Palliative care improves patients’ symptoms, quality of life and family satisfaction with caregiving, reduces hospital admissions and promotes alignment of medical care with the patient’s needs and goals. This article proposes the utility of integrating three psychosocial theories into standard palliative care with implications for care planning, early palliative care and optimizing quality of life. First, Control Theory focuses on the complex juxtaposition of promoting agency/empowerment in patients and carers and coping with often highly uncertain outcomes. Second, Optimal Matching Theory accounts for the alignment of need and provision of care to potentiate the quality of life effects of supportive care in a complex social process involving health care providers, patients and carers. Third, Hope Theory represents a dynamic process, which is marked by variation in the qualities of hope as the patient and carer confront challenges during palliative care. Future work will be translational in nature to adapt both assessment and interventions based on this theoretically driven augmentation of palliative care as well as to evaluate whether it provides a conceptual framework that has incremental utility in palliative care planning.
姑息治疗能够改善患者的症状、生活质量及家属对护理的满意度，减少住院次数，并促进医疗护理与患者需求和目标的契合。本文提出将三种社会心理理论整合到标准姑息治疗中的实用性，这对护理规划、早期姑息治疗及优化生活质量具有重要意义。首先，控制理论关注在患者和照护者中提升能动性/赋权与应对常具高度不确定性的结果之间的复杂并存关系。其次，最优匹配理论解释了在涉及医疗提供者、患者和照护者的复杂社会过程中，需求与护理供给的匹配如何增强支持性护理对生活质量的影响。第三，希望理论代表了一个动态过程，其特征是患者和照护者在姑息治疗期间面对挑战时希望品质的变化。未来的工作将具有转化性质，旨在基于这一理论驱动的姑息治疗增强方案调整评估和干预措施，并评估其是否为姑息治疗规划提供了一个具有增量效用的概念框架。
肿瘤(癌症)患者之家