Goodlin Sarah J
Institute for Health Care Delivery Research, Intermountain Health Care and Patient-centered Education and Research, 681 East 17th Avenue, Salt Lake City, UT 84103, USA.
Curr Heart Fail Rep. 2005 Sep;2(3):155-60. doi: 10.1007/s11897-005-0024-0.
Heart failure is growing in prevalence. Despite an array of treatments targeting a complicated pathophysiology, heart failure ultimately leads to death, and thus there is a clear need to provide palliative care to persons with end-stage heart failure. Palliative care, or education and support of the patient and family and management of distressing symptoms, should be provided throughout the course of the illness. Clinicians need additional information about how to palliate symptoms in advanced heart failure. This article summarizes recent reports about prognostication and identification of patients who are likely to die soon, and the management of fatigue, dyspnea, pain, and depression in heart failure. Palliative care or supportive care of the patient and family should be incorporated into comprehensive care throughout the course of heart failure. Data about hospice care for persons with heart failure are summarized.
心力衰竭的患病率正在上升。尽管有一系列针对复杂病理生理学的治疗方法，但心力衰竭最终会导致死亡，因此显然有必要为终末期心力衰竭患者提供姑息治疗。姑息治疗，即对患者及其家属的教育与支持以及对痛苦症状的管理，应在疾病的整个过程中提供。临床医生需要更多关于如何缓解晚期心力衰竭症状的信息。本文总结了近期有关预后评估、识别可能很快死亡的患者以及心力衰竭中疲劳、呼吸困难、疼痛和抑郁管理的报告。在心力衰竭的整个病程中，应将对患者及其家属的姑息治疗或支持性护理纳入综合护理中。还总结了有关心力衰竭患者临终关怀的数据。
