Cuidadores familiares de pacientes sob cuidados paliativos no domicílio e hospital: revisão integrativa

Autores/as

DOI:

https://doi.org/10.5281/zenodo.7394991

Palabras clave:

cuidados paliativos, cuidadores, serviços de assistência domiciliar, hospitais, enfermagem

Resumen

Objetivo: conhecer a produção científica de abordagem qualitativa sobre cuidadores familiares de pacientes sob cuidados paliativos no domicílio e hospital. Métodos: trata-se de uma revisão integrativa da literatura, realizada com os descritores de cuidado paliativo, cuidados paliativos na terminalidade da vida, cuidadores, cuidadores familiares, serviços de assistência domiciliar, hospitais e hospital, no MEDLINE/PubMed Central e Web of Science. Resultados: os cuidadores familiares de pacientes sob cuidados paliativos enfrentam diferentes realidades nos cenários do domicílio e do hospital. No ambiente hospitalar é preciso avançar para acolher melhor as pessoas com doenças que ameaçam a vida e suas famílias, uma vez que poucos aspectos positivos e benéficos foram discutidos. Já em ambiente domiciliar, muitos cuidadores relataram que não saberiam como fariam para lidar com as demandas de cuidado de uma pessoa e mostraram dificuldade em aceitar o papel de cuidador que lhe foi imposto. Conclusão: os cuidadores familiares não são o alvo principal das ações das equipes de saúde, sendo integrados aos cuidados paliativos muito mais como agentes para o alcance do bem-estar do doente.

Descargas

La descarga de datos todavía no está disponible.

Biografía del autor/a

Letícia Valente Dias , Hospital Escola da Universidade Federal de Pelotas - EBSERH (Empresa Brasileira de Serviços Hospitalares

Enfermeira. Especialização em Atenção à Saúde Oncológica - Residência Multiprofissional no Hospital Escola (HE-UFPEL), mestrado em ciências (PPGENF – UFPEL). Hospital Escola da Universidade Federal de Pelotas - EBSERH (Empresa Brasileira de Serviços Hospitalares).

Stefanie Griebeler Oliveira, Universidade Federal de Pelotas, Pelotas, Rio Grande do Sul, Brasil

Enfermeira. Doutora em Enfermagem pela Universidade Federal do Rio Grande do Sul. Professora adjunta do Departamento de Enfermagem em Saúde Coletiva, Universidade Federal de Pelotas, Pelotas, Rio Grande do Sul, Brasil.

Berlanny Christina de Carvalho Bezerra, Universidade Federal de Pelotas, Pelotas, Rio Grande do Sul, Brasil

Enfermeira. Hospital Escola da Universidade Federal de Pelotas (HE – UFPEL)

Graziela da Silva Schiller , Faculdade de Enfermagem da Universidade Federal de Pelotas (UFPEL)

Acadêmica da Faculdade de Enfermagem da Universidade Federal de Pelotas (UFPEL). Bolsista PROBIC- FAPERGS

Ernani Augusto a Fraga da Fonsec, Faculdade de Enfermagem da Universidade Federal de Pelotas (UFPEL)

Acadêmico da Faculdade de Enfermagem da Universidade Federal de Pelotas (UFPEL), estagiário na Prefeitura Municipal de Pelotas

Citas

World Health Organization. Global Atlas of Palliative Care at the End of Life. 2014. (URL: https://www.who.int/nmh/Global_Atlas_of_Palliative_Care.pdf)

Burlá C, Py L. Cuidados paliativos: ciência e proteção ao fim da vida. Cad. Saúde Pública. 2014;30(6):1-3. (DOI: https://doi.org/10.1590/0102-311XPE020614)

Simão VM, Mioto RC. O cuidado paliativo e domiciliar em países da América Latina. Saúde Debate. 2016;40(108):156-69. (DOI: https://doi.org/10.1590/0103-1104-20161080013)

Silveira MH, Ciampone MH, Gutierrez BA. Percepção da equipe multiprofissional sobre cuidados paliativos. Rev. Bras. Geriatr. Gerontol. 2014;17(1),:7-16. (DOI: https://doi.org/10.1590/S1809-98232014000100002)

Delalibera M, Barbosa A, Leal I. Circunstâncias e consequências do cuidar: caracterização do cuidador familiar em cuidados paliativos. Ciênc. Saúde Colet. 2018;23(4):1105-17. (DOI: https://doi.org/10.1590/1413-81232018234.12902016)

Ferré-grau C, Rodero-sánchez V, Cid-Buera, D, Vives-Relats C, Aparicio-Casal MR. Guía de cuidados de enfermeira: cuidar al cuidador em atención primária. Espanha (Tarragona): Publidisa; 2011. (DOI: http://www.hospital-sanjuandedios.es/upload/cuidando/doc/guia-cuidados-enfermeria_cuidar-al-cuidador-en-ap.pdf)

Ribeiro BF, Oliveira SG, Tristão FS, Santos-Júnior JR, Farias TA. Práticas de si de cuidadores familiares na atenção domiciliar. Rev. Cuid. 2017;8(3):1809-25. (DOI: https://doi.org/10.15649/cuidarte.v8i3.429)

Mendes KD, Silveira RC, Galvão CM. Revisão integrativa: método de pesquisa para a Incorporação de evidências na saúde e na enfermagem. Texto Contexto Enferm [online], 2008;17(4):758-64. (DOI: https://doi.org/10.1590/S0104-07072008000400018)

Cardano M. Manual de pesquisa qualitativa: a contribuição da teoria da argumentação. Brasil (Rio de Janeiro): Vozes; 2017.

McGrath, P, Vun M, McLeod L. Needs and experiences of non-English-speaking hospice patients and families in an English-speaking country. Am. J. Hosp. Palliat. Care. 2001;18(5):305-12. (DOI: https://doi.org/10.1177/104990910101800505)

Harding R, Higginson I. Working with ambivalence: informal caregivers of patients at the end of life. Support. Care Cancer. 2001;9(8):642-4. (DOI: 10.1007/s005200100286)

Wennman-Larsen A, Tishelman C. Advanced home care for cancer patients at the end of life: a qualitative study of hopes and expectations of family caregivers. Scand. J. Caring Sci. 2002;16(3):240-47. (DOI: https://doi.org/10.1046/j.1471-6712.2002.00091.x)

Schumacher KL, Koresawa S, West C, Hawkins C, Johnson C, Wais E. et al. Putting cancer pain management regimens into practice at home. J. Pain Symptom Manage. 2002;23(5):369-82. (DOI: 10.1016/s0885-3924(02)00385-8)

Stajduhar KI. Examining the perspectives of family members involved in the delivery of palliative care at home. J. Palliat. Care. 2003;19(1):27-35. (DOI: https://doi.org/10.1177/082585970301900106)

Proot IM, Abu-Saad HH, Crebolder HF, Goldsteen M, Luker KA.; Widdershoven GA. Vulnerability of family caregivers in terminal palliative care at home; balancing between burden and capacity. Scand. J. Caring Sci. 2003;17(2):113-21. (DOI: https://doi.org/10.1046/j.1471-6712.2003.00220.x)

Milberg A, Strang P. Meaningfulness in palliative home care: an interview study of dying cancer patients' next of kin. Palliat. Support Care. 2003;1(2):171-80. (DOI: 10.1017/s1478951503030311)

Brobäck G, Berterö C. How next of kin experience palliative care of relatives at home. Eur. J. Cancer Care (Engl). 2003;12(4):339-49. (DOI: https://doi.org/10.1046/j.1365-2354.2003.00436.x)

Witkowski A, Carlsson ME. Support group programme for relatives of terminally ill cancer patients. Support. Care Cancer. 2004;12(3):168-75. (DOI: https://doi.org/10.1007/s00520-003-0518-9)

Sherwood PR, Given BA, Doorenbos AZ, Given CW. Forgotten voices: lessons from bereaved caregivers of persons with a brain tumour. Int. J. Palliat. Nurs. 2004;10(2):67-75. (DOI: https://doi.org/10.12968/ijpn.2004.10.2.12460)

Milberg A, Strang P. Exploring comprehensibility and manageability in palliative home care: an interview study of dying cancer patients' informal carers. Psychooncology. 2004;13(9):605-18. (DOI: https://doi.org/10.1002/pon.774)

Goldschmidt D, Schmidt L, Krasnik A, Christensen U, Groenvold M. Expectations to and evaluation of a palliative home-care team as seen by patients and carers. Support. Care Cancer. 2006;14(12):1232-40. (DOI: https://doi.org/10.1007/s00520-006-0082-1

Jo S, Brazil K, Lohfeld L, Willison K. Caregiving at the end of life: perspectives from spousal caregivers and care recipients. Palliat. Support Care. 2007;5(1):11-7. (DOI: https://doi.org/10.1017/S1478951507070034)

Brännström M, Ekman I, Boman K, Strandberg G. Being a close relative of a person with severe, chronic heart failure in palliative advanced home care -- a comfort but also a strain. Scand. J. Caring Sci. 2007;21(3):338-44. (DOI: https://doi.org/10.1111/j.14716712.2007.00485.x)

Stajduhar KI, Martin WL, Barwich D, Fyles G. Factors influencing family caregivers' ability to cope with providing end-of-life cancer care at home. Cancer Nurs. 2008;31(1):77-85. (DOI: 10.1097/01.NCC.0000305686.36637.b5)

Munck B, Fridlund B, Mårtensson J. Next-of-kin caregivers in palliative home care--from control to loss of control. J Adv Nurs. 2008;64(6):578-86. (DOI: https://doi.org/10.1111/j.1365-2648.2008.04819.x)

Israel F, Reymond L, Slade G, Menadue S, Charles MA. Lay caregivers' perspectives on injecting subcutaneous medications at home. Int. J. Palliat. Nurs. 2008;14(8):390-5. (DOI: https://doi.org/10.12968/ijpn.2008.14.8.30774)

Clemmer SJ, Ward-Griffin C, Forbes D. Family members providing home-based palliative care to older adults: the enactment of multiple roles. Can. J. Aging. 2008;27(3):267-83. (DOI: https://doi.org/10.3138/cja.27.3.267)

Anderson BA, Kralik D. Palliative care at home: carers and medication management. Palliat. Support Care. 2008;6(4):349-56. (DOI: https://doi.org/10.1017/S1478951508000552)

Cronfalk BS, Strang, P, Ternestedt BM. Inner power, physical strength and existential well-being in daily life: relatives' experiences of receiving soft tissue massage in palliative home care. J. Clin. Nurs. 2009;18(15):2225-33. (DOI: https://doi.org/10.1111/j.1365-2702.2008.02517.x)

Nelson JE, Puntillo KA, Pronovost PJ, Walker AS, McAdam JL, Ilaoa D, et al. In their own words: patients and families define high-quality palliative care in the intensive care unit. Crit. Care. Med. 2010:38(3):808-18. (DOI: 10.1097/ccm.0b013e3181c5887c)

Benzar E, Hansen LR, Kneitel AW, Fromme EK. Discharge planning for palliative care patients: a qualitative analysis. J. Palliat. Med. 2011;14(1):65-9. (DOI: https://doi.org/10.1089/jpm.2010.0335)

Mehta A, Cohen SR, Ezer H, Carnevale FA, Ducharme F. Striving to respond to palliative care patients' pain at home: a puzzle for family caregivers. Oncol. Nurs. Forum. 2011;38(1):37-45 (DOI: 10.1188/11.ONF.E37-E45)

Fratezi FR, Gutierrez BA. Cuidador familiar do idoso em cuidados paliativos: o processo de morrer no domicílio. Ciênc. Saúde Colet. 2011;16(7):3241-8. (DOI: https://doi.org/10.1590/S1413-81232011000800023)

Yang GM, Ewing G, Booth S. What is the role of specialist palliative care in an acute hospital setting? A qualitative study exploring views of patients and carers. Palliat. med. 2012;26(8):1011-7. (DOI: em: https://doi.org/10.1177/0269216311425097)

Sales CA, Grossi AC, Almeida CS, Silva JC, Marcon SS. Cuidado de enfermagem oncológico na ótica do cuidador familiar no contexto hospitalar. Acta Paul. Enferm. 2012;25(5):736-42. (DOI: http://dx.doi.org/10.1590/S0103-21002012000500014)

Harrington A, Mitchell P, Jones J, Swetenham K, Currow D. Transition to an in-patient palliative care unit: carers share their experiences. Int. J. Palliat. Nurs. 2012;18(11):548-52. (DOI: https://doi.org/10.12968/ijpn.2012.18.11.548)

Washington KT, Demiris G, Oliver DP, Wittenberg-Lyles E, Crumb E. Qualitative evaluation of a problem-solving intervention for informal hospice caregivers. Palliat. Med. 2012;26(8):1018- 24. (DOI: https://doi.org/10.1177/0269216311427191)

Munck B, Sandgren A, Fridlund B, Mårtensson, J. Next-of-kin's conceptions of medical technology in palliative homecare. J. Nurs. Manag. 2012;21(13-14):1868-77. (DOI: https://doi.org/10.1111/j.1365-2702.2012.04123.x)

Harding R, Epiphaniou E, Hamilton D, Bridger S, Robinson V, George R, et al. What are the perceived needs and challenges of informal caregivers in home cancer palliative care? Qualitative data to construct a feasible psycho-educational intervention. Support. Care. Cancer. 2012;20(9):1975-82. (DOI: https://doi.org/10.1007/s00520-011-1300-z)

Bialon LN, Coke S. A study on caregiver burden: stressors, challenges, and possible solutions. J. Hosp. Palliat. Care. 2012;29(3):210-8. (DOI: 10.1177/1049909111416494)

Dahlborg-Lyckhage E, Lindahl B. Living in liminality--being simultaneously visible and invisible: caregivers' narratives of palliative care. J. Soc. Work End Life Palliat. Care. 2013;9(4):272-88. (DOI: https://doi.org/10.1080/15524256.2013.846885)

Hatcher I, Harms L, Walker B, Stokes S, Lowe A, Foran K, Tarrant J. Rural palliative care transitions from home to hospital: carers' experiences. Aust. J. Rural Health. 2014;22(4):160-4. (DOI: 10.1111/ajr.12105)

Beng TS, Guan NC, Jane LE, Chin LE. Health care interactional suffering in palliative care. Am. J. Hosp. Palliat. Care. 2014;31(3):307-14. (DOI: 10.1177/1049909113490065)

Lee SH, Melia KM, Yao CA, Lin CJ, Chiu TY, Hu WY. Providing hospice home care to the terminally ill elderly people with cancer in Taiwan: family experiences and needs. Am. J. Hosp. Palliat. Care. 2014;31(6):628-35. (DOI: 10.1177/1049909113499603)

Janze A, Henriksson A. Preparing for palliative caregiving as a transition in the awareness of death: family carer experiences. Int. J. Palliat. Nurs. 2014;20(10):494-501. (DOI: 10.12968/ijpn.2014.20.10.494)

Hardy B, King N, Rodriguez A. The experiences of patients and carers in the daily management of care at the end of life. Int. J. Palliat. Nurs. 2014;20(12):591:8. (DOI: 10.12968/ijpn.2014.20.12.591)

Paiva BS, Carvalho AL, Lucchetti G, Barroso EM, Paiva CE. “Oh, yeah, I'm getting closer to god": spirituality and religiousness of family caregivers of cancer patients undergoing palliative care. Support. Care Cancer. 2015;23(8):2383-9. (DOI: 10.1007/s00520-015-2604-1)

Holm M, Henriksson A, Carlander I, Wengström Y, Öhlen J. Preparing for family caregiving in specialized palliative home care: an ongoing process. Palliat support. care. 2015;13(3):767-75. (DOI: 10.1017/S1478951514000558)

Golla H, Mammeas S, Galushko M, Pfaff H, Voltz R. Unmet needs of caregivers of severely affected multiple sclerosis patients: A qualitative study. Palliat. Support. Care. 2015;13(6):1685-93. (DOI: 10.1017/S1478951515000607)

Sparla A, Flach-Vorgang S, Villalobos M, Krug K, Kamradt M, Coulibaly K, et al. Individual difficulties and resources – a qualitative analysis in patients with advanced lung cancer and their relatives. Patient. Prefer. Adherence. 2016;10:2021-9. (DOI: 10.2147/PPA.S110667)

Jack BA, Mitchell TK, Cope LC, O'brien MR.Supporting older people with cancer and life-limiting conditions dying at home: a qualitative study of patient and family caregiver experiences of Hospice at Home care. J. Adv. Nurs. 2016;72(9):2162-72. (DOI: 10.1111/jan.12983)

Phongtankuel V, Paustian S, Reid MC, Finley A, Martin A, Delfs J, et al. Events Leading to Hospital-Related Disenrollment of Home Hospice Patients: A Study of Primary Caregivers' Perspectives. J. Palliat. Med. 2017;20(3):260-5. (DOI: 10.1089/jpm.2015.0550)

Nelson D, Mansfield P, Kane R. Carers of people affected by cancer and other long-term conditions at end of life: A qualitative study of providing a bespoke package of support in a rural setting. Palliat. Med. 2017;31(2):158-61. (DOI: 10.1177/0269216316648073)

Collins A, McLachlan S, Philip J. Initial perceptions of palliative care: An exploratory qualitative study of patients with advanced cancer and their family caregivers. Palliative Medicine. 2017;31(9):825-32. (DOI: 10.1177/0269216317696420)

Kirby E, Lwin Z, Kenny K, Broom A, Birman H, Good P. “It doesn’t exist…”: negotiating palliative care from a culturally and linguistically diverse patient and caregiver perspective. BMC Palliat. Care. 2018;17(90). (DOI: 10.1186/s12904-018-0343-z)

Collins A, McLachlan S, Philip J. How should we talk about palliative care, death and dying? A qualitative study exploring perspectives from caregivers of people with advanced cancer. Palliat Med. 2018;32(4):861-9. (DOI: 10.1177/0269216317746584)

Chung BP, Leung D, Leung SM, Loke AY. Beyond death and dying: how Chinese spouses navigate the final days with their loved ones suffering from terminal cancer. Support Care Cancer. 2018;16(1):261-7. (DOI: 10.1007/s00520-017-3844-z)

Martins RS, Júnior AJ, Santana ME, Santos LM. Corporeidade de adoecidos oncológicos em cuidados paliativos domiciliares: a vivência de familiares cuidadores. R. pesq. cuid. fundam. 2018;10(2)423-31. (DOI: https://doi.org/10.9789/2175-5361.2018.v10i2.423-431)

Klarare A, Rasmussen BH, Fossum B, Hansson J, Fürst CJ, Hagelin CL. Actions helping expressed or anticipated needs: Patients with advanced cancer and their family caregivers’ experiences of specialist palliative home care teams. Eur J Cancer Care (Engl). 2018;27(6)Set:1-9. (DOI: 10.1111/ecc.12948)

Judd R, Guy H, Howard RA. Caring for a Dying Partner: The Male Experience. J Palliat Care. 2019;34(1):5-11. (DOI: https://doi.org/10.1177/0825859718774679)

Wannapornsiri C. The experiences of family caregivers providing palliative cancer care in Thailand. Int J Palliat Nurs. 2018;24(11):559-65. (DOI: 10.12968/ijpn.2018.24.11.559)

Rainsford S, Phillips CB, Glasgow NJ, MacLeod RD, Wiles RB. The ‘safe death’: An ethnographic study exploring the perspectives of rural palliative care patients and family caregivers. Palliat Med. 2018;32(10):1575-83. (DOI: 10.1177/0269216318800613)

Carrillo GM, Arias-Rojas M, Carreño SP, Gómez OJ, López R, Cárdenas DC. Looking for Control at the End of Life Through the Bond: A Grounded Theory on the Hospital Discharge Process in Palliative Care. J Hosp Palliat Nurs. 2018;20(3):296-303. (DOI: 10.1097/NJH.0000000000000447)

Nissmark S, Fange AM. Occupational balance among family members of people in palliative care. Scand J Occup Ther. 2018;27(7):500-6. (DOI:https://doi.org/10.1080/11038128.2018.1483421)

Pinto C, Bristowe K, Witt J, Davies JM, Wolf-Linder S, Marsha Dawkins, et al. Perspectives of patients, family caregivers and health professionals on the use of outcome measures in palliative care and lessons for implementation: a multi-method qualitative study. Ann Palliat Med. 2018;7(Suppl 3):137-50. (DOI: 10.21037/apm.2018.09.02)

Røen I, Stifoss-Hanssen H, Grande G, Brenne AT, Kaasa S, Sand K, et al. Resilience for family carers of advanced cancer patients-how can health care providers contribute? A qualitative interview study with carers. Palliat Med. 2018;32(8):1410-8. (DOI: 10.1177/0269216318777656)

Vanderstichelen S, Cohen J, Wesemae YV, Deliens L, Chambaere K. The liminal space palliative care volunteers occupy and their roles within it: a qualitative study. BMJ Support Palliat Care. 2018;0:1–11. (DOI: 10.1136/bmjspcare-2018-001632)

Smallwood N, Moran T, Thompson M, Eastman P, Le B, Philip J. Integrated respiratory and palliative care leads to high levels of satisfaction: a survey of patients and carers. BMC Palliat Care. 2019;18(1):1-8. (DOI:10.1186/s12904-019-0390-0)

Preisler M, Rohrmoser A, Goerling U, Kendel F, Bär K, Riemer M, et al. Early palliative care for those who care: A qualitative exploration of cancer caregivers' information needs during hospital stays. Eur J Cancer Care (Engl). 2019;28(2):1-10. (DOI:https://doi.org/10.1111/ecc.12990)

Warby A, Dhillon HM, Kao S, Vardy JL. A survey of patient and caregiver experience with malignant pleural mesothelioma. Support. Care Cancer. 2019;27(12):4675-86. (DOI: 10.1007/s00520-019-04760-x)

Sowerbutts AM, Lal S, Sremanakova J, Clamp A, Jayson G, Teubner A, et al. Palliative home parenteral nutrition in patients with ovarian cancer and malignant bowel obstruction: experiences of women and family caregivers. BMC Palliat. Care. 2019;18(120). (DOI: https://doi.org/10.1186/s12904-019-0507-5)

Gudat H, Ohnsorge K, Streeck N, Rehmann-Sutter C. How palliative care patients' feelings of being a burden to others can motivate a wish to die. Moral challenges in clinics and families. Bioethics. 2019;33(4):421-30. (DOI: 10.1111/bioe.12590)

Ehrlich O, Walker RK, Jacelon CS. Cancer Pain Social Processes and Pain Management in Home Hospice Care. Pain Manag Nurs. 2019;20(6):541-8. (DOI: 10.1016/j.pmn.2019.06.011)

Gerber K, Hayes B, Bryant C. 'It all depends!': A qualitative study of preferences for place of care and place of death in terminally ill patients and their family caregivers. Palliat Med. 2019;33(7):802-11. (DOI: 10.1177/0269216319845794)

Helsel D, Thao KS, Whitney R. Their Last Breath: Death and Dying in a Hmong American Community. J. Hosp. Palliat. Nurs. 2020;22(1):68-74. (DOI: 10.1097/NJH.0000000000000616)

O'Callaghan C, Brooker J, de Silva W, Glenister D, Cert AM, Symons X, et al. Patients' and Caregivers' Contested Perspectives on Spiritual Care for Those Affected by Advanced Illnesses: A Qualitative Descriptive Study. J Pain Symptom Manage. 2019;58(6):977-88. (DOI: 10.1016/j.jpainsymman.2019.08.004)

Hisamatsu M, Shinchi H, Tsutsumi Y. Experiences of spouses of patients with cancer from the notification of palliative chemotherapy discontinuation to bereavement: A qualitative study. Eur J Oncol Nurs. 2020;45:101721. (DOI: 10.1016/j.ejon.2020.101721)

Kusi G, Mensah AB, Mensah K, Dzomeku VM, Apiribu F, Duodu PA. Caregiving motivations and experiences among family caregivers of patients living with advanced breast cancer in Ghana. PLoS One. 2020;15(3). (DOI: 10.1371/journal.pone.0229683)

McForlane J, Fugin L. The Lived Experiences of Family Caregivers of Persons Dying in Home Hospice. J. Hosp. Palliat. Nurs. 2020;22(2):145-51. (DOI: 10.1097/NJH.0000000000000632)

Minayo MC. O desafio do conhecimento: pesquisa qualitativa em saúde. 14. ed. São Paulo: HUCITEC, 2014.

World Health Organization (WHO). National cancer control programmes: policies and managerial guidelines. 2.ed. Geneva: WHO, 2002. (URL: https://apps.who.int/iris/bitstream/handle/10665/42494/9241545577.pdf?sequence=1&isAllowed=Y)

Sociedade Brasileira de Geriatria e Gerontologia (SBGG). Vamos falar sobre cuidados paliativos. Brasil, 2015. (URL: https://sbgg.org.br/wp-content/uploads/2014/11/vamos-falar-de-cuidados-paliativos-vers--o-online.pdf)

Academia Nacional de Cuidados Paliativos (ANCP). Manual de Cuidados Paliativos. São Paulo: 2012. (URL: https://dms.ufpel.edu.br/static/bib/manual_de_cuidados_paliativos_ancp.pdf)

Cordeiro FR, Oliveira SG, Giudice JC, Fernandes VP, Oliveira AT. Definitions for “palliative care”, “end-of-life” and “terminally ill” in oncology: a scoping review Enfermería (Montev.). 2020;9(2):205-28. (DOI: http://dx.doi.org/10.22235/ech.v9i2.2317)

Oliveira SG, Kruse MH, Echevarría-Guanilo ME, Velleda KL, Santos-Junior JR, Sartor SF. Atenção domiciliar: estratégia da biopolítica? Rev. Aten. Saúde. 2017;15(54):108-16. (DOI: https://doi.org/10.13037/ras.vol15n54.4719)

Cunha AS, Pitombeira JS, Panzetti TM. Cuidado paliativo oncológico: percepção dos cuidadores. J. Health Biol. Sci. 2018;6(4):383-90. (DOI: http://dx.doi.org/10.12662/2317-3076jhbs.v6i4.2191.p383-390.2018)

Cavalcanti AE, Netto JJ, Martins KM, Rodrigues AR, Goyanna NF, Aragão OC. Percepção de cuidadores familiares sobre cuidados paliativos. Arq. ciênc. saúde. 2018;25(1):24-8. (DOI: https://doi.org/10.17696/2318-3691.25.1.2018.685)

Markus LA, Betiolli SE, Souza SJ, Marques FR, Migoto MT. A atuação do enfermeiro na assistência ao paciente em cuidados paliativos. RGS. 2017;17(Supl 1):71-81. (URL: https://www.herrero.com.br/files/revista/file808a997f5fc0c522425922dc99ca39b7.pdf)

Matos MR, Muniz RM, Viegas AC, Przylynski DS, Holz AW. Significado da atenção domiciliar e o momento vivido pelo paciente oncológico em cuidados paliativos. Rev. Eletr. Enferm. 2016;18:1-10. (DOI: https://doi.org/10.5216/ree.v18.35061)

Clark D. From margins to centre: a review of the history of palliative care in câncer. Lancet Oncol. 2007;8(5):430-8. (DOI: https://doi.org/10.1016/S1470-2045(07)70138-9)

Virdun C, Luckett T, Lorenz K, Davidson PM, Phillips J. Hospital patients’ perspectives on what is essential to enable optimal palliative care: A qualitative study. Palliat Med. 2020;34(10):1402-15. (DOI: 10.1177/0269216320947570)

Oliveski CC, Girardon-Perlini NM, Cogo SB, Cordeiro FR, Martins FC, Paz PP. Experiência de famílias frente ao adoecimento por câncer em cuidados paliativos. Texto Contexto Enferm. 2021;30:327-45. (DOI: https://doi.org/10.1590/1980-265X-TCE-2020-0669)

Publicado

2022-12-15

Cómo citar

Valente Dias , L., Griebeler Oliveira, S., de Carvalho Bezerra, B. C., da Silva Schiller , G., & Fraga da Fonsec, E. A. a. (2022). Cuidadores familiares de pacientes sob cuidados paliativos no domicílio e hospital: revisão integrativa. SALUD, ARTE Y CUIDADO Revista Venezolana De Enfermería Y Ciencias De La Salud, 15(2), 63-74. https://doi.org/10.5281/zenodo.7394991

Número

Sección

Artículos científicos originales

Artículos más leídos del mismo autor/a