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  • 1
    Online Resource
    Online Resource
    Questões éticas na esclerose múltipla sob o ponto de vista de médicos e pacientes
    FapUNIFESP (SciELO) ; 2005
    In:  Arquivos de Neuro-Psiquiatria Vol. 63, No. 1 ( 2005-03), p. 133-139
    Details
    In: Arquivos de Neuro-Psiquiatria, FapUNIFESP (SciELO), Vol. 63, No. 1 ( 2005-03), p. 133-139
    Abstract: Multiple sclerosis (MS) is a neurologic disorder that mostly affects young adults and can usually evolute to physical disability. Thus, caring patients with MS brings many ethic questions for the physician. OBJECTIVE: To identify physicians and patients' perceptions about the illness and so improve doctor-patient relationship. METHOD: It was made two different questionnaires, one for patients and another for physicians, 103 patients and 44 physicians answered them. RESULTS: 96.1% of patients knew their diagnosis, all others would like to know it. From those, 74.7% thought that that way it was disclosured was correct and 90.9% said that the doctor should tell us it. The worst symptoms described were fatigue (29.1%) and motor deficits (28.1%). By other side, 68% of patients told they suffered because of the illness. The most important reason for doctors to tell the diagnosis to the patients was to improve adherence to treatment (56.8%). A familiar present at this moment was demanded for 54.6% of doctors. When asked about orientations in a pregnancy, 50% of physicians did not answer correctly. Finally, 50% of physicians were against complementary and alternative therapies. CONCLUSION: Patients want to know their diagnosis and doctors should tell them in the most adequate moment and give more information. A debate about palliative care is also necessary.
    Type of Medium: Online Resource
    ISSN: 0004-282X
    URL: Article
    DOI: 10.1590/S0004-282X2005000100024
    Language: Unknown
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2005
    detail.hit.zdb_id: 2053072-9
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  • 2
    Online Resource
    Online Resource
    Validity, reliability and applicability of Portuguese versions of sedation-agitation scales among critically ill patients
    FapUNIFESP (SciELO) ; 2008
    In:  Sao Paulo Medical Journal Vol. 126, No. 4 ( 2008-07), p. 215-219
    Details
    In: Sao Paulo Medical Journal, FapUNIFESP (SciELO), Vol. 126, No. 4 ( 2008-07), p. 215-219
    Abstract: CONTEXTO E OBJETIVO: Escalas de sedação são usadas para guiar protocolos de sedação em unidades de terapia intensiva. Entretanto, nenhuma escala em português foi avaliada. O objetivo foi avaliar, quanto a validade e confiabilidade, quatro escalas de sedação/agitação (Glasgow, Ramsay, Richmond Agitation-Sedation Scale, RASS, e Sedation-Agitation Scale, SAS) traduzidas ao português em pacientes de terapia intensiva. TIPO DE ESTUDO E LOCAL: Estudo de validação em duas UTIs de hospital universitário. MÉTODOS: Todas as escalas foram aplicadas a 29 pacientes por quatro membros da equipe multiprofissional (uma enfermeira, um fisioterapeuta, um médico intensivista e um residente de medicina intensiva). Cada escala foi testada para confiabilidade interobservador e para validade, usando-se a correlação entre elas. A concordância foi medida pelo kappa ponderado e as correlações foram feitas pelo teste de Spearman. RESULTADOS: Todas as escalas tiveram uma concordância substancial (k ponderado 0,68-0,90). As escalas RASS (k ponderado 0,82-0,87) e SAS (k ponderado 0,83-0,90) tiveram a melhor concordância. Todas as escalas tiveram concordância boa e significante entre elas. CONCLUSÕES: Todas as escalas tiveram boa concordância interobservador e foram comparáveis entre elas. As escalas RASS e SAS tiveram a melhor correlação entre elas e os melhores resultados de concordância entre as categorias multiprofissionais. Estas características fazem com que as escalas RASS e SAS sejam boas para a avaliação de sedação e agitação de pacientes críticos em termos de validade, confiabilidade e aplicabilidade.
    Type of Medium: Online Resource
    ISSN: 1516-3180
    URL: Article
    DOI: 10.1590/S1516-31802008000400003
    Language: Unknown
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2008
    detail.hit.zdb_id: 2031087-0
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