在癌症患者中通知终端状态和提前护理计划
Si Won Lee1,2
1Palliative Care Center, Yonsei Cancer Center, Yonsei University Health System, Seoul, Korea.
Journal of hospice and palliative care
|September 7, 2023
概括
在讨论末期癌症护理时,这项研究强调了早期沟通和事先的护理计划. 当患者得到及时和富有同情心的信息时,他们可以更好地接受他们的预后,并为终身护理做好准备.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 老年病的医生 老年病的医生
背景情况:
- 人口老龄化正在增加癌症负担.
- 死亡的质量是癌症患者的生活质量之外的关键问题.
- 有效的终身护理需要积极的准备和体面的患者体验.
研究的目的:
- 讨论实用的策略,以告知癌症患者关于他们的末期阶段.
- 概述在治疗过渡期建立预先护理计划 (ACP) 的重要性.
- 解决医疗保健提供者对患者对终端状态通知心理反应的担忧.
主要方法:
- 这项研究是对癌症患者终身护理沟通当前实践和挑战的基于讨论的审查.
- 它分析了从延长生命的护理过渡到改善生命的护理.
- 它强调了敏感沟通和患者理解的作用.
主要成果:
- 患者往往比医疗保健提供者预期的更有能力接受他们的末期病情,并参与终身护理计划.
- 延迟通知和计划可能会阻碍患者在舒适和有尊严的情况下为死亡做好准备的能力.
- 及早制定预先的护理计划,同时患者保持决策能力至关重要.
结论:
- 医疗保健提供者应该克服恐惧,并在治疗过渡期的早期就终端状态和预先护理计划展开讨论.
- 敏感的沟通,确保患者和护理人员的理解和情感支持,是至关重要的.
- 积极的终身护理计划可以提高癌症患者的死亡质量.
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