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安泰醫護雜誌

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篇名 癌末病人引發呼吸困難之處置
卷期 16:3
並列篇名 Managing Dyspnea in Terminal Cancer Patients
作者 游素英
頁次 167-174
關鍵字 呼吸困難癌症安寧緩和醫療dyspneacancerpalliative care
出刊日期 201009

中文摘要

癌症末期的不適症狀有許多, 其中以呼吸困難對病人和家屬所造成的恐懼及焦慮是最大的,所以照護癌末呼吸困難的病患對護理人員是一大挑戰。雖然有許多呼吸困難的評估及處置臨床指引,可以作為第一線醫護人員參考,但是處理癌症末期病人呼吸困難的目標,並不是在於矯正不正常的理學及實驗室數據,而是以增加病人主觀的舒適為主。針對癌末病人的照護,除了不必要的侵入性檢查及治療之外,病人仍然可以使用安全性高、副作用少的藥物以及非藥物的處置,來
緩解呼吸困難的目的,提升病人及家屬的生活品質,達到高品質的重症生命末期的照護。

英文摘要

There are numerous symptoms of terminal cancer, one of which is dyspnea.
Because this symptom is oftentimes the biggest cause of fear and concern for patients and their families, handling the breathing difficulties of a terminally ill cancer patient can be a major challenge facing nurses and healthcare workers.Despite the availability of many assessments and guidelines on how to handle breathing difficulties in terminal cancer patients, however, the objective of solving breathing problems in terminal cancer patients lies not in fixing abnormalities in theory or experimental data but rather increasing comfort of the patient.With respect to the care of terminal cancer patients, aside from unnecessary
invasive checkups and treatments, patients can choose to take safer medications with fewer side effects or even resort to non-medicinal means to alleviate dyspnea symptoms. The goal is ultimately to achieve the highest quality of life for the patient and his or her family during the final stages of the patient’s life.

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