Department of Medicine, New York University Medical School, New York, NY, USA.
Support Care Cancer. 2010 Feb;18(2):255-63. doi: 10.1007/s00520-009-0693-4. Epub 2009 Jul 17.
This position paper, written on behalf of the MASCC Psychosocial Study Group, reviews the most common psychosocial concerns and needs of cancer patients during all phases of the cancer continuum, from diagnosis to death or survivorship. Developments in psychosocial care at both individual and systems levels are surveyed and summarized, along with gaps in knowledge and research and needed improvements in the dissemination and application of acquired knowledge and expertise. The roles of culture, spirituality, and religion as part of psychosocial care are reviewed, along with families' and caregivers' specific psychosocial concerns and needs, and areas of needed psychosocial interventions in supportive cancer care. Deficits in recognizing and meeting patients' psychosocial needs at the system level are examined, and international guidelines and models of psychosocial care are reviewed, including their potential applications to local contexts. The paper calls for a shift to a new paradigm of care through adoption of an integrated approach to identify and meet the psychosocial needs of cancer patients and survivors as part of supportive care worldwide.
本立场文件代表 MASCC 心理社会研究小组撰写，回顾了癌症患者在癌症连续体的所有阶段（从诊断到死亡或生存）中最常见的心理社会问题和需求。调查并总结了个人和系统层面心理社会护理的发展情况，以及知识和研究方面的差距，以及在传播和应用所获得的知识和专业知识方面需要改进的地方。审查了文化、精神和宗教作为心理社会护理的一部分的作用，以及家庭和照顾者的特定心理社会问题和需求，以及在支持性癌症护理中需要进行心理社会干预的领域。检查了在系统层面上识别和满足患者心理社会需求方面的不足，并审查了国际心理社会护理指南和模式，包括它们在当地环境中的潜在应用。该文件呼吁通过采用综合方法来转变新的护理模式，以确定和满足癌症患者和幸存者的心理社会需求，作为全球支持性护理的一部分。
