<?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>2182-5173</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Medicina Geral e Familiar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Port Med Geral Fam]]></abbrev-journal-title>
<issn>2182-5173</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa de Medicina Geral e Familiar]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2182-51732021000200090</article-id>
<article-id pub-id-type="doi">10.32385/rpmgf.v37i2.12727</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Morrer no domicílio: fatores associados à satisfação da preferência do doente.]]></article-title>
<article-title xml:lang="en"><![CDATA[Dying at home: factors related to satisfying patient preference.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[Rita Carvalho Cunha]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Capelas]]></surname>
<given-names><![CDATA[Manuel Luís]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,ACeS Lisboa Ocidental e Oeiras Equipa comunitária de suporte em cuidados paliativos ]]></institution>
<addr-line><![CDATA[Oeiras ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Católica Portuguesa Instituto de Ciências da Saúde Observatório Português dos Cuidados Paliativos]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade Católica Portuguesa Instituto de Ciências da Saúde Centro de Investigação Interdisciplinar em Saúde]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>04</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>04</month>
<year>2021</year>
</pub-date>
<volume>37</volume>
<numero>2</numero>
<fpage>90</fpage>
<lpage>98</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2182-51732021000200090&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2182-51732021000200090&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2182-51732021000200090&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A importância do local de morte tem sido estudada e valorizada em cuidados paliativos. Em Portugal parece que a maioria dos doentes prefere morrer no domicílio, embora a sua preferência não seja satisfeita.  Objetivos:  Identificar fatores associados à satisfação da preferência de morte no domicílio entre doentes acompanhados em cuidados paliativos em Portugal.  Métodos:  Estudo epidemiológico, observacional, transversal e analítico, em doentes acompanhados durante 2017 nas equipas de cuidados paliativos que responderam a um estudo de maiores dimensões do Observatório Português de Cuidados Paliativos. Foram selecionadas variáveis independentes de caracterização demográfica, social, clínica e de cuidados de saúde. Para análise bivariada foram utilizados os testes &#967;2, Mann-Whitney e modelo de regressão logística binária. Para análise multivariada foi utilizado o modelo de regressão logística com base no método Forward, baseado no teste de Wald.  Resultados:  Obtivemos uma taxa de resposta das instituições de 9,8%, com inclusão de 68 doentes, dos quais 52,9% do género masculino e com mediana de 78,5 anos (ampIIQ=19). A satisfação da preferência de morte no domicílio verificou-se em 32,3% (k=0,26) e associou-se de forma estatisticamente significativa a alguns fatores, nomeadamente à residência nos Açores (OR=3,79), à residência numa área rural (OR=10,00), à duração do seguimento desde a admissão numa equipa até à morte (&#8804; 30 dias, OR=0,15) e ao facto de o doente ser acompanhado por uma equipa comunitária de suporte em cuidados paliativos (OR=9,00).  Conclusões:  O valor de satisfação da preferência de morte no domicílio obtido foi apenas razoável, encontrando-se entre os valores mais baixos da literatura. Foi identificada uma relação com o local de residência, o tempo de seguimento em cuidados paliativos e o acompanhamento por equipas comunitárias especializadas. Estes fatores facilitadores vão ao encontro dos achados em estudos internacionais e poderão orientar a definição de estratégias adequadas à realidade da população portuguesa.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background:  Place of death has been studied and acknowledged as relevant in palliative care. In Portugal, it seems that most patients prefer to die at home, although that preference is not satisfied.  Aim:  Identify the factors related to satisfying patients&#8217; preference to die at home among palliative care recipients in Portugal.  Methods:  An epidemiologic, observational, cross-sectional, and analytic study was performed in patients treated during 2017 in palliative care facilities that answered a research work conducted by the Portuguese Observatory for Palliative Care. A set of independent variables concerning demographic, social, clinical, and healthcare characterization was selected. Chi-Square and Mann-Whitney tests and a binary logistic regression model were employed for the bivariate statistical analysis. The multivariate analysis was performed by using a logistic regression model based on the Forward method considering the Wald test.  Results:  We obtained a 9.8% response rate from the institutions, which included 68 patients. 52.9% were male and the median age was 78.5 (IQR=19). The preference to die at home was met in 32.3% (k=0.26). We found statistically significant associations with residence in the Azores (OR=3.79), and in rural areas (OR=10.00), duration of follow up in a palliative care team (&#8804; 30 days, OR=0.15), and assistance by home palliative care teams (OR=9.00).  Conclusions:  We obtained a fair satisfaction degree of patients&#8217; preference to die at home, with one of the lowest values observed in the literature. We identified an association with place of residence, duration of follow-up in palliative care, and assistance by home specialized teams. These enabling factors agree with those previously reported in other international studies. They should guide strategies definition adjusted to the reality of the Portuguese population.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Cuidados paliativos]]></kwd>
<kwd lng="pt"><![CDATA[Cuidados em fim de vida]]></kwd>
<kwd lng="pt"><![CDATA[Preferências do doente]]></kwd>
<kwd lng="pt"><![CDATA[Local de morte]]></kwd>
<kwd lng="pt"><![CDATA[Morte no domicílio.]]></kwd>
<kwd lng="en"><![CDATA[Palliative care]]></kwd>
<kwd lng="en"><![CDATA[Terminal care]]></kwd>
<kwd lng="en"><![CDATA[Patient preferences]]></kwd>
<kwd lng="en"><![CDATA[Place of death]]></kwd>
<kwd lng="en"><![CDATA[Home death.]]></kwd>
</kwd-group>
</article-meta>
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