Piedade Márjorie Anção Oliveira, Cardoso Filho Carlos Alberto, Priolli Denise Gonçalves
Universidade São Francisco, Bragança Paulista, SP, Brazil.
Escola de Educação Física e Esporte, Universidade de São Paulo, São Paulo, SP, Brazil.
Einstein (Sao Paulo). 2020 Sep 14;18:eAO5395. doi: 10.31744/einstein_journal/2020AO5395. eCollection 2020.
To investigate the prevalence of palliative sedation use and related factors.
An observational study based on data collected via electronic questionnaire comprising 23 close-ended questions and sent to physicians living and working in the state of São Paulo. Demographic data, prevalence and frequency of palliative sedation use, participant's familiarity with the practice and related motivating factors were analyzed. In order to minimize memory bias, questions addressing use frequency and motivating factors were limited to the last year prior to survey completion date. Descriptive statistics were used to summarize data.
In total, 20,168 e-mails were sent and 324 valid answers obtained, resulting in 2% adherence. The overall prevalence of palliative sedation use over the course of professional practice was 68%. However, only 48% of respondents reported having used palliative sedation during the last year, primarily to relieve pain (35%). The frequency of use ranged from one to six times (66%) during the study period and the main reason for not using was the lack of eligible patients (64%). Approximately 83% of physicians felt comfortable using palliative sedation but only 26% reported having specific academic training in this field.
The prevalence of palliative sedation use is high, the primary indication being pain relief. However, frequency of use is low due to lack of eligible patients.
调查姑息性镇静的使用情况及相关因素。
一项观察性研究，基于通过电子问卷收集的数据，问卷包含23个封闭式问题，并发送给在圣保罗州生活和工作的医生。分析人口统计学数据、姑息性镇静的使用患病率和频率、参与者对该做法的熟悉程度及相关激励因素。为尽量减少记忆偏差，关于使用频率和激励因素的问题仅限于调查完成日期前的最后一年。采用描述性统计来汇总数据。
共发送20168封电子邮件，获得324份有效回复，回复率为2%。在整个专业实践过程中，姑息性镇静的总体使用率为68%。然而，只有48%的受访者报告在过去一年中使用过姑息性镇静，主要目的是缓解疼痛（35%）。在研究期间，使用频率为1至6次（66%），不使用的主要原因是缺乏符合条件的患者（64%）。约83%的医生对使用姑息性镇静感到放心，但只有26%的医生报告在该领域接受过特定的学术培训。
姑息性镇静的使用率很高，主要指征是缓解疼痛。然而，由于缺乏符合条件的患者，使用频率较低。
