Advances in breathlessness support services for people with serious illness.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-12-01 Epub Date: 2024-10-30 DOI:10.1097/SPC.0000000000000723

Naomi Takemura, Matthew Maddocks, Lisa Jane Brighton

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引用次数: 0

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。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.