息护理和肝胆恶性瘤:对迟到的转诊说不
Brian D Mikolasko1, Khaldoun Almhanna2, Dana Guyer3
1Department of Medicine, Division of Geriatric and Palliative Medicine, Brown University Health, Providence, RI, USA; Warren Alpert Medical School of Brown University, RI, USA.
早期的息治疗可以改善肝胆恶性瘤 (HBMs) 的患者的生活质量,例如肝细胞癌 (HCC) 和胆管癌 (CCA). 整合息治疗与癌症治疗一起,解决了身体,情感和精神需求,尽管目前的指导方针存在差距.
科学领域:
- 在瘤学瘤学.
- 抚慰性医学是一种缓解性医学.
- 胃肠病学 胃肠病学
背景情况:
- 肝胆道恶性瘤 (HBMs),包括肝细胞癌 (HCC) 和胆管癌 (CCA),预后不佳,诊断迟到,症状严重.
- 尽管治疗方面取得了进展,但HBM的发病率正在增加,治疗选择有限.
- 缓和护理的早期整合至关重要,但在改善患者生活质量方面未得到充分利用.
研究的目的:
- 检查整个疾病轨迹中HBM患者的特定需求.
- 识别阻碍早期息护理融入HBM管理中的障碍.
- 为加强早期提供息护理提供建议.
主要方法:
- 对有关HBM和息护理的当前文献和临床实践的审查.
- 分析患者的需求,从诊断到终身护理.
- 识别和讨论早期息护理整合的障碍.
主要成果:
- 息治疗解决了HBM患者的身体,情感和精神需求.
- 缺乏正式的指导方针阻碍了早期的息护理整合.
- 早期融合存在障碍,但可以通过有针对性的战略来克服.
结论:
- 息护理应与所有阶段的HBMs的疾病特异性治疗同时提供.
- 解决障碍对于确保HBM患者及时和全面的息护理至关重要.
- 改善息护理的整合可以显著提高患者和家人的生活质量.
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