姑息治疗和生命终末期的疼痛和症状管理。
Pain and symptom management in palliative care and at end of life.
机构信息
Center of Excellence for End-of-Life Transition Research, University of Illinois at Chicago, Chicago, IL, USA.
出版信息
Nurs Outlook. 2012 Nov-Dec;60(6):357-64. doi: 10.1016/j.outlook.2012.08.002. Epub 2012 Sep 14.
Abstract
The purpose of this review is to provide a literature update of the research published since 2004 on pain and symptom management in palliative care and at end of life. Findings suggest that pain and symptoms are inadequately assessed and managed, even at the end of life. Although not pervasive, there is evidence of racial/ethnic disparities in symptom management in palliative care and at end of life. There is a need for a broader conceptualization and measurement of pain and symptom management as multidimensional experiences. There is insufficient evidence about mechanisms underlying pain at end of life. Although there are advances in the knowledge of pain as a multidimensional experience and the many symptoms that occur sometimes with pain, gaps remain. One approach to addressing the gaps will involve assessment and management of pain and symptoms as multidimensional experiences in people receiving palliative care and at end of life.
摘要
本次综述的目的是提供自 2004 年以来在姑息治疗和生命终末期疼痛和症状管理方面发表的研究文献的更新。研究结果表明，即使在生命终末期，疼痛和症状的评估和管理也不充分。尽管并不普遍，但姑息治疗和生命终末期的症状管理中存在种族/民族差异的证据。需要更广泛地概念化和衡量疼痛和症状管理作为多维体验。关于生命终末期疼痛的潜在机制的证据不足。尽管人们对疼痛作为多维体验以及经常伴随疼痛出现的许多症状有了更多的了解，但仍存在差距。解决这些差距的一种方法是将接受姑息治疗和生命终末期的患者的疼痛和症状评估和管理作为多维体验。
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