PT -期刊文章盟柯蒂斯j . r . TI -姑息和临终关怀的严重慢性阻塞性肺病患者援助- 10.1183/09031936.00126107 DP - 2008 9月01 TA -欧洲呼吸杂志PG - 796——803 //www.qdcxjkg.com/content/32/3/796.short VI - 32 IP - 3 4099 - 4100 - //www.qdcxjkg.com/content/32/3/796.full所以欧元和J2008 9月01;慢性阻塞性肺疾病(COPD)是全世界发病率和死亡率的主要原因。对许多患者来说，对慢性阻塞性肺病进行最大限度的治疗只能适度或不完全缓解其致残症状，而这些症状会导致生活质量显著下降。尽管严重慢性阻塞性肺病的发病率和死亡率很高，但许多患者接受的姑息治疗不足。这有几个原因。首先，患者和医生之间关于姑息治疗和临终关怀的交流很少，而且往往质量很差。其次，慢性阻塞性肺病患者预后预测的不确定性增加了临终护理沟通的难度。因此，患者及其家属往往不理解严重的慢性阻塞性肺病往往是一种进展性终末期疾病。本综述的目的是总结最近关于慢性阻塞性肺病患者姑息治疗和临终关怀的研究。最近的研究为改善临终关怀的沟通提供了见解和指导，从而提高患者接受姑息治疗和临终关怀的质量。 Two areas that may influence the quality of care are also highlighted: 1) the role of anxiety and depression, common problems for patients with COPD; and 2) the importance of advance care planning. Improving communication represents an important opportunity for the improvement of the quality of palliative and end-of-life care received by these patients. SERIES “COMPREHENSIVE MANAGEMENT OF END-STAGE COPD” Edited by N. Ambrosino and R. Goldstein Number 6 in this Series