STUDY OF PATIENTS’ NEEDS IN THE PROCESS OF PALLIATIVE CARE AT THE OUTPATIENT BASIS

Authors

  • O. Z. Detsyk Ivano-Frankivsk National Medical University, Ivano-Frankivsk, Ukraine
  • O. P. Bratsyun P. Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine

DOI:

https://doi.org/10.11603/1681-2786.2020.1.11203

Keywords:

family doctors, palliative care

Abstract

Purpose: to examine the needs of patients receiving palliative care at the outpatient basis.

Materials and Methods. 219 patients who received palliative care at home, residents of Uzhhorod, were interviewed. Sociological and medical-statistical methods were used.

Results. It was found that the total majority (97.1 %) of patients in the terminal stage of serious illness want to receive palliative care at the place of residence and be informed about their diagnosis and prognosis (98.2 %).

It was found that family physicians in the process of interaction with palliative patients admit some shortcomings, such as: failure to assess the degree of pain (12.3 %), lack of discussion with patients about the form of analgesics (15.4 %), incomplete pain correction (22.1 %) and other concomitant symptoms (26.8 %), insufficient counseling of relatives (41.2 %).

It was shown that palliative patients have a significant need for psychological (78.4 %), spiritual (79.6 %) and social (78.5 %) support. At the same time, against the background of the general low level of their material well-being (64.3 %), the main caregivers (83.1 %) and the source of psychological support (71.0 %) are relatives of patients with insufficient participation of psychologists, social workers and clergy.

Conclusion. To meet the medical, informational, psychological, social and spiritual needs of palliative care patients, it is necessary to improve the training of family physicians in palliative care and to establish coordination of their actions with mobile palliative and social services.

Author Biographies

O. Z. Detsyk, Ivano-Frankivsk National Medical University, Ivano-Frankivsk, Ukraine

DM (Medicine), Professor, Head of the Department of Social Medicine and Public Health, Ivano-Frankivsk National Medical University

O. P. Bratsyun, P. Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine

Assistant of the Department of Palliative and Hospice Medicine of the P. Shupyk National Medical Academy of Postgraduate Education

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Published

2020-03-25

How to Cite

Detsyk, O. Z., & Bratsyun, O. P. (2020). STUDY OF PATIENTS’ NEEDS IN THE PROCESS OF PALLIATIVE CARE AT THE OUTPATIENT BASIS. Bulletin of Social Hygiene and Health Protection Organization of Ukraine, (1), 42–47. https://doi.org/10.11603/1681-2786.2020.1.11203

Issue

No. 1 (2020)

Section

Organization of medical care

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