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关于将姑息治疗纳入印度本科物理治疗课程的观点。

The perspectives on including palliative care in the Indian undergraduate physiotherapy curriculum.

作者信息

Veqar Zubia

机构信息

Assistant Professor, Centre for Physiotherapy and Rehabilitation Sciences , Jamia Millia Islamia, New Delhi, India .

出版信息

J Clin Diagn Res. 2013 Apr;7(4):782-6. doi: 10.7860/JCDR/2013/4637.2913. Epub 2013 Apr 1.

DOI:10.7860/JCDR/2013/4637.2913
PMID:23730677
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3644475/
Abstract

According to the guidelines which were published by WHO in 2008, palliative care has been defined as "An approach that improves the quality of life of the patients and their families who face the problems which are associated with life-threatening illnesses, through the prevention and relief of suffering by means of an early identification, an impeccable assessment and the treatment of pain and other problems, physical, psychosocial and spiritual". The intervention which is provided as a part of the palliative care has to be provided by health professionals who strictly work as a part of multidisciplinary team and have been specifically trained to an optimal level of competency in the field. The impairment of the physical function and pain are two key problem areas in palliative care, which a physiotherapist deals with. Is a physiotherapist who is trained in India, trained to work as an efficient member of the team in this field? THIS ARTICLE DEALS WITH THE FOLLOWING: What is palliative care and what is its importance?A multidisciplinary approach to palliative careThe scenario of palliative care in IndiaThe role of physiotherapy in palliative care.The current scenario of physiotherapy education vis a vis palliative care.

摘要

根据世界卫生组织2008年发布的指南,姑息治疗被定义为“一种通过早期识别、完善评估以及对疼痛和其他身体、心理社会及精神问题的治疗,预防和缓解痛苦,从而提高面临危及生命疾病相关问题的患者及其家庭生活质量的方法”。作为姑息治疗一部分所提供的干预措施,必须由作为多学科团队一部分严格工作且在该领域经过专门培训达到最佳能力水平的卫生专业人员来提供。身体功能受损和疼痛是姑息治疗中的两个关键问题领域,由物理治疗师进行处理。在印度接受培训的物理治疗师是否接受过培训,能够成为该领域团队中的高效成员?本文探讨以下内容:什么是姑息治疗及其重要性?姑息治疗的多学科方法;印度姑息治疗的现状;物理治疗在姑息治疗中的作用;物理治疗教育相对于姑息治疗的现状。

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本文引用的文献

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Cancer Pain: A Critical Review of Mechanism-based Classification and Physical Therapy Management in Palliative Care.癌症疼痛:姑息治疗中基于机制的分类和物理治疗管理的批判性综述。
Indian J Palliat Care. 2011 May;17(2):116-26. doi: 10.4103/0973-1075.84532.
2
Hospital-based Palliative care: A Case for Integrating Care with Cure.基于医院的姑息治疗:将关怀与治愈相结合的实例
Indian J Palliat Care. 2011 Jan;17(Suppl):S74-6. doi: 10.4103/0973-1075.76248.
3
Teaching palliative care across cultures: the singapore experience.跨文化开展姑息治疗:新加坡的经验
Indian J Palliat Care. 2011 Jan;17(Suppl):S23-5. doi: 10.4103/0973-1075.76236.
4
Effects of Palliative Care Training Program on Knowledge, Attitudes, Beliefs and Experiences Among Student Physiotherapists: A Preliminary Quasi-experimental Study.姑息治疗培训项目对物理治疗专业学生的知识、态度、信念和经历的影响:一项初步的准实验研究。
Indian J Palliat Care. 2011 Jan;17(1):47-53. doi: 10.4103/0973-1075.78449.
5
Why are newly qualified doctors unprepared to care for patients at the end of life?为什么新毕业的医生不准备照顾临终病人?
Med Educ. 2011 Apr;45(4):389-99. doi: 10.1111/j.1365-2923.2010.03873.x.
6
Palliative Care Awareness among Indian Undergraduate Health Care Students: A Needs-Assessment Study to Determine Incorporation of Palliative Care Education in Undergraduate Medical, Nursing and Allied Health Education.印度本科医护专业学生对姑息治疗的认知:一项需求评估研究,以确定在本科医学、护理和相关健康专业教育中纳入姑息治疗教育的情况。
Indian J Palliat Care. 2010 Sep;16(3):154-9. doi: 10.4103/0973-1075.73645.
7
Physical therapy in palliative care: from symptom control to quality of life: a critical review.姑息治疗中的物理治疗:从症状控制到生活质量:一项批判性综述
Indian J Palliat Care. 2010 Sep;16(3):138-46. doi: 10.4103/0973-1075.73670.
8
Palliative cancer care ethics: principles and challenges in the Indian setting.姑息性癌症护理伦理:印度背景下的原则与挑战
Indian J Palliat Care. 2010 Sep;16(3):107-10. doi: 10.4103/0973-1075.73639.
9
Incorporating palliative care into undergraduate curricula: lessons for curriculum development.将姑息治疗纳入本科课程:课程开发的经验教训。
Med Educ. 2009 Aug;43(8):776-83. doi: 10.1111/j.1365-2923.2009.03400.x.
10
The need for an effective palliative care strategy in Pakistan.巴基斯坦对有效姑息治疗策略的需求。
J Public Health Policy. 2008 Dec;29(4):480-4. doi: 10.1057/jphp.2008.34.