Cuidados paliativos en pacientes con enfermedades crónicas avanzadas en el Centro de Salud tipo A Chontacruz, Loja, 2019

Abstract

Abstract: Objective: To assess the degree of implementation of the palliative care clinical practice guide and its impact on the care of people with chronic diseases at the Chontacruz health center during 2019. Methodology: The present investigation was an analytical cross-sectional study, in the C.S. Chontacruz. The following were applied: structured surveys of the personnel who worked in said center, a NECPAL instrument for 50 patients with advanced chronic diseases and an ESAS instrument for 10 people in need of palliative care. Results: The degree of implementation of the palliative care guideline was medium with 40%, as was the level of knowledge by the participating personnel, with an average score of 12.5 out of 26. The need for palliative care was 30%; the symptoms they presented severely were: decreased well-being 90%, difficulty sleeping 80%, pain, tiredness, drowsiness, depression, and anxiety 70%, dyspnea, and decreased appetite 50%. Conclusions: A medium level of implementation and knowledge of the guideline was evidenced, which could influence the severity and diversity of symptoms reported by the patients.