Abstract Purpose: To compare the satisfaction levels about the surgery and anesthesia management, and to analyze the postoperative outcomes of patients undergoing Gastric Bypass and Sleeve Gastroplasty surgeries in a private hospital in Sao Luís-MA. Methods: The sample consisted of patients undergoing Bypass and Sleeve bariatric surgeries from August 2018 to August 2019, who were in the range of 18 and 70 years old and had not used drugs or presented cardiac arrhythmias, dilated cardiomyopathy, and conduction disorder heart. Data were collected from the evaluation forms and recorded in a form with closed questions. Results: Most patients were female (Bypass – 56% and Sleeve – 67.4%) and aged between 30 and 39 years old (Bypass – 32% and Sleeve – 55.8%). Information (Bypass – 92% and Sleeve – 86.1%) was the highest satisfaction index found. Sleepiness in the immediate postoperative period (Bypass – 92% and Sleeve – 93%) was the main side effect. There were no postoperative complications in patients between the two types of surgery. Conclusions: Patients submitted to Bypass and Sleeve were completely satisfied with the perioperative management. There was no statistically significant difference when comparing adverse effects between the techniques.

RESUMO JUSTIFICATIVA E OBJETIVOS: Os cuidados paliativos são um conjunto de práticas que abrangem pacientes portadores de doenças ameaçadoras da vida e cuja abordagem deixa de ser curativa e passa a ser baseada em conforto, incluindo cuidados com a família. O objetivo deste estudo foi verificar o perfil epidemiológico de pacientes oncológicos em cuidados paliativos. MÉTODOS: Foram entrevistados 100 pacientes oncológicos em cuidados paliativos quanto às variáveis sociodemográficas e biopsicossociais, utilizando-se o índice de Karnofsky, a Escala de Performance Paliativa e a Escala de Avaliação de Sintomas de Edmonton. RESULTADOS: Observou-se faixa etária mais prevalente entre 51 e 60 anos (34%), mais da metade do sexo feminino (77%), nível escolar fundamental incompleto (40%) e residente no interior do Maranhão (73%). Quanto ao uso de analgésicos, 52% relataram não esquecer de tomar o fármaco para dor; enquanto 56% tomam fármaco por conta própria. Quanto ao diagnóstico, apenas 13% dos entrevistados conhecem o diagnóstico paliativo, e mais da metade conhece o diagnóstico primário ou oncológico (65%). Quanto à avaliação da capacidade funcional, 52% tem índice de Karnofsky avaliado entre 70 e 90%; Escala de Performance Paliativa, 62% estão entre 80 e 90% e Escala de Avaliação de Sintomas de Edmonton as seguintes variáveis mais significantes em cansaço, (60%); tristeza, (84%); ansiedade, (73%); falta de apetite, (51%) e ausência de bem-estar (79%). CONCLUSÃO: Conhecer o perfil de pacientes é relevante para a identificação pontual de obstáculos na implementação efetiva dos cuidados paliativos. Possibilitando assim, a implementação de medidas direcionadas.

ABSTRACT BACKGROUND AND OBJECTIVES: Palliative care is a set of practices that encompasses patients with life-threatening diseases which approach is no longer curative, but comforting, including care for the family. The objective of this study was to verify the epidemiological profile of cancer patients in palliative care. METHODS: We interviewed 100 cancer patients in palliative care, as well as the sociodemographic and biopsychosocial variables, using the Karnofsky index, Palliative Performance Scale and Edmonton Symptom Assessment Scale. RESULTS: The prevalent age group was between 51-60 years (34%), more than half female (77%), incomplete elementary school (40%) and resident in the interior of Maranhão (73%). Concerning the use of pain drugs, 52% reported not forgetting to take their pain drug, while 56% took drug on their own. As to the diagnosis, only 13% of the interviewees were aware of a palliative diagnosis, and more than half of them were aware of primary or oncological diagnosis (65%). Regarding the evaluation of functional capacity, 52% had the Karnofskys index between 70 and 90%; Palliative Performance Scale, 62% between 80 and 90%, and Edmonton Symptom Assessment Scale the following most significant variables in tiredness, (60%); sadness, (84%); anxiety, (73%); lack of appetite, (51%) and absence of well-being (79%). CONCLUSION: Knowing the profile of patients is key to identify the obstacles to the effective implementation of palliative care, making it possible to implement targeted measures.