Sunilkumar M M, Finni Charles G, Lijimol A S, Rajagopal M R
Palliative care center & Academics, Trivandrum Institute of Palliative Sciences (TIPS), WHO Collaborating Centre for Training and Policy On Access To Pain Relief, Pallium India, Aisha Memorial Hospital Building, Manacaud P.O., Paruthikkuzhy, Thiruvananthapuram, 695009 Kerala India.
Projects (Ex-staff), Trivandrum Institute of Palliative Sciences (TIPS), WHO Collaborating Centre for Training and Policy On Access To Pain Relief, Pallium India, Aisha Memorial Hospital Building, Manacaud P.O., Paruthikkuzhy, Thiruvananthapuram, 695009 Kerala India.
Curr Breast Cancer Rep. 2021;13(4):241-246. doi: 10.1007/s12609-021-00431-1. Epub 2021 Nov 16.
Breast cancer continues to be the most frequently diagnosed cancer in women and the leading cause of cancer death worldwide. By the suffering that it causes in various domains of life, breast cancer seriously impacts the quality of life of affected individuals and causes a major burden of suffering in the community. The objectives of the review were to understand the health-related suffering in patients with breast cancer and to identify the scope of palliative care in improving the quality of life of patients with breast cancer.
Breast cancer causes suffering in physical, psychological, social, financial, and spiritual domains of the lives of the patient and family. Management of breast cancer with surgery, chemotherapy, and radiation could have adverse effects, such as pain, nausea and vomiting, fatigue, shortness of breath, depression, and constipation. Both cancer and its treatment can impact the psychosocial and spiritual well-being of the patient and family members. Integrating palliative care into existing breast cancer treatment programs seems to be the best approach to diminish these sufferings.
In addition to pain and other physical symptoms, breast cancer can cause major psychological, social, and spiritual suffering. In the context of developing countries, out-of-pocket expenditure can cause major financial destruction which can impact generations. Integration of palliative care to breast cancer treatment is essential.
乳腺癌仍然是女性中最常被诊断出的癌症，也是全球癌症死亡的主要原因。乳腺癌给患者生活的各个方面带来痛苦，严重影响患者的生活质量，并给社会带来巨大的痛苦负担。本综述的目的是了解乳腺癌患者与健康相关的痛苦，并确定姑息治疗在改善乳腺癌患者生活质量方面的范围。
乳腺癌会给患者及其家庭生活的身体、心理、社会、经济和精神领域带来痛苦。手术、化疗和放疗等乳腺癌治疗方法可能会产生不良影响，如疼痛、恶心和呕吐、疲劳、呼吸急促、抑郁和便秘。癌症及其治疗都会影响患者及其家庭成员的心理社会和精神健康。将姑息治疗纳入现有的乳腺癌治疗方案似乎是减轻这些痛苦的最佳方法。
除了疼痛和其他身体症状外，乳腺癌还会导致严重的心理、社会和精神痛苦。在发展中国家，自付费用可能会造成重大的经济损失，影响几代人。将姑息治疗纳入乳腺癌治疗至关重要。
