Jovanovic Dragana, Ceriman-Krstic Vesna, Kabalak Pınar Akın, Viola Lucia, Papatheodosiou Konstantinos
Internal Medicine Clinic AkTa Medica, Belgrade, Serbia.
Daily hospital, Clinical Center of Serbia Hospital of Pulmonology, Belgrade, Serbia.
Breathe (Sheff). 2024 Nov 12;20(3):230203. doi: 10.1183/20734735.0203-2023. eCollection 2024 Oct.
Palliative care pertains to the holistic multidimensional concept of "patient-centred" care. It is an interprofessional specialty, primarily aiming to improve quality of care for cancer patients and their families, from the time of diagnosis of malignant disease, over the continuum of cancer care, and extending after the patient's death to the period of bereavement to support the patient's family. There are various complex and frequently unmet needs of lung cancer patients and their families/caregivers, not only physical but also psychological, social, spiritual and cultural. Systematic monitoring of patients' symptoms using validated questionnaires and patient-reported outcomes (PROs), on a regular basis, is highly encouraged and recommended in recent guidelines on the role of PRO measures in the continuum of cancer clinical care. It improves patient-physician communication, physician awareness of symptoms, symptom control, patient satisfaction, health-related quality of life and cost-effectiveness. This implies that all treating physicians should improve their skills in communication with lung cancer patients/relatives and become more familiar with this multidimensional assessment, repeatedly screening patients for palliative care needs. Therefore, they should receive education and training to develop palliative care knowledge, skills and attitudes. This review is dedicated to lung cancer palliative care essentials that should be within the competences of treating physicians, pneumologists/thoracic oncologists.
姑息治疗涉及“以患者为中心”的整体多维护理理念。它是一个跨专业的专业领域，主要旨在提高癌症患者及其家属从恶性疾病诊断之时起，在整个癌症护理过程中，以及在患者去世后至丧亲期间的护理质量，以支持患者家属。肺癌患者及其家属/护理人员存在各种复杂且常常未得到满足的需求，不仅包括身体需求，还包括心理、社会、精神和文化需求。近期关于患者报告结局（PRO）指标在癌症临床护理连续过程中作用的指南强烈鼓励并建议定期使用经过验证的问卷和患者报告结局对患者症状进行系统监测。这有助于改善医患沟通、医生对症状的认知、症状控制、患者满意度、健康相关生活质量以及成本效益。这意味着所有治疗医生都应提高与肺癌患者/亲属沟通的技巧，更加熟悉这种多维评估，反复筛查患者的姑息治疗需求。因此，他们应接受教育和培训，以培养姑息治疗知识、技能和态度。本综述致力于肺癌姑息治疗要点，这些要点应属于治疗医生、肺科医生/胸科肿瘤学家的能力范畴。
