Radwany Steven M, von Gruenigen Vivian E
Summa Health System, Palliative Care and Hospice Services, Akron, Ohio, USA.
Clin Obstet Gynecol. 2012 Mar;55(1):173-84. doi: 10.1097/GRF.0b013e31824b1af1.
Palliative care improves the quality of life of patients and their families through the prevention and treatment of distressing symptoms while addressing the psychological, social, and spiritual aspects of patient care. Emerging paradigms of delivery promote early involvement in the disease trajectory and specialty approaches to care. Interdisciplinary assessment and shared decision making are important components. Throughout the disease course, aggressive symptom management can improve patients' quality of life and their ability to tolerate and continue treatment. End-of-life care focuses on comfort, control, meaning, and support that become particularly intense when death is imminent.
姑息治疗通过预防和治疗令人痛苦的症状,同时解决患者护理的心理、社会和精神方面问题,提高患者及其家属的生活质量。新出现的提供模式促进在疾病进程中尽早介入并采用专科护理方法。多学科评估和共同决策是重要组成部分。在整个疾病过程中,积极的症状管理可提高患者的生活质量及其耐受和继续治疗的能力。临终关怀侧重于舒适、控制、意义和支持,在死亡临近时这些方面会变得尤为重要。