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将姑息治疗整合到泌尿生殖系统恶性肿瘤的管理中。

Integrating Palliative Care Into the Management of Genitourinary Malignancies.

机构信息

Division of Palliative Medicine, Department of Medicine I, Medical University of Vienna, Vienna, Austria.

出版信息

Am Soc Clin Oncol Educ Book. 2024 Apr;44(3):e438644. doi: 10.1200/EDBK_438644.

DOI:10.1200/EDBK_438644
PMID:38662976
Abstract

Palliative care (PC) plays a critical role in managing the difficulties associated with genitourinary malignancies. Its primary aim is to improve the overall health of patients, provide support to both patients and their caregivers, and help individuals to navigate the complex decisions about treatment and end-of-life care. PC takes a holistic approach to patient care, recognizing that genitourinary malignancies affect multiple aspects of a person's life. By addressing physical, emotional, social, and spiritual needs, PC aims to provide comprehensive support that is consistent with the patient's values and preferences. The goal is to optimize comfort, minimize distress, and enhance the patient's quality of life throughout the course of the illness. PC is not a one-off intervention, but an ongoing source of support. This article aims to provide a thorough overview of the critical elements involved in addressing the challenges posed by genitourinary cancers, emphasizing the importance of palliative interventions. We will highlight the multifaceted aspects of care and explore strategies to optimize the overall well-being of patients throughout the course of treatment for genitourinary malignancies.

摘要

姑息治疗(PC)在管理与泌尿生殖系统恶性肿瘤相关的困难方面发挥着关键作用。其主要目的是改善患者的整体健康状况,为患者及其护理人员提供支持,并帮助个人做出关于治疗和临终关怀的复杂决策。PC 采用整体方法来照顾患者,认识到泌尿生殖系统恶性肿瘤会影响一个人生活的多个方面。通过满足身体、情感、社会和精神需求,PC 旨在提供与患者的价值观和偏好一致的全面支持。目标是优化舒适度,最大限度地减少痛苦,并在整个疾病过程中提高患者的生活质量。PC 不是一次性干预,而是持续的支持来源。本文旨在全面概述处理泌尿生殖系统癌症带来的挑战所涉及的关键要素,强调姑息干预的重要性。我们将强调护理的多方面,并探讨在泌尿生殖系统恶性肿瘤治疗过程中优化患者整体健康状况的策略。

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