UNC Palliative Care Program, University of North Carolina at Chapel Hill, 5034 Old Clinic Building, Campus Box 7110, Chapel Hill, NC 27599, USA.
Clin Chest Med. 2020 Jun;41(2):281-293. doi: 10.1016/j.ccm.2020.02.005. Epub 2020 Apr 16.
There is growing evidence that palliative care supports the needs of patients with advanced lung cancer. Early palliative care referral has been shown to improve quality of life, decrease symptom burden, and help patients better understand their illness. However, access to palliative care specialists is limited. All providers caring for patients with lung cancer should be able to manage basic symptoms and engage in routine discussions about goals of care, prognosis, and suffering. By developing primary palliative care skills, more patients, even those with earlier stages of lung cancer, benefit from better symptom management, communication, support, and quality of life.
越来越多的证据表明,姑息治疗能够满足晚期肺癌患者的需求。研究表明,早期姑息治疗转诊可提高生活质量,减轻症状负担,并帮助患者更好地了解自己的病情。然而,姑息治疗专家的资源有限。所有治疗肺癌患者的医护人员都应该能够处理基本症状,并定期讨论患者的护理目标、预后和痛苦。通过培养基本的姑息治疗技能,更多的患者,甚至是那些处于肺癌早期阶段的患者,都能从更好的症状管理、沟通、支持和生活质量中获益。