Department of Medicine, Duke University School of Medicine Durham, Durham, NC, USA.
Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.
Curr Treat Options Oncol. 2023 May;24(5):542-564. doi: 10.1007/s11864-023-01084-1. Epub 2023 Apr 5.
Patients with hematologic malignancies and their families are among the most distressed of all those with cancer. Despite high palliative care-related needs, the integration of palliative care in hematology is underdeveloped. The evidence is clear that the way forward includes standard-of-care PC integration into routine hematologic malignancy care to improve patient and caregiver outcomes. As the PC needs for patients with blood cancer vary significantly by disease, a disease-specific PC integration strategy is needed, allowing for serious illness care interventions to be individualized to the specific needs of each patient and situation.
血液恶性肿瘤患者及其家属是所有癌症患者中最痛苦的人群之一。尽管姑息治疗需求很高,但姑息治疗在血液学中的整合仍不发达。有明确的证据表明,前进的方向包括将姑息治疗纳入标准护理,以改善患者和护理人员的结局。由于血液癌患者的姑息治疗需求因疾病而异,因此需要制定一种特定于疾病的姑息治疗整合策略,允许针对每个患者和情况的具体需求进行个体化的严重疾病护理干预。