Department of Pneumology and Respiratory Critical Care Medicine, Thoraxklinik, University of Heidelberg, Heidelberg, Germany.
Respiration. 2011;82(4):307-16. doi: 10.1159/000330730. Epub 2011 Sep 15.
Supportive and palliative care is an interdisciplinary challenge with the aims of symptom relief and improvement of quality of life in end-stage patients. Main complaints of patients with advanced nonmalignant lung disease are depression and anxiety, dyspnea, pain, and coughing. The discomfort of many physicians, caregivers, and family members with discussions about end-of-life care is one obstacle for the timely initiation of palliative care and the uncertainty of the short-term prognosis in most advanced nonmalignant respiratory diseases. Early dialog about supportive care already at the onset of the patient's first symptoms and contemporaneous to life-prolonging therapy may overcome these barriers. Furthermore, continuing education for health professionals in palliative care ensures adequate palliative support. Here, we review insights into symptom control and palliative care in patients with advanced nonmalignant respiratory disease.
支持性和姑息治疗是一项跨学科的挑战，旨在缓解终末期患者的症状并提高其生活质量。晚期非恶性肺部疾病患者的主要主诉是抑郁和焦虑、呼吸困难、疼痛和咳嗽。许多医生、护理人员和家属在讨论临终关怀时感到不适，这是及时启动姑息治疗以及大多数晚期非恶性呼吸疾病短期预后不确定的一个障碍。在患者出现最初症状时及早开始进行支持性治疗，并同时进行延长生命的治疗，可能会克服这些障碍。此外，对姑息治疗领域的卫生专业人员进行继续教育可确保提供充分的姑息治疗支持。在这里，我们回顾了晚期非恶性呼吸疾病患者的症状控制和姑息治疗方面的新进展。
