摘要
肺癌患者术后症状负担重,严重影响其生活质量。症状管理是医疗照护的基石,基于患者报告结局(patient-reported outcome,PRO)的症状管理越来越被认为是在临床实践“以患者为中心”医疗照护的最佳模式。但是,该模式在肺癌外科的精准实施受阻于目前肺癌手术特异性量表、具体实施规范、临床应用参数和高质量研究缺乏等问题。精简的量表和电子PRO平台的使用可望使实施的可行性得到大大提高。目前,基于PRO的症状管理在肺癌外科中的应用尚处于探索阶段,尚需要在临床研究和临床实践中不断完善。
The postoperative symptom burden in patients with lung cancer is severe and adversely impairs their quality of life.Symptom management is the cornerstone of medical care.Patient-reported outcome(PRO)-based symptom management is being increasingly recognized as the best"patient-centered care"model in clinical practice.However,the precise implementation of this model in patients undergoing lung cancer surgery is hindered by the lack of a lung cancer surgery-specific scale,implementation standards,clinical application parameters and high-quality researches.The use of a precise and simple PRO scale and an electronic PRO platform may greatly improve the feasibility of implementing this model.Currently,the application of PRO-based symptom management in lung cancer surgery is still being explored and needs to be improved in clinical research and practice.
作者
戴维
石丘玲
李强
车国卫
DAI Wei;SHI Qiuling;LI Qiang;CHE Guowei(Department of Thoracic Surgery,Sichuan Cancer Hospital,The Affiliated Cancer Hospital,School of Medicine,University of Electronic Science and Technology of China,Sichuan Cancer Hospital,Chengdu,610041,P.R.China;Department of Thoracic Surgery,West China Hospital,Sichuan University,Chengdu,610041,P.R.China;Chongqing Medical University,Chongqing,400016,P.R.China)
出处
《中国胸心血管外科临床杂志》
CAS
CSCD
2020年第10期1228-1234,共7页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
基金
四川省卫生健康委课题(18PJ436)
四川省科技厅课题(2019YFH0070)
国家自然科学基金面上项目(81872506)。
关键词
患者报告结局
症状管理
肺癌外科
临床应用
Patient-reported outcome
symptom management
lung cancer surgery
clinical application
