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巴西某大学附属医院物理治疗专业学生的姑息治疗知识评估。

Assessment of knowledge in palliative care of physical therapists students at a university hospital in Brazil.

机构信息

Hospital São Paulo, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.

Departamento de Biociências, Universidade Federal de São Paulo (UNIFSP), Baixada Santista, Santos, SP, Brazil.

出版信息

Braz J Phys Ther. 2017 Mar-Apr;21(2):114-119. doi: 10.1016/j.bjpt.2017.03.006. Epub 2017 Mar 17.

Abstract

BACKGROUND

In Brazil there are several challenges to reach a humanized health care. Among them is the well-known lack in academic education and training in palliative care field. This lack is mostly due to the modern medical care culture that prioritize curative medicine ahead of palliative care. As the goal of saving lives is rooted in medical training, death is still confronted as the main enemy of the health professionals.

OBJECTIVE

To analyze the knowledge of palliative care among the physical therapists of a University Hospital.

METHOD

This is a cross-sectional and descriptive study. The volunteers were physical therapists, who had worked in the hospital for more than six months, were included undergraduate students, experienced professionals and graduate students. A questionnaire with closed questions about palliative care was applied during the volunteers working hours. Data were analyzed descriptively.

CONCLUSION

We conclude that, the vast majority of the evaluated professionals presented basic palliative care knowledge, but not in palliative care core components. The palliative care practice seemed often guided by the knowledge acquired in other fields, always with an intuitive character. Therefore, we detected a lack in the physical therapist training regarding palliative care. Summarily, physical therapists should receive a general training in palliative care still as an undergraduate, for a more effective and consistent professional practice later on.

摘要

背景

在巴西,要实现人性化的医疗保健存在着诸多挑战。其中,在姑息治疗领域,学术教育和培训的明显不足是一个众所周知的问题。这种不足主要归因于现代医疗保健文化,它优先重视治疗医学,而不是姑息治疗。由于拯救生命的目标是医学培训的基础,因此,死亡仍然是卫生专业人员的主要敌人。

目的

分析某大学附属医院物理治疗师对姑息治疗的认知。

方法

这是一项横断面描述性研究。志愿者为在医院工作超过六个月的物理治疗师,包括本科生、有经验的专业人员和研究生。在志愿者工作时间内,采用包含姑息治疗相关封闭问题的问卷对其进行评估。数据采用描述性方法进行分析。

结论

我们得出结论,评估的大多数专业人员都具备姑息治疗的基本知识,但并不了解姑息治疗的核心内容。姑息治疗实践似乎常常受到其他领域知识的指导,总是具有直观性。因此,我们发现物理治疗师在姑息治疗方面的培训存在不足。总之,物理治疗师仍应在本科阶段接受姑息治疗的全面培训,以便日后能够更有效地进行一致的专业实践。

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