Advances in breathlessness support services for people with serious illness.

IF 1.9 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Current Opinion in Supportive and Palliative Care Pub Date : 2024-09-16 DOI:10.1097/SPC.0000000000000723
Naomi Takemura, Matthew Maddocks, Lisa Jane Brighton
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Abstract

Purpose of review: Breathlessness remains a common and distressing symptom among people with serious illness, particularly in advanced disease. This review synthesises recent advances in the development, characteristics, and outcomes of breathlessness support services.

Recent findings: The expanding body of evidence regarding breathlessness support services has broadened and strengthened our understanding of clinical and cost-effectiveness. The expansion of these services, into diverse settings and including digital delivery, has augmented their reach and accessibility to a wider population. Additionally, there is increasing attention to the psychological aspects of breathlessness and its management, including the challenges of optimising breathlessness support services for long-term benefit.

Summary: Recent studies have made substantial progress in enhancing our knowledge of breathlessness support services and their impact on people with serious illness. Innovations extending services into new countries and settings, including use of digital platforms for intervention delivery, plus increased recognition of psychological mechanisms, have the potential to support more people with serious illness to live as best as possible with breathlessness.

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为重症患者提供的呼吸困难支持服务取得进展。
审查目的:呼吸困难仍然是重病患者(尤其是晚期患者)常见的痛苦症状。本综述总结了呼吸困难支持服务在发展、特点和结果方面的最新进展:有关憋气支持服务的证据不断增加,拓宽并加强了我们对临床和成本效益的理解。这些服务扩展到了不同的环境,包括数字化服务,从而扩大了服务范围,使更多的人能够获得这些服务。此外,人们越来越关注呼吸困难及其管理的心理方面,包括优化呼吸困难支持服务以实现长期获益所面临的挑战:最近的研究在增进我们对憋气支持服务及其对重症患者影响的了解方面取得了重大进展。将服务扩展到新国家和新环境的创新措施,包括使用数字平台进行干预,以及对心理机制的进一步认识,都有可能帮助更多重症患者在憋气的情况下尽可能地生活得更好。
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来源期刊
Current Opinion in Supportive and Palliative Care
Current Opinion in Supportive and Palliative Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.70
自引率
0.00%
发文量
54
期刊介绍: A reader-friendly resource, Current Opinion in Supportive and Palliative Care provides an up-to-date account of the most important advances in the field of supportive and palliative care. Each issue contains either two or three sections delivering a diverse and comprehensive coverage of all the key issues, including end-of-life management, gastrointestinal systems and respiratory problems. Current Opinion in Supportive and Palliative Care is an indispensable journal for the busy clinician, researcher or student.
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