Wittenberg-Lyles Elaine M, Sanchez-Reilly Sandra
Department of Communication Studies, University of North Texas, PO Box 305268, Denton, TX 76203-5268, United States.
Patient Educ Couns. 2008 Jun;71(3):351-5. doi: 10.1016/j.pec.2008.02.023. Epub 2008 Mar 26.
This essay identifies elderly cancer patients as a population that experiences cancer-related health disparities at the end-of-life.
While hospice and palliative care (PC) are care options for this population, it is argued that PC prior to hospice will yield numerous benefits for long-term end-of-life care.
It is theorized that PC prior to hospice will be beneficial in meeting the family's needs in a timely and adequate manner, improving quality of life, increasing caregiver satisfaction and communication, possibly delay institutionalization of the patient, and may ultimately impact bereavement.
Patients would be able to benefit from PC in an early stage of their disease, positively influencing older cancer patients and families.
Long-term assessment of the impact of PC prior to hospice is proposed as a promising direction of future research.
本文将老年癌症患者视为在生命末期经历与癌症相关健康差异的人群。
虽然临终关怀和姑息治疗(PC)是该人群的护理选择,但有人认为临终前的姑息治疗将为长期临终护理带来诸多益处。
从理论上讲,临终前的姑息治疗将有助于及时、充分地满足家庭需求,提高生活质量,增加护理人员满意度和沟通,可能延迟患者入住机构护理,并最终可能影响丧亲之痛。
患者能够在疾病早期从姑息治疗中受益,对老年癌症患者及其家庭产生积极影响。
建议对临终前姑息治疗的影响进行长期评估,作为未来研究的一个有前景的方向。