<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0873-3015</journal-id>
<journal-title><![CDATA[Millenium - Journal of Education, Technologies, and Health]]></journal-title>
<abbrev-journal-title><![CDATA[Mill]]></abbrev-journal-title>
<issn>0873-3015</issn>
<publisher>
<publisher-name><![CDATA[Instituto Politécnico de Viseu (IPV)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0873-30152024000100206</article-id>
<article-id pub-id-type="doi">10.29352/mill0223.34286</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Palliative needs in a list of users of a family health unit from an urban center]]></article-title>
<article-title xml:lang="pt"><![CDATA[Necessidades paliativas numa lista de utentes de uma unidade de saúde familiar de um centro urbano]]></article-title>
<article-title xml:lang="es"><![CDATA[Necesidades paliativas en una lista de usuarios de una unidad de salud familiar en un centro urbano]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pacheco]]></surname>
<given-names><![CDATA[Diana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Frias]]></surname>
<given-names><![CDATA[Eliana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carneiro]]></surname>
<given-names><![CDATA[Teresa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gonçalves]]></surname>
<given-names><![CDATA[Ilda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rocha]]></surname>
<given-names><![CDATA[Céu]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Liliana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Unidade de Saúde Familiar Horizonte Centro de Saúde de Matosinhos ]]></institution>
<addr-line><![CDATA[Matosinhos ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Unidade Local de Saúde de Matosinhos  ]]></institution>
<addr-line><![CDATA[Matosinhos ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>04</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>04</month>
<year>2024</year>
</pub-date>
<numero>23</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0873-30152024000100206&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0873-30152024000100206&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0873-30152024000100206&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  The Portuguese population is aging, and palliative needs are expected to increase. One of the barriers to timely access to a palliative care approach is the difficulty in identifying patients who could benefit from them. Most patients with palliative needs are in the community, whereby Primary Health Care teams are in the best position to identify these patients. Different studies have evaluated palliative needs in a hospital context, and to date it has not been possible to identify national studies in Primary Care.  Objective: Evaluate palliative needs in a list of patients of a Family Health Unit.  Methods:  Cross-sectional observational study on a sample of patients aged 65 years or older from a list of a Portuguese Family Health Care, through the application of the SPICT-PT&#8482;.  Results:  A total of 188 patients aged 65 years or older were included. Cardiovascular disease was the most frequent main underlying disease (n=57, 30,3%), followed by oncologic disease (n=31, 16,5%) and hypertension (n=28, 14,9%). 50 patients were identified as having palliative care needs (SPICT-PTTM-positive), which had a median age significantly higher than that of the SPICT-PTTM-negative, with no statistical differences concerning gender. All the patients referred to the Palliative Care team were SPICT-PTTM-positive.  Conclusion:  More studies are needed to evaluate the nature and complexity of palliative needs in Primary Care and to address the strategies used after the identification of these needs.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A população portuguesa está em processo de envelhecimento prevendo-se que as necessidades paliativas estejam a aumentar. Uma das barreiras ao acesso aos cuidados paliativos é a dificuldade em identificar os utentes que poderiam beneficiar deles. A maioria encontra-se na comunidade, sendo que as equipas dos Cuidados de Saúde Primários estão na melhor posição para os identificar. Diferentes estudos têm avaliado estas necessidades em contexto hospitalar, não tendo sido possível identificar na pesquisa efetuada, estudos nacionais nos Cuidados de Saúde Primários.  Objetivo: Avaliar as necessidades paliativas numa lista de utentes de uma Unidade de Saúde Familiar Portuguesa.  Métodos:  Estudo observacional transversal em utentes com idade igual ou superior a 65 anos provenientes de uma lista de uma Unidade de Saúde Familiar Portuguesa, através da aplicação da escala SPICT-PT&#8482;.  Resultados:  Foram incluídos 188 utentes com idade igual ou superior a 65 anos. A doença cardiovascular foi a principal doença de base (n=57, 30,3%), seguida da doença oncológica (n=31, 16,5%) e da hipertensão (n=28, 14,9%). 50 utentes foram identificados como tendo necessidades paliativas (SPICT-PTTM-positivo), os quais apresentavam uma mediana de idade significativamente superior à dos SPICT-PTTM-negativos, sem diferenças relativamente ao género. Todos os utentes referenciados à Equipa de Cuidados Paliativos eram SPICT-PTTM-positivos.  Conclusão:  Mais estudos são necessários para avaliar a natureza e a complexidade das necessidades paliativas nos Cuidados de Saúde Primários e as estratégias utilizadas após a sua identificação.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: La población portuguesa está envejeciendo y se espera que aumenten las necesidades paliativas. Una de las barreras para acceder a los cuidados paliativos es la dificultad para identificar a los usuarios que podrían beneficiarse de ellos. La mayoría se encuentran en la comunidad y los equipos de Atención Primaria de Salud están en la mejor posición para identificarlos. Diferentes estudios han evaluado estas necesidades en el contexto hospitalario, y aún no no ha sido posible identificar estudios nacionales en Atención Primaria de Salud.  Objetivo:  Evaluar necesidades paliativas en un listado de usuarios de una Unidad de Salud de Familia.  Métodos:  Estudio observacional transversal en usuarios de 65 años o más de un listado de una Unidad de Salud de Familia Portuguesa, utilizando la escala SPICT-PT&#8482;.  Resultados:  Se incluyeron 188 usuarios de 65 años o más. La enfermedad cardiovascular fue la principal enfermedad de base (n=57, 30,3%), seguida de la enfermedad oncológica (n=31, 16,5%) y la hipertensión (n=28, 14,9%). Se identificaron 50 usuarios con necesidades paliativas (SPICT-PTTM-positivo), los cuales tienen una mediana de edad significativamente mayor que el SPICT-PTTM-negativo, sin diferencias en cuanto al género. Todos los usuarios remitidos al equipo de cuidados paliativos fueron positivos para SPICT-PTTM.  Conclusión:  Se necesitan más estudios para evaluar la naturaleza y complejidad de las necesidades paliativas en Atención Primaria de Salud y las estrategias utilizadas después de su identificación.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[palliative care]]></kwd>
<kwd lng="en"><![CDATA[needs assessment]]></kwd>
<kwd lng="en"><![CDATA[primary health care]]></kwd>
<kwd lng="en"><![CDATA[family practice]]></kwd>
<kwd lng="pt"><![CDATA[cuidados paliativos]]></kwd>
<kwd lng="pt"><![CDATA[avaliação de necessidades]]></kwd>
<kwd lng="pt"><![CDATA[cuidados de saúde primários]]></kwd>
<kwd lng="es"><![CDATA[cuidados paliativo]]></kwd>
<kwd lng="es"><![CDATA[evaluación de necessidades]]></kwd>
<kwd lng="es"><![CDATA[atención primaria de salud]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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