Analysis of the role of home care for patients in palliative care: an integrative review of the period 2019-2023
DOI:
https://doi.org/10.55892/jrg.v7i15.1337Keywords:
Palliative care, Home nursing, Primary health care, Quaternary prevention, PreventionAbstract
Introduction: Palliative care (PC) in Brazil is insufficient when one takes into account the continental size of Brazil, the ageing population and technological advances in the field of medicine. There is an indisputable need to expand PC services in Brazil to cover all candidates, and the expansion of PC in home care is an alternative. The aim of this research is to analyze the role of home care in palliative care for terminally ill patients and its impact. Methodology: This study is an integrative literature review, based on the guiding question “What are the impacts of palliative care in home care for patients?”. The papers were screened using the SCIELO, PubMed and BVS electronic databases, including publications between 2019 and 2023. The criteria for including papers in the search were those in Portuguese or English that addressed at least one of the study's specific objectives. Results: The search initially resulted in 711 articles, which were filtered according to the inclusion and exclusion criteria and critical analysis, and 14 studies were included in the review. The articles addressed the beneficial perception of participants and the preference of caregivers for home PC, the higher incidence of death at home in the model, the positive influence on the mental health of patients and families, with a lower prevalence of anxiety and depression, the strong will to live among patients and the reduction in total health costs with the application of the model. Conclusion: Home PC is a viable care alternative, impacting several benefits for patients, such as a reduction in persistent or intense death wish, strong average will to live, psychological influence of faith, spirituality, support and family support and the feeling of safety and protection in the regularity of care.
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