Von Roenn Jamie H
Department of Medicine, Division of Hematology/Oncology, The Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
J Pediatr Hematol Oncol. 2011 Oct;33 Suppl 2:S87-9. doi: 10.1097/MPH.0b013e318230dac8.
Comprehensive cancer care requires the integration of palliative care practices and principles across the trajectory of the cancer experience. It complements the treatment of curable disease and may be the sole focus of care for those patients with advanced incurable disease. As the incidence of cancer increases worldwide and the burden of cancer rises, especially in low and middle resource countries, the need for palliative care is greater than ever before. There are numerous barriers to the provision of integrated care, including the ongoing misconception that palliative care is end-of-life care, the "cure-care dichotomy," inadequate training of health professionals and lack of resources. This article reviews the essential elements of comprehensive cancer care and the challenges to providing integrated cancer and palliative care to patients world-wide.
全面的癌症护理要求在癌症治疗的全过程中整合姑息治疗的实践与原则。它是对可治愈疾病治疗的补充，对于晚期不可治愈疾病的患者，它可能是唯一的护理重点。随着全球癌症发病率的上升以及癌症负担的加重，尤其是在中低收入国家，对姑息治疗的需求比以往任何时候都更为迫切。提供综合护理存在诸多障碍，包括一直以来认为姑息治疗就是临终护理的误解、“治愈与护理二分法”、卫生专业人员培训不足以及资源匮乏等问题。本文回顾了全面癌症护理的基本要素以及在全球范围内为患者提供癌症与姑息治疗综合服务所面临的挑战。
