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Educational intervention in residents on palliative care in terminally ill patients
Educational intervention in residents on palliative care in terminally ill patients
Leslie M. Jiménez-Buendía 1 
, Daniel Canaán-Pérez 2 , Arturo García-Galicia 3 , Nancy R. Bertado-Ramírez 4 , Jorge Loría-Castellanos 5 , Álvaro J. Montiel-Jarquín 3 , Minerva S. Pulido-Martínez 6 , Luz K. Ramírez-Dueñas 7 , Xenia Cabada-Cepeda 1 , Jesús A. Méndez-Aranda 8 , José F. García-Gutiérrez 9
1 Servicio de Geriatría;Hospital General de Zona No. 20, Órgano Operador de Administración Desconcentrada Puebla, Instituto Mexicano del Seguro Social (IMSS), Puebla, Pue., México; 2 Servicio de Urgencias. Hospital General de Zona No. 20, Órgano Operador de Administración Desconcentrada Puebla, Instituto Mexicano del Seguro Social (IMSS), Puebla, Pue., México; 3 Dirección de Educación e Investigación en Salud. Unidad Médica de Alta Especialidad, Hospital de Especialidades de Puebla, Centro Médico Nacional Gral. de Div. Manuel Ávila Camacho, Instituto Mexicano del Seguro Social, Puebla de Zaragoza, Pue., México; 4 Directorate of Health Education and Research, Centro Médico Nacional Gral. de Div. Manuel Ávila Camacho. Puebla, Pue., Mexico; 5 Centro de Simulación, Universidad Anáhuac, Ciudad de México. México; 6 Centro de Documentación en Salud, Hospital General de Zona No. 20, Órgano Operador de Administración Desconcentrada, IMSS. Puebla, Pue., México; 7 Centro de Investigación Educativa y Formación Docente. Órgano Operador de Administración Desconcentrada, IMSS. Puebla, Pue., México; 8 Departamento de Medicina General, Hospital Covadonga Veracruz, Boca del Río, Ver., México; 9 Servicio de Rehabilitación Física, Hospital General de Zona No. 20, Órgano Operador de Administración Desconcentrada, IMSS Puebla, Puebla, Pue. México
*Correspondence: Arturo García-Galicia. Email: neurogarciagalicia@yahoo.com.mx
Abstract
Background: Knowledge of palliative care in terminally ill patients promotes emotional detachment and optimal empathic care for medical personnel.
Objective: To demonstrate changes in palliative care knowledge after an academic session.
Material and methods: Comparative, quasi-experimental, prospective study on the effect of an educational intervention in residents of different specialties of the Mexican Institute of Social Security in Puebla, Mexico. The PCKT-SV instrument was applied to measure knowledge of palliative care in terminally ill patients. Subsequently, a training session was given and the instrument was reapplied. Chi-square, Wilcoxon and paired t-test were used; a p less than 0.05 was considered significant.
Results: One hundred forty-one residents were included, with a predominance of Fair (49.6%) and Very good (43.3%) knowledge before training. Scores after the educational intervention: 46 (32.62%) residents scored Excellent, 84 (59.57%) Very good, 11 (7.80%) Regular, and none Poor.
Conclusions: Overall knowledge of palliative care in resident physicians of varied specialties improved after a brief training session. Measurement of the effect on end-of-life care requires further study.
Keywords: Palliative care. Terminally ill. Postgraduate medical education. Education.
