Symptom burden in the last week of life
Symptom burden in the last week of life
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DOI：
10.1016/j.jpainsymman.2003.05.008
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发表时间：
2004-01-01
影响因子：
4.7
通讯作者：
Deeg, DJH
中科院分区：
文献类型：
--
作者：
Klinkenberg, M;Willems, DL;Deeg, DJH
为了调查在生命的最后一周的症状负担，我们进行了死亡后的采访，从人口为基础的老年人在荷兰（n = 270）的样本已故老年人的近亲。结果显示，疲劳、疼痛和呼吸急促是常见的（分别为83%、48%和50%）。其他症状包括意识模糊（36%）、焦虑（31%）、抑郁（28%）和恶心和/或呕吐（25%）。癌症患者和慢性阻塞性肺病患者在疼痛和呼吸急促方面明显处于劣势。此外，认知能力下降被证明是特定症状负担的预测。与没有认知能力下降的患者相比，过去三个月内认知能力下降的患者症状负担更高，症状也不同。建议对认知能力下降的老年人给予特别关注。疼痛症状管理杂志2004;27：5-13. (C)2004年美国癌症疼痛缓解委员会。爱思唯尔公司出版All rights reserved.
In order to investigate symptom burden in the last week of life, we conducted after-death interviews with close relatives of deceased older persons from a population-based sample of older people in The Netherlands (n = 270). Results show that fatigue, pain, and shortness of breath were common (83%, 48% and 50%, respectively). Other symptoms were confusion (36%), anxiety (31%), depression (28%), and nausea and/or vomiting (25%). Cancer patients and patients with chronic obstructive pulmonary disease were clearly at a disadvantage with respect to pain and shortness of breath, respectively. Furthermore, cognitive decline turned out to be predictive of specific symptom burden. Persons with cognitive decline in the last three months had a higher symptom burden and different symptoms compared to patients with no cognitive decline. It is suggested that older persons with cognitive decline require specific attention. J Pain Symptom Manage 2004;27:5-13. (C) 2004 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.