Objective To identify the best therapy regime for dyspnea in an end-stage cancer patient.Method We searched The Cochrane Library (Issue 2, 2006), SUMsearch (1978 to 2006) and MEDLINE (1978 to 2006), and identified 4 systematic reviews and 28 randomised controlled trials. We critically assessed the quality of these studies. Result Evidence supported the use of breathing exercise, desensitisation, oral or parenteral opioids and antianxiety drugs to pall iate breathlessness. Patients with hypoxemia were found to benefit from oxygen therapy. Conclusions Physiotherapy, psychotherapy, oxygen therapy, opioids and antianxiety drugs can be considered in treating cancer patients with dyspnea.
目的 探讨全人/整体护理对晚期癌症患者生活质量的影响。 方法 将2007年11月－2008年7月60例确诊为晚期癌症的患者随机分为试验组和对照组，均规范接受阿片类药物镇痛和针对其他痛苦症状的药物控制治疗。在此基础上，试验组再增加躯体照护、心理疏导、灵性关怀等全人/整体护理，并就两组在疼痛缓解、活动能力和生活质量改善等方面的效果进行比较。 结果 观察期内，试验组在疼痛缓解、活动能力及生活质量改善方面明显优于对照组，两组比较差异均有统计学意义（P＜0.05）。 结论 在药物治疗基础上，运用全人/整体护理能够明显提高晚期癌症患者及其家属的生活质量。