Oxley Rebecca, Macnaughton Jane
aDepartment of Anthropology, Centre for Medical HumanitiesbCentre for Medical Humanities, School of Medicine, Pharmacy and Health, Durham University, Durham, England, UK.
Curr Opin Support Palliat Care. 2016 Sep;10(3):256-61. doi: 10.1097/SPC.0000000000000221.
Breathlessness can be debilitating for those with chronic conditions, requiring continual management. Yet, the meaning of breathlessness for those who live with it is poorly understood in respect of its subjective, cultural, and experiential significance. This article discusses a number of current issues in understanding the experience of breathlessness.
Effective communication concerning the experience of breathlessness is crucial for diagnosis, to identify appropriate treatment, and to provide patients with the capacity to self-manage their condition. However, there is an evident disconnect between the way breathlessness is understood between clinical and lay perspectives, in terms of awareness of breathlessness, the way symptoms are expressed, and acknowledgement of how it affects the daily lives of patients.
The review highlights the need for integrated multidisciplinary work on breathlessness, and suggests that effective understanding and management of breathlessness considers its wider subjective and social significance.
呼吸困难会使慢性病患者虚弱无力,需要持续管理。然而,就其主观、文化和体验意义而言,人们对呼吸困难患者所经历的呼吸困难的含义了解甚少。本文讨论了在理解呼吸困难体验方面的一些当前问题。
关于呼吸困难体验的有效沟通对于诊断、确定适当治疗以及使患者有能力自我管理病情至关重要。然而,在临床和非专业视角对呼吸困难的理解之间,在对呼吸困难的认知、症状表达的方式以及对其如何影响患者日常生活的认知方面,存在明显脱节。
该综述强调了针对呼吸困难开展综合多学科工作的必要性,并表明对呼吸困难的有效理解和管理应考虑其更广泛的主观和社会意义。