Westermair A L, Perrar K M, Schweiger U
Klinik für Psychosomatik und Psychotherapie, Universitäts-Klinikum Schleswig-Holstein (UKSH), Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland.
Zentrum für Palliativmedizin, Uniklinik Köln, Köln, Deutschland.
Nervenarzt. 2020 May;91(5):411-416. doi: 10.1007/s00115-020-00875-3.
Even with guideline-conform treatment in specialized outpatient clinics and intensive treatment programs, some patients suffering from severe and enduring anorexia nervosa do not achieve a satisfying level of mental health and quality of life. As this patient group is associated with a high mortality, a palliative stage of anorexia nervosa is postulated. In these cases, treatment decisions should factor in not only a prolongation of life but also quality of life, especially when compulsory treatment is considered. In doubtful cases, a palliative care physician and the clinical ethics committee should be consulted.
即使在专科门诊和强化治疗项目中进行符合指南的治疗，一些患有严重且持续性神经性厌食症的患者仍未达到令人满意的心理健康水平和生活质量。由于这一患者群体的死亡率很高，因此假定存在神经性厌食症的姑息阶段。在这些情况下，治疗决策不仅应考虑延长生命，还应考虑生活质量，尤其是在考虑强制治疗时。在存在疑问的情况下，应咨询姑息治疗医生和临床伦理委员会。
