[缓解症患者的呼吸障碍-看不见的症状]
1Abteilung für Palliative Care, Universitätsspital Basel, sandra.eckstein@usb.ch.
Therapeutische Umschau. Revue therapeutique
|August 27, 2024
概括
呼吸不良或呼吸困难在晚期疾病中显著影响生活质量. 有效的管理需要采用多模式的方法,包括治疗耐药症状的阿片类药物和患者教育.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 症状管理 症状管理
背景情况:
- 呼吸不良是晚期恶性和非恶性疾病中令人痛苦的症状,严重影响生活质量.
- 这是一个主观的经验,经常被低估和医疗保健专业人员不适当地对待.
- 慢性喘息综合征强调了需要更好地识别和治疗.
研究的目的:
- 概述了晚期疾病中呼吸障碍的复杂性.
- 强调全面管理战略的重要性.
- 引导医疗保健专业人员有效识别和治疗呼吸障碍.
主要方法:
- 审查目前对呼吸障碍的理解和管理原则.
- 讨论药理干预措施,包括阿片类药物和二.
- 强调非药物治疗措施,如教育和自我管理.
主要成果:
- 客观测量并不总是与患者的主观呼吸障碍经历相关.
- 建议在不可治愈的癌症中治疗耐火性呼吸障碍时使用阿片类药物.
- 氧气疗法只适用于低氧症.
结论:
- 有效的呼吸障碍管理需要将一般,非药理和药理方法结合起来.
- 患者教育,自我管理和事先的护理计划至关重要.
- 解决情感因素,如焦虑,对于整体护理至关重要.
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