Horikawa Naoshi
Saitama Medical University, Saitama Medical Center, Department of Psychiatry.
Seishin Shinkeigaku Zasshi. 2010;112(10):1018-23.
Psycho-oncology is one of the most important fields of consultation-liaison psychiatry (CLP), and it can be said that there is a substantial overlap between both fields. In recent years, there has been a particular focus on medical care for cancer patients provided by palliative care teams. This type of medical care has the following two characteristics from the perspective of the organizational theory of CPL. One is that this type of medical care has elements of both medical care of a consultation model and medical care of a liaison model. The other is that dual team medicine combining team medicine within a palliative care team and team medicine between the palliative care team and a primary doctor and floor nurses is performed. Such an understanding is important in order to enrich medical care provided by palliative care teams in the future. Moreover, in clinical CLP, there are some characteristics that are frequently and specifically observed in cancer patients. Among those, patients may have a feeling of helplessness due to the absence of effective self-care and limitations on the ability of the patients to act by themselves. An empowerment approach is effective for this, and we have described the actual methods for carrying out such an approach.
心理肿瘤学是会诊联络精神病学（CLP）最重要的领域之一，可以说这两个领域有很大的重叠。近年来，姑息治疗团队为癌症患者提供的医疗护理受到了特别关注。从CPL的组织理论角度来看，这种医疗护理具有以下两个特点。一是这种医疗护理兼具会诊模式医疗护理和联络模式医疗护理的要素。二是实施了双重团队医疗，即姑息治疗团队内部的团队医疗以及姑息治疗团队与初级医生和病房护士之间的团队医疗相结合。为了在未来丰富姑息治疗团队提供的医疗护理，这种理解很重要。此外，在临床CLP中，癌症患者经常会出现一些特定的特征。其中，由于缺乏有效的自我护理以及患者自身行动能力的限制，患者可能会产生无助感。赋权方法对此有效，我们已经描述了实施这种方法的实际途径。
