Gonçalves Florbela, Gaudêncio Margarida, Rocha Ana, Paiva Ivo, Rego Francisca, Nunes Rui
Internal Medicine and Palliative Care Service, Portuguese Institute of Oncology Francisco Gentil Coimbra, 3000-075 Coimbra, Portugal.
Faculty of Medicine, University of Porto, 4200-219 Porto, Portugal.
Curr Oncol. 2025 Jul 31;32(8):433. doi: 10.3390/curroncol32080433.
Palliative care aims to alleviate suffering and prioritize the quality of life of patients facing serious and fatal diseases, such as cancer. Cancer patients, especially in advanced stages, often have many difficult-to-control symptoms, such as pain, fatigue, dyspnea, anxiety, and depression, requiring the attention of a multidisciplinary team highly trained in palliative care and end-of-life management. Pain, dyspnea, nausea, and vomiting are the focus of symptomatic assessment in palliative care, but patients experience other equally important symptoms that do not receive as much attention and are often overlooked, which negatively impacts the quality of life of these patients. One of the main aims of palliative care is to provide patients with the best possible quality of life through adequate symptom control, teamwork, and psychosocial support based on the principles, values, and wishes of the patient and family. In this review, the authors summarize the management of common symptoms in patients in oncology and palliative care, as well as present a brief reflection on quality of life in this context.
姑息治疗旨在减轻患有严重致命疾病(如癌症)患者的痛苦,并将其生活质量放在首位。癌症患者,尤其是晚期患者,常常有许多难以控制的症状,如疼痛、疲劳、呼吸困难、焦虑和抑郁,这需要一支在姑息治疗和临终管理方面受过高度培训的多学科团队予以关注。疼痛、呼吸困难、恶心和呕吐是姑息治疗中症状评估的重点,但患者还会经历其他同样重要却未得到同等关注且常被忽视的症状,这对这些患者的生活质量产生了负面影响。姑息治疗的主要目标之一是根据患者及其家人的原则、价值观和愿望,通过充分的症状控制、团队协作和心理社会支持,为患者提供尽可能好的生活质量。在这篇综述中,作者总结了肿瘤学和姑息治疗患者常见症状的管理方法,并对这一背景下的生活质量进行了简要思考。