在息性手术中适当使用胃口管
Jaewook Shin1, Shriya Perati2, Joshua T Cohen3
1Division of Surgical Research, Department of Surgery, Rhode Island Hospital/Alpert Medical School of Brown University, Providence, RI, USA.
息性胃口管 (PGT) 改善了晚期疾病患者的生活质量. 本综述综合了数据,以指导PGT决策,重点关注头癌和肠道阻塞.
科学领域:
- 医学科学 医学科学 医学科学
- 手术瘤学手术瘤学
- 抚慰性护理是一种缓解性护理.
背景情况:
- 息性手术旨在缓解症状并提高生活质量.
- 胃口管经常被用于缓和目的,但支持其使用的数据有限.
- 由于患者的复杂需求和预后,对息干预的决策具有挑战性.
研究的目的:
- 审查有关在息手术中适当使用胃口管的现有数据.
- 为医疗和外科决策提供有关息性胃口管 (PGT) 的基础资料.
- 为患者和家人提供PGT数据的沟通框架.
主要方法:
- 迷你综述综合了有关息性胃口管的现有数据.
- 专注审查诸如头部/部癌症和恶性肠道阻塞等迹象.
- 整合息性沟通和决策框架 (例如,息三角,最佳情况/最坏情况).
主要成果:
- 在头癌和恶性肠道阻塞中使用PGT的数据综合.
- 关于PGT的患者和家庭沟通的拟议范式.
- 强调需要使用息结果措施进行研究.
结论:
- 需要更多的研究来指导息性胃口管干预.
- 多学科团队,个性化护理和基于关系的护理对于息治疗患者至关重要.
- 有效的沟通框架可以帮助对息性胃口管的决策.
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