Reville Barbara, Axelrod David, Maury Rebecca
Palliative Care Service, Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Prim Care. 2009 Dec;36(4):781-810. doi: 10.1016/j.pop.2009.07.010.
Palliation of symptoms to optimize QOL is the foundation of cancer care regardless of stage of disease or level of anticancer treatment. Patients commonly experience pain, constipation, nausea, vomiting, dyspnea, fatigue, and delirium. Many valid clinical tools are available to the primary care clinician to screen for symptoms, assess severity, measure treatment response, and elicit the patient's subjective symptom experience. Although there is limited evidence regarding the relative efficacy of symptom interventions from randomized controlled trials, clinical practice guidelines are available.
缓解症状以优化生活质量是癌症护理的基础，无论疾病处于何种阶段或抗癌治疗的程度如何。患者通常会经历疼痛、便秘、恶心、呕吐、呼吸困难、疲劳和谵妄。初级保健临床医生可使用许多有效的临床工具来筛查症状、评估严重程度、衡量治疗反应并了解患者的主观症状体验。尽管关于症状干预相对疗效的随机对照试验证据有限，但仍有临床实践指南可供参考。
