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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2012, Number 2

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Rev Esp Med Quir 2012; 17 (2)

Level of knowledge of health personnel about palliative care

Medina ZLE, Cruz CAM, Sánchez SME, González PAA

Language: Spanish
References: 19
Page: 109-114
PDF size: 456.66 Kb.


ABSTRACT

Background: In Mexico, palliative medicine is not one of the health priorities. Our institutions lack knowledge about the physical, psychological, social, and spiritual needs of the terminal patients and their families. A lack of knowledge of the health professionals on the palliative care is recognized.
Objective: To evaluate the level of knowledge on the palliative care of the health personal on the three levels of medical attention assisting terminal patients or bad prognosis on chronic degenerative illnesses.
Participants and methods: Transversal, analytical study. All the personnel that works on diabetic clinics and gerontological modules on the first level units, and hospital extensions, pain clinic, oncology, and geriatrics on the second and third level of attention in the participating units. A questionnaire validating knowledge about the topic was applied. We used the T student and Anova with a level of significance of 0.05.
Results: Seven percent obtained an acceptable result on total knowledge, 16.7% had knowledge about pain, and 28.5% had general knowledge. We got significant differences with the professional profile and the general care knowledge areas (p = 0.004), pain (p = 0.001), and total (p = 0.001), and the working site and the spiritual (p = 0.034) and pain (p = 0.002) knowledge.
Conclusions: We identified the need to enable the health personnel that doesn’t know how to approach a terminal patient in his final stage or patients with chronic degenerative processes to give support to the patients and their families.


REFERENCES

  1. Schroder C, Heyland D, Jiang X, Rocker G, Dodek P. Educating medical residents in end-of-life care: insights from a multicenter survey. J Palliat Med 2009;12(5):459-470.

  2. Actas de la “XIX Conferencia Internacional sobre los Cuidados Paliativos” (11-13 de nov. de 2004). Dolentium Hominum 2005;58(1):8.

  3. Montes de Oca Lomelí GA. Historia de los cuidados paliativos. Revista Digital Universitaria 2006;7(4):1-9. Disponible en: http://www.revista.unam.mx/vol.7/num4/art23/abr_art23.pdf

  4. Barclay S, Wyatt P, Shore S, Finlay I, et al. Caring for the dying: how well prepared are general practitioners? A questionnaire study in Wales. Palliat Med 2003;17(1):27-39.

  5. Cubedo R. La dependencia de los enfermos terminales: cuidados profesionales y familiares. Panorama Social 2005;72-85.

  6. Departamento de Sanidad. Plan de cuidados paliativos. Atención a pacientes en la fase final de la vida. CAPV 2006-2009 (gobierno vasco).

  7. World Health Organization. Cancer pain relief and palliative care. Report of a WHO Expert Committee. World Health Organ Tech Rep Ser 1990;804:1-75.

  8. World Health Organization. Cancer pain relief and palliative care in children. Geneva: OMS, 1998. Disponible en: http://www.who.int/cancer/palliative/definition/en/print.html

  9. Pessini L, Bertachini L. Nuevas perspectivas en cuidados paliativos. Acta Bioethica 2006;12(2):231-242.

  10. Norma Oficial Mexicana. NOM-011-SSA3-2007, publicada el 22 de diciembre de 2008 en el Diario Oficial de la Federación (segunda sección).

  11. Sánchez MAC, Precilla J. ¿Cómo nos sentimos y cuánto conocemos sobre algunas definiciones referentes a la muerte? Rev Hosp Niño Panamá 2003;19:41-47.

  12. Vial CP, Ibáñez LP, Umaña VA, Reyes DM y col. Autoevaluación sobre formación en medicina en una cohorte de residentes. Rev Med Chile 2004;132:445-452.

  13. Nakazawa Y, Miyashita M, Morita T, Umeda M, et al. The palliative care knowledge test: reliability and validity of a instrument to measure palliative care knowledge among health professionals. Palliat Med 2009;23(8):754-766.

  14. Navarro P, Pérez B, Parada N. Buenas prácticas de enfermería en pacientes tributarios de cuidados paliativos en la atención primaria de salud. Rev Cubana Enfer 2009;25(1-2):1-17.

  15. Hernández BA, Ferrer CM. Conocimientos en cuidados paliativos del paciente no oncológico. Cuad Bioét 2009;XX(3):540-541.

  16. Kumar SP, Jim A, Sisodia V. Effects of palliative care training program on knowledge, attitudes, beliefs and experiences among student physiotherapists: a preliminary quasi-experimental study. Indian J Palliat Care 2011;17(1):47-53.

  17. Kolarik RC, Walker G, Arnold RM. Pediatric resident education in palliative care: a needs assessment. Pediatrics 2006;117(6):1949-1954.

  18. Astray San Martín A. Encuesta sobre cuidados paliativos a pediatras de Atención Primaria en un área sanitaria de Madrid. Rev Pediatr Aten Primaria 2010;12(45):33-40.

  19. Gómez Sancho M. Cuidados paliativos e intervención psicosocial en enfermos terminales. ICEPSS 2004;23-27.




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