姑息性家庭护理中的呼吸困难管理：马来西亚的病例系列
Dyspnea management in palliative home care: a case series in malaysia.
作者信息
Thongkhamcharoen Rojanasak, Breaden Katrina, Agar Meera, Hamzah Ednin
机构信息
Discipline of Palliative and Supportive Services, Flinders University, Sturt Road, Bedford Park, South Australia, 5042, Australia ; Department of Social Medicine, Maesot General Hospital, Sripanich Road, Maesot Districts, Tak Province, Thailand, 63110, Australia.
出版信息
Indian J Palliat Care. 2012 May;18(2):128-33. doi: 10.4103/0973-1075.100835.
Managing dyspnea at home is a challenging task. Although a competent palliative home care team can assist a patient to live at home with better pain control, dyspnea is usually not as well managed. In the Asian context, there are few research studies in dyspnea management in palliative home care. This paper aims to illustrate the cultural context that has an impact on dyspnea management at home and the assessment and management of dyspnea in a community palliative care setting in Malaysia. This paper reports on a study of 5 dyspneic patients suffering from both cancer-related and non-cancer-related dyspnea. Its focus is on a unique Asian cultural belief system that affects communication about prognosis and the role of family in palliative home care. In addition, this paper also describes dyspnea assessment, the barriers to morphine use, benzodiazepine prescription, oxygen therapy, and nonpharmacologic intervention in this center.
在家中应对呼吸困难是一项具有挑战性的任务。尽管一支专业的姑息家庭护理团队可以帮助患者在家中更好地控制疼痛，但呼吸困难通常得不到很好的管理。在亚洲背景下，关于姑息家庭护理中呼吸困难管理的研究很少。本文旨在阐述影响在家中呼吸困难管理的文化背景，以及马来西亚社区姑息护理环境中呼吸困难的评估与管理。本文报告了一项对5名患有癌症相关和非癌症相关呼吸困难患者的研究。其重点是一种独特的亚洲文化信仰体系，该体系影响着关于预后的沟通以及家庭在姑息家庭护理中的作用。此外，本文还描述了该中心的呼吸困难评估、吗啡使用的障碍、苯二氮䓬类药物的处方、氧疗和非药物干预。
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