Connolly Michael, Larkin Philip
University College, Dublin School of Nursing, Midwifery & Health Systems, Dublin.
Br J Community Nurs. 2012 Feb;17(2):60, 62-4, 66-7. doi: 10.12968/bjcn.2012.17.2.60.
Constipation can cause unnecessary discomfort and suffering for patients, and there appears to be a lack of awareness among nurses and doctors about its cause, impact and management. A large proportion of the evidence for the assessment and management of constipation in the context of palliative care is derived from the perspective of advanced cancer and from guidelines developed at a European level. Although constipation remains a problem for palliative care patients, early intervention combined with continuous and impeccable assessment can assist in its management and improve patient comfort at the end of life.
便秘会给患者带来不必要的不适和痛苦,而且护士和医生似乎对其成因、影响及管理缺乏认识。在姑息治疗背景下,有关便秘评估与管理的大部分证据来自晚期癌症的视角以及欧洲层面制定的指南。尽管便秘仍是姑息治疗患者面临的一个问题,但早期干预结合持续且完善的评估有助于对其进行管理,并在生命末期提高患者的舒适度。