Oncol Res Treat. 2019;42(1-2):41-46. doi: 10.1159/000496407. Epub 2019 Jan 25.
Patients with advanced lung cancer and their caregivers are confronted with a complex situation as their disease-related burden comprises physical, psychosocial, and spiritual needs. During the illness trajectory with limited prognosis, they are exposed to different multidisciplinary healthcare settings and providers that challenge the continuity and coordination of care. Additionally, decision-making between active cancer treatment and end-of-life care constitutes a continuous balancing act. Several studies have shown that early integration of palliative care and adequate advance care planning improve quality of life and satisfaction with care. For this strategy, the communication skills of healthcare providers and interprofessional collaboration should be strengthened. A longitudinally structured communication approach along pivotal milestones of the disease can empower patients by facilitating coping and prognostic awareness, and achieve early integration of palliative care and advance care planning. Good interprofessional collaboration and communication lead to better coordination and continuity of care.
晚期肺癌患者及其照护者面临着复杂的情况,因为他们的疾病相关负担包括身体、心理社会和精神需求。在预后有限的疾病轨迹中,他们会接触到不同的多学科医疗保健环境和提供者,这对医疗保健的连续性和协调性提出了挑战。此外,在积极的癌症治疗和临终关怀之间做出决策是一个持续的平衡行为。多项研究表明,姑息治疗和适当的预先护理计划的早期整合可以提高生活质量和护理满意度。为此,应加强医疗保健提供者的沟通技巧和跨专业合作。沿着疾病的关键里程碑进行纵向结构化的沟通方法可以通过促进应对和预后意识来增强患者的能力,并实现姑息治疗和预先护理计划的早期整合。良好的跨专业合作和沟通可以实现更好的协调和医疗保健的连续性。