儿科姑息治疗中疲劳与呼吸困难的评估及管理

Assessment and management of fatigue and dyspnea in pediatric palliative care.

作者信息

Ullrich Christina K, Mayer Oscar H

机构信息

Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA.

出版信息

Pediatr Clin North Am. 2007 Oct;54(5):735-56, xi. doi: 10.1016/j.pcl.2007.07.006.

DOI:10.1016/j.pcl.2007.07.006

PMID:17933620

Abstract

Fatigue is one of the most prevalent symptoms in patients with a life-threatening illness. Untreated, fatigue can impair quality of life and prohibit addressing practical needs, psychosocial and spiritual distress, and opportunities for growth and closure at life's end. To this end addressing fatigue is a crucial component of the provision of effective palliative care. Dyspnea is the sensation of breathlessness. The challenge in treating it, however, is that it can come from various different abnormalities so understanding the underlying disorder and the acute abnormality are critical. With that understanding several different treatments can be offered to treat the cause of the dyspnea or palliate the symptom itself.

摘要

疲劳是患有危及生命疾病的患者中最普遍的症状之一。若不加以治疗，疲劳会损害生活质量，并妨碍满足实际需求、应对心理社会和精神困扰，以及在生命末期实现成长和结束的机会。为此，应对疲劳是提供有效姑息治疗的关键组成部分。呼吸困难是呼吸急促的感觉。然而，治疗呼吸困难的挑战在于，它可能源于各种不同的异常情况，因此了解潜在病症和急性异常情况至关重要。有了这种认识，就可以提供几种不同的治疗方法来治疗呼吸困难的病因或缓解症状本身。