Pulmonary Rehabilitation and Palliative Care for the Lung Cancer Patient.
Pulmonary Rehabilitation and Palliative Care for the Lung Cancer Patient.
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DOI：
10.1097/njh.0000000000000187
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发表时间：
2015-10
期刊：
影响因子：
--
通讯作者：
Hayter J
中科院分区：
文献类型：
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作者：
Tiep B;Sun V;Koczywas M;Kim J;Raz D;Hurria A;Hayter J
肺康复作为一种生活质量干预手段，在肺癌患者姑息治疗中发挥着重要作用。结合临床护理、生理和行为工具的艺术和技能，肺部康复可以帮助因呼吸困难和条件限制而受到限制的患者重建功能能力。锻炼计划是通过挑战氧气运输和改善气体交换的整个途径来恢复和重建患者耐力的主要工具。肺康复的其他工具包括呼吸再训练、自我管理技能、气道清除技术、支气管舒张、戒烟和氧疗。肺康复现在正在成为化疗和放疗患者的支持性护理的一部分。在不受劳累时呼吸困难影响的情况下更活跃的能力增强了患者的自我效能感，并提高了生活质量，因此肺癌患者可以在这种治疗挑战中参与到他们的家庭生活中。
Pulmonary rehabilitation, as a quality of life intervention, has a role to play in palliative care for lung cancer patients. Combining the art and skills of clinical care, physiological, and behavioral tools, pulmonary rehabilitation can serve to rebuild the functional capacity of patients limited by breathlessness and deconditioning. Exercise programs are the primary tool used to restore and rebuild the patient's endurance by challenging the entire pathway of oxygen transport and improving gas exchange. Other tools of pulmonary rehabilitation include breathing retraining, self-management skills, airway clearance techniques, bronchodilitation, smoking cessation and oxygen therapy. Pulmonary rehabilitation is now becoming a part of supportive care for patients undergoing chemotherapy and radiation therapy. The ability to be more active without suffering the consequences of dyspnea on exertion boosts the patient's self-efficacy and allows for an improved quality of life, so that lung cancer patients can participate in their family lives during this therapeutic challenge.