Actitudes y conocimiento de los médicos del HG1 FFAA sobre manejo de la enfermedad terminal
Fecha
2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
Antecedentes: La enfermedad en etapa terminal es impactante para el enfermo, para su familia y para el equipo de salud, que debe reconocer que la atención de salud en esta etapa en un derecho de todo ser humano. Objetivo: determinar las actitudes y conocimiento de los médicos sobre manejo de la enfermedad terminal en el Hospital Militar de Especialidades HG1 de Quito. Metodología: Enfoque cualitativo de estudio de caso mediante la aplicación de una encuesta para determinar las actitudes y conocimientos del personal médico en enfermedades en etapa terminal. Resultados: Un grupo considerable de médicos desarrollaron ansiedad frente a la muerte inminente, e incluso tener temor ante esta situación. Sobre la comunicación de la situación de terminalidad, la mayoría admitió haber delegado la responsabilidad; otro grupo admitió diferir el momento de entregar dicha información, mientras que un grupo minoritario preparó el momento para la entrega de dicha información. Más de la mitad de los encuestados aceptó haber confabulado con la familia para negar la información al enfermo. La gran mayoría de los encuestados no conocen el concepto de la etapa terminal de una enfermedad, y desconocen la existencia de equipos especializados que pueden ayudar en el manejo especializado de esta condición clínica. Conclusión: La mayoría de médicos desconoce el concepto de terminalidad, de los instrumentos que ayudan en su identificación oportuna, lo que contribuye a actitudes y conductas poco adecuadas en su manejo médico pues impiden la oportuna información y provocan el diferimiento de la limitación del esfuerzo terapéutico curativo.
Background: End-stage disease is striking for the sick, for their family and for the health team, which must recognize that health care at this stage is a right of every human being. Objective: to determine the attitudes and knowledge of the doctors on the management of the terminal illness in the Military Hospital of Specialties HG1 of Quito. Methodology: Qualitative approach of case study by the application of a survey to determine the attitudes and knowledge of medical personnel in end-stage diseases. Results: A considerable group of doctors developed anxiety about impending death, and even fear of this situation. On the communication of the terminality situation, the majority admitted having delegated the responsibility; another group admitted to delaying the timing of providing such information, while a minority group prepared the time for the delivery of such information. More than half of the respondents agreed to have conspired with the family to deny information to the patient. The vast majority of respondents do not know the concept of the terminal stage of a disease, and they do not know the existence of specialized equipment that can help in the specialized management of this clinical condition. Conclusion: The majority of physicians are unaware of the concept of terminality, of the instruments that help in their timely identification, which contributes to inappropriate attitudes and behaviors in their medical management because they prevent the timely information and cause the delay of the limitation of the therapeutic effort healing. C
Background: End-stage disease is striking for the sick, for their family and for the health team, which must recognize that health care at this stage is a right of every human being. Objective: to determine the attitudes and knowledge of the doctors on the management of the terminal illness in the Military Hospital of Specialties HG1 of Quito. Methodology: Qualitative approach of case study by the application of a survey to determine the attitudes and knowledge of medical personnel in end-stage diseases. Results: A considerable group of doctors developed anxiety about impending death, and even fear of this situation. On the communication of the terminality situation, the majority admitted having delegated the responsibility; another group admitted to delaying the timing of providing such information, while a minority group prepared the time for the delivery of such information. More than half of the respondents agreed to have conspired with the family to deny information to the patient. The vast majority of respondents do not know the concept of the terminal stage of a disease, and they do not know the existence of specialized equipment that can help in the specialized management of this clinical condition. Conclusion: The majority of physicians are unaware of the concept of terminality, of the instruments that help in their timely identification, which contributes to inappropriate attitudes and behaviors in their medical management because they prevent the timely information and cause the delay of the limitation of the therapeutic effort healing. C
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Conocimientos, actitudes y práctica en salud, Personal de salud, Enfermedad terminal, Pacientes, Cuidados paliativos, Hospital Militar de Especialidades HG1, Cantón Quito, Ecuador