Objectives: to assess the relationship between spiritual well-being, symptoms and performance of patients under palliative care. Methods: this is a descriptive correlational study, conducted with 135 patients seen in palliative care outpatient clinics. Karnofsky Performance Status Scale, Edmonton Symptom Assessment Scale, Spirituality Scale and Hospital Anxiety and Depression Scale were used. Data were submitted to descriptive statistical analysis and Spearman’s correlation. Results: among participants, 68.2% were cancer patients. The most prevalent symptoms were changes in well-being (65.2%), anxiety (63.7%), sadness (63%) and fatigue (63%). Sadness, dyspnea, sleepiness, anxiety and depression presented weak to moderate correlation with spiritual well-being. Symptom overload showed weak negative correlation with performance. Conclusions: symptom intensification was correlated with worsening in spiritual well-being perception. The reduction in performance was related to increased number of symptoms, especially depression and anxiety.

BACKGROUND AND OBJECTIVES:The World Health Organization recommends that pain in children should be treated as a fundamental human right. Children in health services are exposed to numerous painful procedures as part of their treatment, for instance, immunization and blood testing. Painful experiences during such procedures can cause extreme anxiety in future conducts, making children more vulnerable to pain. The present study's objective was to examine the non-pharmacological interventions most described in the literature for pain management during painful procedures with needles in children above the age of one. CONTENTS: Integrative literature review from CINAHL, Embase, Scopus, Web of Science and Pubmed databases. The publications researched were from between 2010 and 2020. The leading question was "Which are the non-pharmacological interventions most described in the literature for pain control in children undergoing needle procedures"? The database search found 252 articles, six were included in the review and distraction was the most observed strategy for non-pharmacological intervention. CONCLUSION:The results of this study indicate that the most used strategy for pain relief was distraction, in special the audiovisual distraction.

RESUMO Objetivos: avaliar a relação entre bem-estar espiritual, sintomas e funcionalidade de pacientes em cuidados paliativos. Métodos: estudo descritivo correlacional, realizado com 135 pacientes atendidos em ambulatórios de cuidados paliativos. A Escala Funcional de Karnofsky, a Escala de Avaliação de Sintomas de Edmonton, a Escala de Espiritualidade e a Escala Hospitalar de Ansiedade e Depressão foram utilizadas. Os dados foram submetidos à análise estatística descritiva e correlação de Spearman. Resultados: entre os participantes, 68,2% eram pacientes oncológicos. Os sintomas mais prevalentes foram alterações do bem-estar (65,2%), ansiedade (63,7%), tristeza (63%) e fadiga (63%). Tristeza, dispneia, sonolência, ansiedade e depressão apresentaram correlação fraca a moderada com bem-estar espiritual. A sobrecarga de sintomas mostrou correlação negativa fraca com funcionalidade. Conclusões: a intensificação dos sintomas esteve correlacionada à piora na percepção de bem-estar espiritual. A redução da funcionalidade esteve relacionada ao aumento da quantidade de sintomas, em especial depressão e ansiedade.