez,
62% dos doentes estão medicados com antidepressivos. O diagnóstico mais frequente é a
neoplasia com 86%; nos últimos meses 62% apresentou perda de apetite e 40% vómitos.
Através da escala MUST verificou-se que a amostra apresentou IMC de 22.61, com
peso médio de 69.80Kg, uma perda de peso médio de 13.83%, caracterizando um risco
elevado de desnutrição (70%).
Através do Inventário Depressão Beck constatou-se que na amostra, 92%
“apresentam depressão” e que a sintomatologia depressiva é mais grave no sexo feminino
do que no sexo masculino ( x =27.23 Vs x =24.63), contudo não é estatisticamente
significativo, identificou-se ainda que 60% apresentam depressão grave.
Constatou-se que das variáveis sóciodemográficas, a idade apresenta uma
associação baixa e positiva (r=0.260; p=0.048), contudo não é estatisticamente significativo.
Verifica-se que o risco do estado nutricional, não influencia na depressão,
observando-se uma associação muito baixa e positiva (r=0.035; p=0.817). Face à variável
estado nutricional, não existem diferenças estatisticamente significativas, não se verificando
a influência do estado nutricional na depressão.
PALAVRAS-CHAVE: Depressão, Doentes em Cuidados Paliativos, Estado Nutricional,
Triagem Nutricional (MUST).
ABSTRAT This study proposes to examine "The Influence of nutritional status on depression in patients in Palliative Care." The philosophy of Palliative Care is to provide global support, aimed at controlling symptoms and improving quality of life of patients and their families. In this regard the assessment made in the nutritional screening identifies the risk of the patient; when known, the results of the assessment make it possible to fit it into a nutritional plan, thus contributing to their well-being on physical, mental and social levels. As depression diagnosis becomes more frequent in our society and as these patients are being more vulnerable, early detection, treatment and monitoring are imperative, in order not to in order not to incorrectly diagnose We chose a quantitative, cross-sectional, descriptive and correlational study using a data collection instrument, and a non-probabilistic sample, comprising 50 patients, of whom 52% were female and 48% male, with ages between 41 and 95 years, 84% had been hospitalized in a PCU, 62% of patients are treated with antidepressants. The most frequent diagnosis is neoplasm with 86%, in the last month 62% had loss of appetite and 40% had vomiting. Across the MUST range we verified that the sample had a BMI of 22.61, with an average weight of 69.80 kg and an average weight loss of 13.83%, characterizing a high risk of malnutrition (70%). Through the Beck Depression Inventory we’ve found that in the sample, 92% "exhibit depression" and that depressive symptoms are more severe in females than in males ( x =27.23 Vs x =24.63), although it is not statistically significant, we also identified that 60% had serious depression. It was further observed that from all the socio-demographic variables, age presents a a low and positive association(r=0.260; p=0.048) although it is not statistically significant. It appears that the risk of nutritional status does not influence in depression, noting a very low positive association (r=0.035; p=0.817). Given the nutritional status variable, no statistically significant differences exist, hence not having verified the influence of nutritional status in depression. KEYWORDS: Depression, Patients in Palliative Care, Nutritional Status, Nutritional Screening (MUST).
ABSTRAT This study proposes to examine "The Influence of nutritional status on depression in patients in Palliative Care." The philosophy of Palliative Care is to provide global support, aimed at controlling symptoms and improving quality of life of patients and their families. In this regard the assessment made in the nutritional screening identifies the risk of the patient; when known, the results of the assessment make it possible to fit it into a nutritional plan, thus contributing to their well-being on physical, mental and social levels. As depression diagnosis becomes more frequent in our society and as these patients are being more vulnerable, early detection, treatment and monitoring are imperative, in order not to in order not to incorrectly diagnose We chose a quantitative, cross-sectional, descriptive and correlational study using a data collection instrument, and a non-probabilistic sample, comprising 50 patients, of whom 52% were female and 48% male, with ages between 41 and 95 years, 84% had been hospitalized in a PCU, 62% of patients are treated with antidepressants. The most frequent diagnosis is neoplasm with 86%, in the last month 62% had loss of appetite and 40% had vomiting. Across the MUST range we verified that the sample had a BMI of 22.61, with an average weight of 69.80 kg and an average weight loss of 13.83%, characterizing a high risk of malnutrition (70%). Through the Beck Depression Inventory we’ve found that in the sample, 92% "exhibit depression" and that depressive symptoms are more severe in females than in males ( x =27.23 Vs x =24.63), although it is not statistically significant, we also identified that 60% had serious depression. It was further observed that from all the socio-demographic variables, age presents a a low and positive association(r=0.260; p=0.048) although it is not statistically significant. It appears that the risk of nutritional status does not influence in depression, noting a very low positive association (r=0.035; p=0.817). Given the nutritional status variable, no statistically significant differences exist, hence not having verified the influence of nutritional status in depression. KEYWORDS: Depression, Patients in Palliative Care, Nutritional Status, Nutritional Screening (MUST).
Description
Curso de mestrado em enfermagem médico cirúrgica
Keywords
Avaliação nutricional Depressão Doente terminal Estado nutricional Neoplasias Tratamento paliativo Depression Neoplasms Nutrition assessment Nutritional status Palliative care Terminally ill
Citation
Publisher
Instituto Politécnico de Viseu, Escola Superior de Saúde de Viseu