Calidad de vida y satisfacción en cuidados paliativos del HUM durante marzo y abril de 2018

Abstract

Background: The aim was to know the quality of life and satisfaction with the care of oncological patients who received palliative care during hospitalization. Methodology: Observational longitudinal, prospective study, included patients older than 18 years old, with advanced oncological pathology with prior consent. Those with psychiatric illness or psychophysical disability were excluded. Sociodemographic and clinical data were obtained. Validated scales were used: "QLQ-C15-PAL" for quality of life in the first evaluation and seven days later, and "IN-PATSAT32" for satisfaction. Results: 80 patients were enrolled, with loss of follow-up in 23.8% due to death (n=18) and delirium (n=1). A strong association was found between subscales of pain, insomnia and constipation; Patient functionality and overall satisfaction with global quality of life in the first measurement There was a statistically significant improvement in the overall quality of life after seven days. No association was found between sociodemographic and clinical variables with this improvement, except for the type of nociceptive pain (p=0.05). There was a tendency to improve the global quality of life with higher scores for satisfaction with nursing services and general satisfaction. Discussion: The assessment of palliative care through the change in quality of life and satisfaction, allowed to identify associated factors to focus on care objectives, provide feedback to professionals and improve the quality of life of patients.