Griffin John P, Koch Kathryn A, Nelson Judith E, Cooley Mary E
University of Tennessee Health Science Center, 956 Court Ave, Room H314, Memphis, TN 38163, USA.
Chest. 2007 Sep;132(3 Suppl):404S-422S. doi: 10.1378/chest.07-1392.
To develop clinical practice guidelines for application of palliative care consultation, quality-of-life measurements, and appropriate bereavement activities for patients with lung cancer.
To review the pertinent medical literature on palliative care consultation, quality-of-life measurements, and bereavement for patients with lung cancer, developing multidisciplinary discussions with authorities in these areas, and evolving written guidelines for end-of-life care of these patients.
Palliative care consultation has developed into a new specialty with credentialing of experts in this field based on extensive experience with patients in end-of-life circumstances including those with lung cancer. Bereavement studies of the physical and emotional morbidity of family members and caregivers before, during, and after the death of a cancer patient have supported truthful communication, consideration of psychological problems, effective palliative care, understanding of the patient's spiritual and cultural background, and sufficient forewarning of impending death.
Multidisciplinary investigations and experiences, with emphasis on consultation and delivery of palliative care, timely use of quality-of-life measurements for morbidities of treatment modalities and prognosis, and an understanding of the multifaceted complexities of the bereavement process, have clarified additional responsibilities of the attending physician.
制定关于肺癌患者姑息治疗咨询、生活质量测量及适当哀伤辅导活动应用的临床实践指南。
查阅有关肺癌患者姑息治疗咨询、生活质量测量及哀伤辅导的相关医学文献，与这些领域的权威人士开展多学科讨论，并制定这些患者临终关怀的书面指南。
姑息治疗咨询已发展成为一个新的专业领域，基于在包括肺癌患者在内的临终情况下对患者的丰富经验，该领域的专家获得了资质认证。对癌症患者死亡前、死亡期间及死亡后家庭成员和照料者身体及情感发病率的哀伤研究支持了如实沟通、对心理问题的考虑、有效的姑息治疗、对患者精神和文化背景的理解以及对即将到来的死亡给予充分预警。
多学科研究与经验，重点在于姑息治疗的咨询与提供、及时使用生活质量测量来评估治疗方式的发病率和预后，以及理解哀伤过程的多方面复杂性，明确了主治医生的额外职责。
