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Análise do primeiro semestre do Registo Nacional do Testamento Vital (RENTEV) : a perspetiva do Padre, do Médico e do Doente/Utente
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Resumo(s)
Com estatuto legal desde 1 de Julho de 2014, o Registo Nacional do Testamento Vital (RENTEV), que permite que um indivíduo predetermine os cuidados de saúde a que deseja, ou não, ser submetido, em caso de incapacidade física e/ou mental, padece de uma avaliação criteriosa do seu impacto na sociedade portuguesa, nos seus primeiros meses de existência.
Através de um estudo englobando 366 indivíduos (dos quais 33 Padres, 157 Médicos/Estudantes de Medicina e 176 Doentes/Utentes), pretende-se colmatar parte deste defeito e assim oferecer ferramentas que permitam aumentar o uso do Testamento Vital em Portugal.
Criou-se um questionário distinto para cada grupo, tendo os mesmos sido divulgados por e-mail, administrados de forma online, anónima, durante três meses. A análise estatística foi realizada com o programa STATA 13.0.
Conclui-se que o número de registos efetuados neste primeiro semestre de RENTEV foi inferior ao esperado. Apesar de 69,67% dos indivíduos inquiridos terem respondido que já tinham conhecimento da existência do RENTEV, 63,11% classificaram este conhecimento como “insuficiente”. A forma que parece ser a mais profícua para o esclarecimento e aumento da adesão ao preenchimento de uma Diretiva Antecipada de Vontade é a combinação de programas televisivos/panfletos com uma consulta mais interativa com o Médico de Família/Assistente.
In Portugal, the Registo Nacional do Testamento Vital (RENTEV), with official legal status since July of 2014, provides individuals the opportunity to control over life-sustaining care and treatments in the eventuality of becoming physical and/or mentally incompetent. However, RENTEV lacks a thorough review of its impact in the Portuguese society during its first semester of existence. We conducted a study evolving 366 individuals (33 Priests, 157 Doctors and Medical Students and 176 patients), aiming to understand the impact of RENTEV in Portugal. We also had the purpose to suggest interventions to promote the use of Advance Directives and also for educational interventions. Three questionnaires were created (one for each group), which were sent by e-mail, self-administrated online, during a three month period. Data were collected anonymously and analyzed using the statistical package STATA 13.0. Throughout the analysis of the content of the surveys, we conclude that the number of registrations in this first semester of RENTEV was lower than expected. Even though 69,67% of individuals revealed that they already knew about RENTEV, 63,11% rated their knowledge as insufficient. The evidence shows that the combination of television shows/leaflets and repeated conversations in clinical visits is the most effective method of educating patients.
In Portugal, the Registo Nacional do Testamento Vital (RENTEV), with official legal status since July of 2014, provides individuals the opportunity to control over life-sustaining care and treatments in the eventuality of becoming physical and/or mentally incompetent. However, RENTEV lacks a thorough review of its impact in the Portuguese society during its first semester of existence. We conducted a study evolving 366 individuals (33 Priests, 157 Doctors and Medical Students and 176 patients), aiming to understand the impact of RENTEV in Portugal. We also had the purpose to suggest interventions to promote the use of Advance Directives and also for educational interventions. Three questionnaires were created (one for each group), which were sent by e-mail, self-administrated online, during a three month period. Data were collected anonymously and analyzed using the statistical package STATA 13.0. Throughout the analysis of the content of the surveys, we conclude that the number of registrations in this first semester of RENTEV was lower than expected. Even though 69,67% of individuals revealed that they already knew about RENTEV, 63,11% rated their knowledge as insufficient. The evidence shows that the combination of television shows/leaflets and repeated conversations in clinical visits is the most effective method of educating patients.
Descrição
Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2015
Palavras-chave
Testamento vital Ética odontológica