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在家为濒死青少年提供姑息治疗:观点与挑战。

Providing palliative care for a dying teen at home: perspectives and challenges.

作者信息

Nayak Malathi, Salins Naveen

机构信息

Department of Community Health Nursing, Manipal College of Nursing, Manipal University, Manipal, India.

出版信息

Indian J Palliat Care. 2011 Sep;17(3):248-50. doi: 10.4103/0973-1075.92351.

DOI:10.4103/0973-1075.92351
PMID:22346053
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3276826/
Abstract

Adolescents and young adults with cancer are a heterogeneous group. Management of this special group requires a broad-based interdisciplinary clinical team, which should include palliative care (PC), psychology, social work, oncology, and nursing representatives. The function of PC is to provide impeccable pain and other symptom control and to coordinate care as the disease progresses. The cure rate of cancer in adolescents is high but between 10% and 40% of them will develop incurable disease depending on tumor type and prognostic factors. PC in adolescents should also take care of the specific physical and psychosocial developmental changes in this age group. A 16-year old boy suffered with incurable disease and team has provided the PC at the door step taken as a case study.

摘要

患癌青少年和青年是一个异质性群体。对这一特殊群体的管理需要一个基础广泛的跨学科临床团队,其中应包括姑息治疗(PC)、心理学、社会工作、肿瘤学和护理方面的代表。姑息治疗的作用是在疾病进展过程中提供无可挑剔的疼痛及其他症状控制,并协调护理。青少年癌症的治愈率较高,但根据肿瘤类型和预后因素,其中10%至40%的人会发展为不治之症。青少年姑息治疗还应关注该年龄组特定的身体和心理社会发育变化。以一名患有不治之症的16岁男孩为例,团队在其家门口提供了姑息治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dfd/3276826/1373e78622c2/IJPC-17-248-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dfd/3276826/1373e78622c2/IJPC-17-248-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dfd/3276826/1373e78622c2/IJPC-17-248-g001.jpg

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本文引用的文献

1
Role of palliative care in adolescent and young adult oncology.姑息治疗在青少年和青年肿瘤学中的作用。
J Clin Oncol. 2010 Nov 10;28(32):4819-24. doi: 10.1200/JCO.2009.22.4543. Epub 2010 Mar 8.
2
Palliative care in adolescents.青少年的姑息治疗。
Cancer Treat Rev. 2007 Nov;33(7):616-21. doi: 10.1016/j.ctrv.2006.11.004. Epub 2007 Jan 11.
2010 - 2011年发表于《印度姑息治疗杂志》文章的证据水平探索性分析。
Indian J Palliat Care. 2013 Sep;19(3):170-9. doi: 10.4103/0973-1075.121535.