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Publication
Eficácia da Teleconsulta de Enfermagem na Gestão de Cuidados Paliativos: Revisão Sistemática da Literatura
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Advisor(s)
Abstract(s)
Introdução: A teleconsulta em cuidados paliativos, além de proporcionar uma avaliação clínica do doente e da família, facilita a gestão de sintomas e contribui para a manutenção da qualidade de vida.
Objetivo: Identificar a evidência disponível sobre a eficácia da teleconsulta de enfermagem na gestão de cuidados paliativos, visando compreender o impacto desta abordagem na qualidade da assistência e na satisfação da pessoa em situação paliativa e dos seus familiares.
Metodologia: Foi realizada uma revisão sistemática da literatura, conforme as diretrizes da JBI, entre fevereiro e março de 2024, utilizando as bases de dados eletrónicas EBSCOhost Web, Pubmed, Scopus e Web of Science.
Resultados: Foram selecionadas 7 publicações (n=7), entre as quais se incluem estudos randomizados (n=4) e artigos de revisão sistemática da literatura (n=3). Nas publicações incluídas, o principal meio de contato foi a chama telefónica. Os benefícios identificados incluíram a melhoria da qualidade de vida, uma gestão mais eficaz dos sintomas, acompanhamento contínuo, e a redução de custos económicos e de tempo. As limitações incluem as dificuldades na avaliação à distância, as falhas técnicas, os desafios relacionados com a iliteracia digital e a formação dos profissionais. Os níveis de satisfação são altos, embora a teleconsulta não substitua a proximidade e o apoio emocional dos cuidados presenciais.
Conclusão: A teleconsulta de enfermagem é uma alternativa viável para o acompanhamento de doentes à distância, contribuindo para cuidados mais flexíveis, acessíveis e eficientes. Mostrou-se eficaz na gestão de sintomas, acompanhamento contínuo e redução de custos. Contudo, apresenta limitações na avaliação clínica à distância, nas falhas técnicas e necessidade de formação em competências digitais para doentes, cuidadores e profissionais.
Introduction: Teleconsultation in palliative care, in addition to providing a clinical assessment of the patient and family, facilitates symptom management and contributes to maintaining quality of life. Objective: To identify the available evidence on the effectiveness of nursing teleconsultation in palliative care management, aiming to understand the impact of this approach on the quality of care and satisfaction of people in palliative situations and their families. Methodology: A systematic review of the literature was carried out, according to JBI guidelines, between February and March 2024, using the electronic databases EBSCOhost Web, Pubmed, Scopus and Web of Science. Results: There were selected 7 publications (n=7), including randomized studies (n=4) and systematic literature review articles (n=3). In the included publications, the main means of contact was telephone calls. The benefits identified included improved quality of life, more effective symptom management, continuous monitoring, and redution of economic and time costs. Limitations include difficulties in remote assessment, technical failures, and challenges related to digital illiteracy and professional training. In terms of satisfaction levels, they are high, although teleconsultation does not replace the closeness and emotional support of in-person care. Conclusion: Nursing teleconsultation is a viable alternative for monitoring patients remotely, contributing to more flexible, accessible and efficient care. It has proven effective in managing symptoms, continuous monitoring and reducing costs, although remote clinical assessment it faces challenges such as technical failures and the need for training in digital skills for patients, caregivers and professionals.
Introduction: Teleconsultation in palliative care, in addition to providing a clinical assessment of the patient and family, facilitates symptom management and contributes to maintaining quality of life. Objective: To identify the available evidence on the effectiveness of nursing teleconsultation in palliative care management, aiming to understand the impact of this approach on the quality of care and satisfaction of people in palliative situations and their families. Methodology: A systematic review of the literature was carried out, according to JBI guidelines, between February and March 2024, using the electronic databases EBSCOhost Web, Pubmed, Scopus and Web of Science. Results: There were selected 7 publications (n=7), including randomized studies (n=4) and systematic literature review articles (n=3). In the included publications, the main means of contact was telephone calls. The benefits identified included improved quality of life, more effective symptom management, continuous monitoring, and redution of economic and time costs. Limitations include difficulties in remote assessment, technical failures, and challenges related to digital illiteracy and professional training. In terms of satisfaction levels, they are high, although teleconsultation does not replace the closeness and emotional support of in-person care. Conclusion: Nursing teleconsultation is a viable alternative for monitoring patients remotely, contributing to more flexible, accessible and efficient care. It has proven effective in managing symptoms, continuous monitoring and reducing costs, although remote clinical assessment it faces challenges such as technical failures and the need for training in digital skills for patients, caregivers and professionals.
Description
Keywords
Teleconsulta de enfermagem Cuidados paliativos Pessoa em situação paliativa Familiares cuidadores Enfermeiros