终末期癌症症状的测量：疼痛与呼吸困难得到控制了吗？
Measuring symptoms in terminal cancer: are pain and dyspnoea controlled?
作者信息
Higginson I, McCarthy M
机构信息
Department of Community Medicine, University College, London.
出版信息
J R Soc Med. 1989 May;82(5):264-7. doi: 10.1177/014107688908200507.
Abstract
The symptoms of 86 patients referred to a district terminal care support team were rated throughout care using a standardized schedule. Pain was the most common main symptom at referral, occurring in 35 (41%) of the patients. The assessment scores for pain showed significant improvements after one week of care (P less than 0.01) and there was a further improvement into the week of death. However, towards death, 18 (21%) patients developed dyspnoea as their main symptom, and this became the most severe symptom at death. The symptom assessment scores for patients with dyspnoea showed no change over time, suggesting that existing methods to control dyspnoea are ineffective and that new interventions are needed.
摘要
使用标准化日程表对转介至地区临终关怀支持团队的86名患者的症状在整个护理过程中进行了评分。疼痛是转诊时最常见的主要症状，35名（41%）患者出现该症状。护理一周后疼痛评估分数有显著改善（P小于0.01），直至死亡周仍有进一步改善。然而，临近死亡时，18名（21%）患者出现呼吸困难作为主要症状，且这成为死亡时最严重的症状。呼吸困难患者的症状评估分数未随时间变化，这表明现有的控制呼吸困难的方法无效，需要新的干预措施。
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