Dyspnea Management in Early Stage Lung Cancer: A Palliative Perspective.
Dyspnea Management in Early Stage Lung Cancer: A Palliative Perspective.
复制标题
早期肺癌的呼吸困难管理：姑息治疗的角度。
DOI：
10.1097/njh.0b013e31825e4250
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
Hayter,Jennifer
中科院分区：
文献类型：
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作者：
Williams,AnnaCathy;Grant,Marcia;Tiep,Brian;Kim,JaeY;Hayter,Jennifer
一群新的肺癌患者即将出现。随着诊断和治疗方法的快速发展，早期非小细胞肺癌患者的数量正在增加。尽管I-II期患者被认为是“可治愈的”，但由于治疗本身，仍然存在复发，新原发和现有或强制合并症的威胁。因此，这一人口的前景仍然很渺茫。根据美国国家综合癌症网络指南，随着生存率的提高，对早期非小细胞肺癌患者进行充分评估、积极管理和长期随访是势在必行的。呼吸困难是最可怕的症状之一，无论诊断和任何疾病的阶段。它伴随着令人窒息甚至即将死亡的感觉。鉴于呼吸困难的主观性，评估它对每个患者及其亲人的生活质量的影响是至关重要的。认识到此类病例涉及的丰富护理，姑息治疗护士是服务的核心倡导者和协调者。通过全面的护理计划和跨学科的努力，医疗保健专业人员可能能够为早期非小细胞肺癌患者提供呼吸困难的恒星循证干预，并希望有更大的机会拥有正常的生活方式。
A new cohort of lung cancer patient is on the horizon. With rapidly evolving diagnostics and treatment methodology, early-stage non–small cell lung cancer patients are increasing in numbers. Although stage I-II patients are deemed “curable,” there linger threats of recurrence, new primaries, and existing or imposed comorbidities due to the treatment itself. Consequently, the outlook remains tenuous for this population. With improving survival rates, it is imperative that patients with early-stage non–small cell lung cancer be fully assessed, aggressively managed, and followed up long term, according to the National Comprehensive Cancer Network guidelines. Dyspnea is one of the most frightening of all symptoms, regardless of diagnosis and stage of any disease. It accompanies feelings of suffocating and even impending death. Given the subjectivity of dyspnea, it is critical to assess the impact it imposes on quality of life for each patient and their loved ones. Cognizant of the abundance of care involved in such cases, it is the palliative care nurse who is the core advocate and coordinator of services. Through a comprehensive care plan and interdisciplinary effort, healthcare professionals may be able to offer early-stage non–small cell lung cancer patients with dyspnea stellar evidence-based intervention and hopefully a greater chance of possessing a sense of normalcy in their lifestyles.