頁籤選單縮合
題名 | 安寧療護患者的抗憂鬱劑選擇及共同照護=A Review of Choice of Antidepressants for Hospice Patients and Combined Hospice Care |
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作者姓名(中文) | 王律凱; 林益卿; 蔡佩渝; 黃馨葆; | 書刊名 | 安寧療護 |
卷期 | 20:1 2015.03[民104.03] |
頁次 | 頁24-35 |
分類號 | 418.214 |
關鍵詞 | 安寧療護; 共同照護; 重度憂鬱症; 抗憂鬱藥劑; Hospice; Cancer; Combined care; Major depression; Antidepressants; |
語文 | 中文(Chinese) |
中文摘要 | 安寧療護患者合併重度憂鬱的情形是常見的症狀,如果患者符合DSM-5的重鬱症狀,則抗鬱劑的治療是建議的,根據有限的文獻整理,重點如下:1)安寧療護的患者對於抗鬱劑選擇建議使用專一性較好的藥物,對於副作用減少以及可接受度(acceptability)是較有利的。2)合併重度憂鬱的安寧療護患者,則建議與精神專科(psychiatrist)以及神經內科專科(neurologist)共同照護,才能得到最好的療效。 |
英文摘要 | Depression is a common symptom in palliative care patients. If terminal stage palliative patients suffer from major depression, use of antidepressants is recommended. We reviewed the recent articles to summarize the choice of antiderpressants for palliative patients: 1) Use of single highly selective antidepressant is recommended for palliative patients, because of reduced side effect and better acceptability. 2) Anxious hospice patients, avoid activating agents, use ADs with anti H1 activity will be better. Fatigue patients, prefer NE/DA agents than 5HT ones. Poor pain control patients, prefer SNRIs than SSRIs. Breast cancer, avoid ADs inducing PRL. Colon cancer, avoid ADs with anticholinergic activity. Nausea patients, avoid starting SSRIs togheter with chemotherapies. Hyporexia patients, use AD with anthistaminic activity or benzamides substituted. 3) Combined care with psychiatrist and neurologist for palliative patients with major depression disease will have better efficacy and acceptability. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。