Medicina Paliativa最新文献_第9页

Cómo escribir y publicar artículos científicos (II). Seguimos el viaje: resultados, discusión, y algo más 如何撰写和发表科学文章(II)。我们跟随旅程:结果、讨论和其他东西

Medicina Paliativa Pub Date : 2021-01-01 DOI: 10.20986/medpal.2021.1295/2021

Ana M. García, E. Fernández

{"title":"Cómo escribir y publicar artículos científicos (II). Seguimos el viaje: resultados, discusión, y algo más","authors":"Ana M. García, E. Fernández","doi":"10.20986/medpal.2021.1295/2021","DOIUrl":"https://doi.org/10.20986/medpal.2021.1295/2021","url":null,"abstract":"“Results” and “Discussion” are two major sections in the structure of any original article. In the “Results” section, the main results obtained with the data analysis are presented in an orderly manner, from the most general and descriptive analyses to the most specific and complex, seeking to characterize the study and to give answers to its objectives. Results are presented in neutral and objective language, using a combination of text, tables and/or figures, choosing the most appropriate and efficient format in each case and avoiding repeating the information provided. The “Discussion” is possibly the most difficult part of writing because it is also the most creative section in the paper. It begins by summarizing the main findings of the study. These results are then interpreted seeking their possible explanations based on the characteristics of the study, on previous available evidence and/or on new hypotheses proposed by the authors. It is also necessary to include in the Discussion a review of the strengths and weaknesses of the study methodology. And it should end by highlighting the main conclusions and consequences of the work, for professional practice and for future research. Other sections to consider when writing a scientific paper are the bibliography, acknowledgments, the presentation of the funding sources for the study or the description of the authorship contributions and the authors’ statement about their conflicts of interest.","PeriodicalId":49831,"journal":{"name":"Medicina Paliativa","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68137680","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

Sedación paliativa en la agonía realizada por un servicio de urgencias de atención primaria a nivel domiciliario. Estudio observacional transversal descriptivo retrospectivo 由初级护理急救服务在家庭一级进行的痛苦的姑息性镇静。回顾性描述性横断面观察研究

Medicina Paliativa Pub Date : 2021-01-01 DOI: 10.20986/medpal.2021.1274/2021

Macarena Moreno Moreno, Ismael Herruzo Cabrera, Salvador Ignacio Soriano Ruiz, Rocío Emilia Moreno Moreno

{"title":"Sedación paliativa en la agonía realizada por un servicio de urgencias de atención primaria a nivel domiciliario. Estudio observacional transversal descriptivo retrospectivo","authors":"Macarena Moreno Moreno, Ismael Herruzo Cabrera, Salvador Ignacio Soriano Ruiz, Rocío Emilia Moreno Moreno","doi":"10.20986/medpal.2021.1274/2021","DOIUrl":"https://doi.org/10.20986/medpal.2021.1274/2021","url":null,"abstract":"Objectives. The objective of this study was to know the characteristics of palliative sedation in agony at the home level carried out by personnel not specialized in palliative care and to detect areas for improvement. Material and method. Retrospective descriptive cross-sectional observational study. All patients who died at home between September 2020 and February 2021, who required sedation indicated by the Primary Care Emergency Service (SUAP) Malaga, were included. Results. The percentage of palliative sedation was 16.4░% [9.8░%-23.2░%]. Only 36░% [27░%-45░%] of the patients were included in the palliative care process. In 67.2░% [59░%-76░%] of the cases, they were non-cancer chronic. Dyspnea was the most prevalent symptom (76.1░% [68░%-83░%]). Delirium was present in 21.4░% [13░%-28░%] of the patients. The most widely used drug was midazolam (94.9░% [91░%-99░%]). The mean time that passes from the start of sedation to death is 24.3h [19.3h-29.2h]. The differences in the mean survival rates between men 20.765 [13.7-27.7] and women 29.2 [22.1-33.3] were statistically significant. 72░%[64░%-80░%] of the patients did not receive any type of follow-up from the start of sedation to death. Conclusions. There is agreement between the results obtained in this study and those found in the consulted bibliography, regarding the proportion of patients with palliative sedation in agony, duration of the same and the main drugs used. The mean age of the patients was higher in this study, as well as the prevalence of nononcological chronic disease and dyspnea as the main refractory symptom. The lack of knowledge of the level of sedation in our patients, the lack of follow-up and the underuse of levomepromazine in delirium is striking.","PeriodicalId":49831,"journal":{"name":"Medicina Paliativa","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68136837","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

Análisis retrospectivo del uso de catéteres peritoneales no tunelizados para el manejo de ascitis maligna refractaria: Serie de casos. 本研究的目的是评估和比较两种类型的腹腔镜导管在治疗难治性恶性腹水中的应用。

Medicina Paliativa Pub Date : 2021-01-01 DOI: 10.20986/MEDPAL.2021.1146/2020

Danny Steven Castiblanco Delgado, D. Butnaru, Valeria Quintero Carreño, Bilena Margarita Molina Arteta

引用次数: 0

Valoración geriátrica integral en cuidados paliativos: Revisión bibliográfica 姑息治疗中的老年综合评估:文献综述

Medicina Paliativa Pub Date : 2021-01-01 DOI: 10.20986/medpal.2021.1163/2020

J. Ocampo-Chaparro, C. Reyes-Ortiz, Edwin Etayo-Ruiz

{"title":"Valoración geriátrica integral en cuidados paliativos: Revisión bibliográfica","authors":"J. Ocampo-Chaparro, C. Reyes-Ortiz, Edwin Etayo-Ruiz","doi":"10.20986/medpal.2021.1163/2020","DOIUrl":"https://doi.org/10.20986/medpal.2021.1163/2020","url":null,"abstract":"The progressive aging of the population is explained by the advance in health care, the demographic and epidemiological transitions present worldwide. This phenomenon implies changes in the social and economic field, in the education and health systems, and in social security. Consequently, it is characteristic to find older adults with multimorbidity, presenting chronic diseases with different trajectories at the end of life, and that are going to require attention in the palliative care model. Comprehensive geriatric assessment (CGA) is the technology currently available to address the complex situation of older adults, particularly those who need care for palliative care. The CGA process offers a comprehensive approach that is based on the biopsychosocial model and is operationalized through the performance of an interdisciplinary team that provides assessment and palliative care in an individualized and continuous way and adapted throughout the course of the disease, helping to determine a prognosis and potential quality of life in each older adult. In the CGA within palliative care, advance care planning and shared decision-making are of special importance, from the moment the older adults are indicated to be cared for until the end of their life, and after their death, giving support to their relatives and caregivers.","PeriodicalId":49831,"journal":{"name":"Medicina Paliativa","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68132076","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

Evaluación holística de las necesidades paliativas de los pacientes con insuficiencia cardiaca avanzada 晚期心力衰竭患者姑息治疗需求的整体评估

Medicina Paliativa Pub Date : 2021-01-01 DOI: 10.20986/medpal.2021.1174/2020

C. T. Escura, Marina Gandía Herrero, M. Marín

{"title":"Evaluación holística de las necesidades paliativas de los pacientes con insuficiencia cardiaca avanzada","authors":"C. T. Escura, Marina Gandía Herrero, M. Marín","doi":"10.20986/medpal.2021.1174/2020","DOIUrl":"https://doi.org/10.20986/medpal.2021.1174/2020","url":null,"abstract":"Background and objectives: Patients with heart failure (HF) have physical and emotional symptoms, spiritual and intellectual concerns, specially in end-stage HF. Frequently, these needs are unknown by health care professionals attending these patients. This could influence decisions about end of life care. Our objective was to assess information about needs and preferences in these patients and the medical assistance received to manage them. Material and methods: This was a descriptive, observational and cross-sectional study using a survey with different questions and validated Spanish questionnaires. We interviewed 32 patients with advanced HF that were admitted in the Internal Medicine Service due to an acute decompensation of HF. Results: Most frequent physical symptoms were insomnia (75░%), tiredness (50░%) and decreased feeling of well being (50░%). Anxiety was present in 9 patients (28,1░%), depression in 6 (18,8░%) and both symptoms in 7 (21,8░%). A total of 30 patients (93,8░%) had not talked about spiritual needs with their doctor. Twenty-four (75░%) patients expressed a wish to have cardiopulmonary resuscitation if needed, although only one had talked about this during admission. Twenty-six patients (81,3░%) had not received any information about their evolution and prognosis of HF. Twenty-one patients (65,5░%) expressed a wish to receive information about end-stage HF. Conclusions: An integral evaluation of patients with advanced HF must form part of the medical assistance. Early doctor-patient communication regarding needs and preferences of these patients will enable an adequate planning of end-of-life care.","PeriodicalId":49831,"journal":{"name":"Medicina Paliativa","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68132250","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

Prevalencia y caracterización del dolor irruptivo oncológico (DIO) en pacientes hospitalizados en Vigo. Estudio DOLOPAHO 维戈住院患者肿瘤突发性疼痛(DIO)的患病率和特征。研究DOLOPAHO

Medicina Paliativa Pub Date : 2021-01-01 DOI: 10.20986/MEDPAL.2021.1224/2020

Carme García Benito, Clara González Ojea, Diego Pereiro Corbacho, I. F. Pérez, Noemi De Dios Alvarez, Alberto Garrido Fernández

引用次数: 0

Filosofía de la muerte en la formación en cuidados paliativos, una experiencia desde la UNAM. 姑息治疗培训中的死亡哲学，来自UNAM的经验。

Medicina Paliativa Pub Date : 2021-01-01 DOI: 10.20986/MEDPAL.2021.1245/2021

David Fajardo-Chica

引用次数: 1

La Planificación Compartida de la Atención en personas con enfermedad oncológica en un instituto monográfico de cáncer: estudio descriptivo retrospectivo 癌症专题研究所肿瘤患者的共享护理计划:回顾性描述性研究

Medicina Paliativa Pub Date : 2021-01-01 DOI: 10.20986/medpal.2021.1258/2021

Cristina Lasmarías, Candela Calle Rodríguez, Anna M. Esteve Gómez, Jordi Navarro

{"title":"La Planificación Compartida de la Atención en personas con enfermedad oncológica en un instituto monográfico de cáncer: estudio descriptivo retrospectivo","authors":"Cristina Lasmarías, Candela Calle Rodríguez, Anna M. Esteve Gómez, Jordi Navarro","doi":"10.20986/medpal.2021.1258/2021","DOIUrl":"https://doi.org/10.20986/medpal.2021.1258/2021","url":null,"abstract":"Introduction: Advance care planning (ACP) encourages people to express wishes, preferences and concerns in order to facilitate a shared care process between patient, family and professionals. This is especially relevant in cancer context. Materials and methods: A cross-sectional study was carried out to analyze the ACP process practices of the professionals through the clinical records of the last 3 months of life of a sample of deceased patients in one month in a monographic cancer hospital. Sociodemographic variables, diagnosis, level of therapeutic intensity, cognitive status and ACP variables were defined: preferences, concerns, preference for place of care and place of death, choice of surrogate and advance directive document (ADC) existence. Results: N░=░54; 61.1░% men; median age: 64.5 years. Main cancer disease: respiratory (22.2░%); 79.6░% expressed themselves. The ACP variables were preferences 74,1░% (n░=░40); concerns 75,9░% (n░=░41); surrogate 7.4░% (n░=░4); place of care: 27.8░% (n░=░ 15); place of death: 16.7░% (n░=░ 9). None had an ADC Preferences and concerns records are mainly carried out by the palliative cares teams. The level of therapeutic intensity in the preferences / concerns record was 3A. Concerns were associated with self-expression of the patient (p░<░0.001). Conclusions: Registration of ACP dimensions are poor and occurs mainly in end-of-life context. Variables such as the representative figure or the ADCs are scarce. Early integration of ACP in clinical practice would facilitate decision-making with cancer patients and would help to define the care process according to their wishes and preferences.","PeriodicalId":49831,"journal":{"name":"Medicina Paliativa","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68136446","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: 1

Breves reflexiones sobre la eutanasia y la atención paliativa 对安乐死和姑息治疗的简要思考

Medicina Paliativa Pub Date : 2021-01-01 DOI: 10.20986/medpal.2021.1309/2021

A. Tuca

引用次数: 0

Utilidad de la ecografía clínica en una Unidad de Cuidados Paliativos (UCP). 临床超声在姑息治疗单元(UCP)中的应用。

Medicina Paliativa Pub Date : 2021-01-01 DOI: 10.20986/MEDPAL.2021.1171/2020

Rosa Blasi Martínez, C. Danés, Chung Lok Johnald Yuen Lau, Manuel Baca Bautista, J. Domingo

引用次数: 0