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进行性肺纤维化患者的整体管理

Holistic management of patients with progressive pulmonary fibrosis.

作者信息

Oliveira Ana, Fabbri Gaia, Gille Thomas, Bargagli Elena, Duchemann Boris, Evans Rachel, Pinnock Hilary, Holland Anne E, Renzoni Elisabetta, Ekström Magnus, Jones Steve, Wijsenbeek Marlies, Dinh-Xuan Anh Tuan, Vagheggini Guido

机构信息

Lab 3R Respiratory Research and Rehabilitation Laboratory, School of Health Sciences, University of Aveiro (ESSUA), IBMED Aveiro PT, Aveiro, Portugal.

School of Rehabilitation Science, Faculty of Health Science, McMaster University, Hamilton, ON, Canada.

出版信息

Breathe (Sheff). 2023 Sep;19(3):230101. doi: 10.1183/20734735.0101-2023. Epub 2023 Sep 12.

Abstract

UNLABELLED

Progressive pulmonary fibrosis (PF) is a complex interstitial lung disease that impacts substantially on patients' daily lives, requiring personalised and integrated care. We summarise the main needs of patients with PF and their caregivers, and suggest a supportive care approach. Individualised care, education, emotional and psychological support, specialised treatments, and better access to information and resources are necessary. Management should start at diagnosis, be tailored to the patient's needs, and consider end-of-life care. Pharmacological and non-pharmacological interventions should be individualised, including oxygen therapy and pulmonary rehabilitation, with digital healthcare utilised as appropriate. Further research is needed to address technical issues related to oxygen delivery and digital healthcare.

EDUCATIONAL AIMS

To identify the main needs of patients with PF and their caregivers.To describe the components of a comprehensive approach to a supportive care programme for patients with PF.To identify further areas of research to address technical issues related to the management of patients with PF.

摘要

未标注

进行性肺纤维化(PF)是一种复杂的间质性肺疾病,对患者的日常生活有重大影响,需要个性化和综合护理。我们总结了PF患者及其护理人员的主要需求,并提出了一种支持性护理方法。个性化护理、教育、情感和心理支持、专业治疗以及更好地获取信息和资源是必要的。管理应从诊断开始,根据患者需求进行调整,并考虑临终关怀。药物和非药物干预应个性化,包括氧疗和肺康复,并酌情使用数字医疗保健。需要进一步研究以解决与氧疗和数字医疗保健相关的技术问题。

教育目标

确定PF患者及其护理人员的主要需求。描述针对PF患者的支持性护理计划的综合方法的组成部分。确定进一步的研究领域,以解决与PF患者管理相关的技术问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd87/10501708/5131f74610fa/EDU-0101-2023.01.jpg

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