Klinik für Pneumologie, Lungenklinik Heckeshorn, HELIOS Klinikum Emil von Behring, Berlin, Germany
Klinik für Pneumologie, Lungenklinik Heckeshorn, HELIOS Klinikum Emil von Behring, Berlin, Germany.
Eur Respir J. 2015 Jan;45(1):211-26. doi: 10.1183/09031936.00072514. Epub 2014 Oct 30.
Considerable evidence is now available on the value of palliative care for lung cancer patients in all stages and at all times during the course of the disease. However, pneumologists and their institutions seem to be widely in arrears with the implementation of palliative care concepts and the development of integrated structures. This review focuses on the available evidence and experience of various frequently unmet needs of lung cancer patients, especially psychological, social, spiritual and cultural ones. A PubMed search for evidence on these aspects of palliative care as well as on barriers to the implementation, on outcome parameters and effectiveness, and on structure and process quality was performed with a special focus on lung cancer patients. As a consequence, this review particularly draws pneumologists' attention to improving their skills in communication with the patients, their relatives and among themselves, and to establish team structures with more far-reaching competences and continuity than existing multilateral cooperations and conferences can provide. Ideally, any process of structural and procedural improvement should be accompanied by scientific evaluation and measures for quality optimisation.
现在有大量证据表明，在疾病的各个阶段和任何时候，姑息治疗对肺癌患者都具有重要价值。然而，肺病专家及其所在机构在姑息治疗理念的实施和综合结构的发展方面似乎远远落后。这篇综述重点关注肺癌患者经常未得到满足的各种需求的现有证据和经验，特别是心理、社会、精神和文化方面的需求。本文对这些姑息治疗方面的证据以及实施障碍、结果参数和有效性、结构和过程质量进行了文献检索，特别关注肺癌患者。因此，这篇综述特别提请肺病专家注意提高与患者、患者家属以及同行之间的沟通技巧，并建立具有更广泛能力和连续性的团队结构，这比现有的多边合作和会议所能提供的要多。理想情况下，任何结构和程序改进的过程都应伴随着科学评估和质量优化措施。
