Dyspnoea at the end of life: instrument development and validation-the CONFORTO Strategy.

Autor:	Teixeira ICA; Internal Medicine Department, School of Medicine, Universidade Federal de Goiás, Goiânia, Goiás, Brazil isadoracrosara@gmail.com., Carvas AMP; Hospital Estadual Dr. Alberto Rassi, Goiânia, Brazil., Silva RBD; Internal Medicine Department, School of Medicine, Universidade Federal de Goiás, Goiânia, Goiás, Brazil., Borges E; Hospital Estadual Dr. Alberto Rassi, Goiânia, Brazil., Corrêa-Faria P; Dentistry Graduate Program, School of Dentistry, Universidade Federal de Goiás, Goiânia, Goiás, Brazil., Rabahi MF; Internal Medicine Department, School of Medicine, Universidade Federal de Goiás, Goiânia, Goiás, Brazil.
Jazyk:	angličtina
Zdroj:	BMJ supportive & palliative care [BMJ Support Palliat Care] 2024 Jan 08; Vol. 13 (e3), pp. e1103-e1109. Date of Electronic Publication: 2024 Jan 08.
DOI:	10.1136/bmjspcare-2021-003456
Abstrakt:	Objective: To describe the construction and validation of the algorithm for C riteria for inclusion; O bjective of dyspnoea; N otification of patient/family/health professionals; F acial air flow; O xygen; R elaxion and breathing; T reating causes of dyspnoea and O pioid (CONFORTO), an instrument to guide health professionals in managing dyspnoea in patients with an advance stage of the disease at the end-of-life. Methods: The study was carried out in three stages: (1) literature review and construction of CONFORTO; (2) semantic validation; (3) application of the CONFORTO Strategy to health professionals as a test (before video lessons) and post-test (20 days after watching video lessons) methodology. The scores obtained in the pretest and post-test were compared using the Wilcoxon test. Results: Seventy-four professionals from different internal medicine and intensive care units participated in the study. The CONFORTO Strategy involved eight acronym-forming items: C riteria for inclusion; O bjective of dyspnoea; N otification of patient/family/health professionals; F acial air flow; O xygen; R elaxion and breathing; T reating causes of dyspnoea and O pioid. The post-test indicated a significant increase in the score for the following items: facial air flow (p=0.016); oxygen (p=0.002); relaxation and breathing (p=0.002) and treating the causes of dyspnoea (p=0.011). The increase in score occurred after the training sessions with video lessons. Conclusion: The CONFORTO Strategy proved valid and reliable for managing dyspnoea in patients with an advanced stage of the disease at the end-of-life. Because the instrument is easy-to-use, it can be used by the entire health team at any assistance-providing location, and can, thus, contribute to improving dyspnoea management for these patients. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2023. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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