Park So Young
Department of Pulmonary, Allergy and Critical Care Medicine, Kangdong Sacred Heart Hospital, Hallym University Medical Center, Seoul, Korea.
J Hosp Palliat Care. 2024 Sep 1;27(3):103-106. doi: 10.14475/jhpc.2024.27.3.103.
Palliative care is a comprehensive approach aimed at improving the quality of life for patients and their families. The symptom burden and care needs of patients with end-stage, non-malignant diseases are similar to those experienced by patients with advanced cancer. Therefore, the World Health Organization (WHO) has recommended the expansion of palliative care to encompass a broad spectrum of diseases. However, in Korea, the adoption of palliative care for non-malignant conditions remains markedly low, presenting numerous challenges that differ from those associated with cancer. Key barriers to implementing hospice care for non-malignant diseases include the difficulty in predicting end-of-life and a general lack of awareness about hospice palliative care among healthcare providers, patients, and their families. Additionally, there is a risk that suggesting palliative care to patients with non-malignant diseases might be misinterpreted as an endorsement by healthcare providers to cease treatment or abandon the patient. This article explores strategies to broaden the scope of hospice and palliative care for patients with non-malignant diseases.
姑息治疗是一种旨在提高患者及其家属生活质量的综合方法。终末期非恶性疾病患者的症状负担和护理需求与晚期癌症患者相似。因此，世界卫生组织（WHO）建议扩大姑息治疗的范围，以涵盖广泛的疾病。然而，在韩国，非恶性疾病采用姑息治疗的比例仍然明显较低，存在许多与癌症相关的不同挑战。为非恶性疾病实施临终关怀的主要障碍包括难以预测生命终结，以及医疗服务提供者、患者及其家属对临终关怀姑息治疗普遍缺乏认识。此外，向非恶性疾病患者建议姑息治疗可能会被误解为医疗服务提供者认可停止治疗或放弃患者。本文探讨了扩大非恶性疾病患者临终关怀和姑息治疗范围的策略。
