Medicina Paliativa最新文献_第5页

Telemedicina aplicada a los cuidados paliativos, implicaciones éticas y beneficios: una revisión sistemática 远程医疗在姑息治疗中的应用、伦理意义和益处:系统综述

Medicina Paliativa Pub Date : 2022-01-01 DOI: 10.20986/medpal.2022.1321/2022

André Filipe Oliveira dos Santos, Abel García Abejas, H. Martins, �ngels Salvador Verg�s

引用次数: 2

Atención al duelo en los servicios españoles de cuidados paliativos: estudio comparativo con otros países europeos 西班牙姑息治疗服务中的悲伤护理:与其他欧洲国家的比较研究

Medicina Paliativa Pub Date : 2022-01-01 DOI: 10.20986/medpal.2022.1293/2021

M. Lacasta, Joaquín T Limonero, Orla Keegan, Irene Murphy, Inger Benkel, Barbara Monroe ,, Mai-Britt Guldin

{"title":"Atención al duelo en los servicios españoles de cuidados paliativos: estudio comparativo con otros países europeos","authors":"M. Lacasta, Joaquín T Limonero, Orla Keegan, Irene Murphy, Inger Benkel, Barbara Monroe ,, Mai-Britt Guldin","doi":"10.20986/medpal.2022.1293/2021","DOIUrl":"https://doi.org/10.20986/medpal.2022.1293/2021","url":null,"abstract":"Objetive: To describe and compare the type and characteristics of bereavement care in Europe and Spain. As well as, update and identify advances in Spain to improve care for grief. Method: Observational, descriptive, prospective and comparative study. Made from data from the EAPC bereavement group relating to Spain, collected through a questionnaire consisting of 54 questions in 6 sections: background; support; personal; access, levels of care; community aspects; resources and care model. Distributed by online mail through the EAPC to 56 national PC associations. Comparisons between Europe and Spain were made using Pearson's χ2 test. Results: Bereavement care is offered in 83 % of the 314 responding services in Europe and in 73 % of 56 services in Spain, with similar data to previous Spanish studies. Most services correspond to hospital units. The type of support or specialized intervention depends on the level of care in both groups. In Europe, 27 % have National Grief Guides in their country, in Spain 61 % of the services, which facilitates action. “Formal risk instruments” are used by only a quarter of the services. Conclusions: This study presents an advance and a future challenge in bereavement care in Europe and Spain. Data has shown that bereavement care is not part of all services. The number of responses to the questionnaires has not increased nor have the services in Spain increased. Both in Europe and in Spain, it is necessary to continue promoting, formalizing and increasing services with attention to grief, as an essential part of palliative care services.","PeriodicalId":49831,"journal":{"name":"Medicina Paliativa","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68138785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

De la edad cronológica a la fragilidad: ¿un nuevo paradigma en la valoración de las personas con enfermedad oncológica atendidas en unidades de cuidados paliativos? 从实际年龄到虚弱:在姑息治疗单位治疗的肿瘤患者评估的新范式?

Medicina Paliativa Pub Date : 2022-01-01 DOI: 10.20986/medpal.2022.1298/2021

Anna TORNÉ COROMINA, Ester FONTSERE CANDELL, Rut CABESTANY MONTIA, Ramona Nicoleta Sandu, Alba MARQUEZ QUIÑONERO, Ester GOUTAN ROURA, J. Amblàs Novellas

引用次数: 0

Análisis de la relevancia percibida del trabajo de planificación compartida de la atención a través de la instrumentalización con cartas 通过图表工具化分析共享护理计划工作的感知相关性

Medicina Paliativa Pub Date : 2022-01-01 DOI: 10.20986/medpal.2022.1347/2022

Enrique Sáez, Isnelda Hernández Riascos, Salvador Martín Utrilla, Olga Forero Rincón, Laura Cubero Plazas, Pilar Medrano Abalos

引用次数: 0

Radioterapia paliativa pediátrica 儿科姑息性放射治疗

Medicina Paliativa Pub Date : 2022-01-01 DOI: 10.20986/medpal.2022.1299/2021

C. Alcaide, Marta Osuna-Marco, Marta Villa-Alcázar, José Miguel Cárdenas-Rebollo, Blanca Herrero-Velasco, Rosa Alonso-Gutiérrez, B. López-Ibor

引用次数: 0

Necesidades psicosociales en Cuidados Paliativos de las personas con Esclerosis Lateral Amiotrófica, familiares y cuidadoras. Una revisión de revisiones 肌萎缩性侧索硬化症患者、亲属和照顾者姑息治疗中的社会心理需求。对修订的回顾

Medicina Paliativa Pub Date : 2022-01-01 DOI: 10.20986/medpal.2022.1283/2021

Pedro Olmedo Ballester, Nieves María García Berenguer, Daniel Lloret Irles

引用次数: 0

Radiología intervencionista paliativa: una mirada sobre nuestra experiencia. 姑息介入放射学:回顾我们的经验。

Medicina Paliativa Pub Date : 2022-01-01 DOI: 10.20986/medpal.2022.1302/2021

M�nica Pay�s Peich, Teresa Ribot Berenguer, Cristina Fernandez Marcial, Jose Antonio Medina Bernaldez, Gemma Martinez Díaz, Núria Cañameras Viñas, Marta Miralpeix Monclús, Núria Gonzalez Busque

引用次数: 0

Sí, hay vida después de la muerte 是的，死后还有生命

Medicina Paliativa Pub Date : 2022-01-01 DOI: 10.20986/medpal.2022.1325/2022

M. Abián

引用次数: 0

Necesidad de cuidados paliativos en pacientes VIH/sida en un hospital de tercer nivel en La Habana. Utilidad del cuestionario NECPAL 哈瓦那一家三级医院对艾滋病毒/艾滋病患者的姑息治疗需求。NECPAL问卷的有用性

Medicina Paliativa Pub Date : 2022-01-01 DOI: 10.20986/medpal.2022.1330/2022

Marta Castro Peraza, K. Valdés, Lilia Maria Ortega Gonzales

{"title":"Necesidad de cuidados paliativos en pacientes VIH/sida en un hospital de tercer nivel en La Habana. Utilidad del cuestionario NECPAL","authors":"Marta Castro Peraza, K. Valdés, Lilia Maria Ortega Gonzales","doi":"10.20986/medpal.2022.1330/2022","DOIUrl":"https://doi.org/10.20986/medpal.2022.1330/2022","url":null,"abstract":"Introduction: Attention to HIV/AIDS infection in Cuba as a chronic disease demands integrative solutions, for which the perspective of palliative care could be an important contribution. Objective: To explore the need for palliative care in hospitalized HIV/AIDS patients by health providers. Method: An observational, cross-sectional study was carried out at the “Pedro Kourí” Institute of Tropical Medicine between March and April 2016, with patients infected by the human immunodeficiency virus in the AIDS stage. The exclusion criteria were the willingness of the patient not to be part of the study and those cases that died 48 hours after admission. The NECPAL questionnaire was applied to the attending physicians to identify patients with palliative care needs. Results: Of the 123 patients studied, 87.8 % were men, under 45 years of age (66.7 %), with more than 10 years of HIV diagnosis (33.3 %). 65.0 % had CD4 + < 200 cells/ml and 87.0 % had detectable CV. The NECPAL instrument yielded 75 patients (61.0 %) with positive identification. The wasting syndrome (p > 0.006, OR 3.9 [95% CI 1.4-10.4]) and the presence of anemia (p > 0.001, OR 4.7 [95 % CI 1.9 -11.8]) were the variables that were related to the positive identification of NECPAL. Conclusions: The NECPAL instrument was useful in detecting palliative needs by medical assistance personnel who care for HIV/AIDS patients, and who do not have training in palliative care.","PeriodicalId":49831,"journal":{"name":"Medicina Paliativa","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68139776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cuidados paliativos y desigualdades sociales en cáncer. Una revisión narrativa de la literatura 癌症的姑息治疗和社会不平等。文学的叙事回顾

Medicina Paliativa Pub Date : 2022-01-01 DOI: 10.20986/medpal.2022.1358/2022

Marina Rodríguez-Gómez, I. Ruiz-Pérez, Vicenta Escrib�-Agüir, Guadalupe Pastor-Moreno, Jesús Henares Montiel

{"title":"Cuidados paliativos y desigualdades sociales en cáncer. Una revisión narrativa de la literatura","authors":"Marina Rodríguez-Gómez, I. Ruiz-Pérez, Vicenta Escrib�-Agüir, Guadalupe Pastor-Moreno, Jesús Henares Montiel","doi":"10.20986/medpal.2022.1358/2022","DOIUrl":"https://doi.org/10.20986/medpal.2022.1358/2022","url":null,"abstract":"Objectives: To conduct a broad literature review in order to: a) propose a grouping and a classification of the different approaches described in the literature to analyse the access and use of palliative care in advanced cancer patients, and b) review the social inequalities examined in the literature in relation to the access and the use of palliative care in advanced cancer patients. Methods: Narrative review using the Embase, CINAHL, and PubMed databases until November 2022. Results: 2,666 articles were retrieved and screened by title and abstract with included studies read in full for data extraction. Five main themes of the different approaches were identified in relation to access and use of palliative care: a) symptom management, b) adequacy and quality of care, c) appropriate palliative care, d) advance care planning and e) place of death. Older people, men, from a minority ethnic group, of low socioeconomic status and residing in rural areas are less likely to access to palliative care to relieve pain and suffering produced from cancer disease and at end of life. Conclusions: Palliative care is considered an essential component to provide comprehensive care throughout the cancer disease continuum. However, despite the existence of scientific evidence that recommends the integration of palliative care from the diagnosis of the disease, age, sex, ethnicity, socioeconomic level and residence create inequity in access and use of palliative care in patients with advanced cancer, producing groups of greater structural vulnerability.","PeriodicalId":49831,"journal":{"name":"Medicina Paliativa","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68140816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0