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A systematic review of literature to evaluate the burden of physical and psychological symptoms and palliative care in patients diagnosed with idiopathic pulmonary fibrosis
BACKGROUND: Palliative care improves quality of life in patients with life-threatening illnesses, such as idiopathic pulmonary fibrosis (IPF), in a holistic manner and should be integrated early into the management of these patients. OBJECTIVE: To evaluate the degree of physical and psychological sy...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
South African Medical Association
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8278994/ https://www.ncbi.nlm.nih.gov/pubmed/34286243 http://dx.doi.org/10.7196/AJTCCM.2019.v25i1.231 |
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author | van Jaarsveld, M F Gwyther, L |
author_facet | van Jaarsveld, M F Gwyther, L |
author_sort | van Jaarsveld, M F |
collection | PubMed |
description | BACKGROUND: Palliative care improves quality of life in patients with life-threatening illnesses, such as idiopathic pulmonary fibrosis (IPF), in a holistic manner and should be integrated early into the management of these patients. OBJECTIVE: To evaluate the degree of physical and psychological symptoms in patients with IPF and the extent to which palliative care is used in patient management. METHODS: Several databases were searched for studies reporting on symptom burden, quality of life or palliative interventions in patients with IPF. RESULTS: A total of 46 articles were included in this review. Studies showed that many patients experienced dyspnoea, which improved with pulmonary rehabilitation in some cases. Fatigue and poor quality of sleep had a notable negative impact on daily life activities. Instruments evaluating anxiety and depression showed that many patients with IPF experienced mild to moderate depression and anxiety. Quality of life was shown to be negatively affected across all domains. Two studies indicated poor referral to palliative care units and one study reported positively on the use of morphine for managing breathlessness in advanced IPF. CONCLUSION: Patients with IPF generally experience poor quality of life. Patients are seldom referred to palliative care, even in developed countries. No data were available on the use of palliative care in developing countries. Furthermore, research on the burden of symptoms and management of these symptoms appears to be limited. Increased awareness of and research on the palliative care needs of patients with IPF are recommended, particularly in resource-limited settings such as South Africa. |
format | Online Article Text |
id | pubmed-8278994 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | South African Medical Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-82789942021-07-19 A systematic review of literature to evaluate the burden of physical and psychological symptoms and palliative care in patients diagnosed with idiopathic pulmonary fibrosis van Jaarsveld, M F Gwyther, L Afr J Thorac Crit Care Med Review BACKGROUND: Palliative care improves quality of life in patients with life-threatening illnesses, such as idiopathic pulmonary fibrosis (IPF), in a holistic manner and should be integrated early into the management of these patients. OBJECTIVE: To evaluate the degree of physical and psychological symptoms in patients with IPF and the extent to which palliative care is used in patient management. METHODS: Several databases were searched for studies reporting on symptom burden, quality of life or palliative interventions in patients with IPF. RESULTS: A total of 46 articles were included in this review. Studies showed that many patients experienced dyspnoea, which improved with pulmonary rehabilitation in some cases. Fatigue and poor quality of sleep had a notable negative impact on daily life activities. Instruments evaluating anxiety and depression showed that many patients with IPF experienced mild to moderate depression and anxiety. Quality of life was shown to be negatively affected across all domains. Two studies indicated poor referral to palliative care units and one study reported positively on the use of morphine for managing breathlessness in advanced IPF. CONCLUSION: Patients with IPF generally experience poor quality of life. Patients are seldom referred to palliative care, even in developed countries. No data were available on the use of palliative care in developing countries. Furthermore, research on the burden of symptoms and management of these symptoms appears to be limited. Increased awareness of and research on the palliative care needs of patients with IPF are recommended, particularly in resource-limited settings such as South Africa. South African Medical Association 2019-04-12 /pmc/articles/PMC8278994/ /pubmed/34286243 http://dx.doi.org/10.7196/AJTCCM.2019.v25i1.231 Text en https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution - NonCommercial Works License (CC BY-NC 4.0) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review van Jaarsveld, M F Gwyther, L A systematic review of literature to evaluate the burden of physical and psychological symptoms and palliative care in patients diagnosed with idiopathic pulmonary fibrosis |
title | A systematic review of literature to evaluate the burden of physical and psychological symptoms and palliative care in patients diagnosed with idiopathic pulmonary fibrosis
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title_full | A systematic review of literature to evaluate the burden of physical and psychological symptoms and palliative care in patients diagnosed with idiopathic pulmonary fibrosis
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title_fullStr | A systematic review of literature to evaluate the burden of physical and psychological symptoms and palliative care in patients diagnosed with idiopathic pulmonary fibrosis
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title_full_unstemmed | A systematic review of literature to evaluate the burden of physical and psychological symptoms and palliative care in patients diagnosed with idiopathic pulmonary fibrosis
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title_short | A systematic review of literature to evaluate the burden of physical and psychological symptoms and palliative care in patients diagnosed with idiopathic pulmonary fibrosis
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title_sort | systematic review of literature to evaluate the burden of physical and psychological symptoms and palliative care in patients diagnosed with idiopathic pulmonary fibrosis |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8278994/ https://www.ncbi.nlm.nih.gov/pubmed/34286243 http://dx.doi.org/10.7196/AJTCCM.2019.v25i1.231 |
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