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癌症康复与姑息治疗——探索协同作用

Cancer Rehabilitation and Palliative Care-Exploring the Synergies.

作者信息

Chowdhury Rabeya A, Brennan Frank P, Gardiner Matthew D

机构信息

Calvary Health Care, Kogarah, New South Wales, Australia.

Calvary Health Care, Kogarah, New South Wales, Australia; The St George Hospital, Kogarah, New South Wales, Australia; The University of NSW, Sydney, New South Wales, Australia.

出版信息

J Pain Symptom Manage. 2020 Dec;60(6):1239-1252. doi: 10.1016/j.jpainsymman.2020.07.030. Epub 2020 Aug 6.

Abstract

With perpetual research, management refinement, and increasing survivorship, cancer care is steadily evolving into a chronic disease model. Rehabilitation physicians are quite accustomed to managing chronic conditions, yet, cancer rehabilitation remains unexplored. Palliative care physicians, along with rehabilitationists, are true generalists, who focus on the whole patient and their social context, in addition to the diseased organ system. This, together with palliative care's expertise in managing the panoply of troubling symptoms that beset patients with malignancy, makes them natural allies in the comprehensive management of this patient group from the moment of diagnosis. This article will explore the under-recognized and underused parallels and synergies between the two specialties as well as identifying potential challenges and areas for future growth.

摘要

随着持续的研究、管理的完善以及生存率的提高,癌症护理正稳步演变为一种慢性病模式。康复医师对管理慢性病颇为熟悉,然而,癌症康复领域仍未得到充分探索。姑息治疗医师与康复专家一样,都是真正的全科医生,他们除了关注患病的器官系统外,还专注于患者整体及其社会背景。这一点,再加上姑息治疗在处理困扰恶性肿瘤患者的一系列棘手症状方面的专业知识,使他们从诊断之时起就成为管理这一患者群体的天然盟友。本文将探讨这两个专业之间未得到充分认识和利用的相似之处与协同作用,并识别潜在挑战和未来发展领域。

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