Chan Carmen W H, Chair S Y, Chui Y Y
The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
Zhongguo Fei Ai Za Zhi. 2009 May 20;12(5):361-8. doi: 10.3779/j.issn.1009-3419.2009.05.018.
Breathlessness, fatigue, and anxiety are distressing symptoms for patients with advanced lung cancer, however, they are not relieved by palliative RT and are often viewed as neglected areas of clinical practice. This paper aims to review definitions of, and explore patients' experiences of, breathlessness, fatigue, and anxiety. Further, it will outline existing approaches, both pharmacological and non-pharmacological, to treat them. Current treatments and perceptions of these symptoms will be discussed in the context of Hong Kong health care service. The review of literature also shows that breathlessness, fatigue and anxiety appears to have similar emotional origins. A contemporary approach of using a common pyschoeducational intervention to treat these symptoms together as a cluster in end of life care will be discussed.
呼吸急促、疲劳和焦虑是晚期肺癌患者令人痛苦的症状，然而，姑息性放疗并不能缓解这些症状，它们常常被视为临床实践中被忽视的领域。本文旨在回顾呼吸急促、疲劳和焦虑的定义，并探究患者的相关经历。此外，还将概述治疗这些症状的现有方法，包括药物治疗和非药物治疗。这些症状的当前治疗方法和认知将在香港医疗服务的背景下进行讨论。文献综述还表明，呼吸急促、疲劳和焦虑似乎有着相似的情感根源。将讨论一种当代方法，即在临终关怀中使用一种常见的心理教育干预措施来将这些症状作为一组进行共同治疗。
