Mental Health Clinic, National Cancer Center, Gyeonggi-do, Republic of Korea.
Psychooncology. 2012 May;21(5):541-9. doi: 10.1002/pon.1931. Epub 2011 Feb 23.
Psychological distress is common in cancer patients, and the need to develop a system for assessing and managing distress is widely recognized. This project developed recommendations that are feasible for Korean cancer patients and the Korean healthcare system.
Based on the findings from a series of studies in the context of this project, we developed guidelines following the steps and parameters recommended by the Scottish Intercollegiate Guidelines Network (SIGN). The Development Group consisted of individuals from several professions, including psychiatrists, psychologists, nurses, social workers, a health policy expert, and a methodologist. Opinions from various healthcare providers, patients, and related societies were also reflected in the guidelines.
The main recommendations for distress management in cancer patients were the following: (1) a concept of distress in Korean cancer patients, screening tools, management algorithms, and triage approaches was developed and (2) four symptom-specific guidelines with management algorithms were proposed for depression, anxiety, insomnia, and delirium.
This is the first effort to develop recommendations for distress management in psycho-oncology in Korea. These guidelines offer standards for psychosocial care for cancer patients in Korea. We have made a significant step toward integrated cancer care that incorporates the psychosocial care of patients as an essential component of patient care in a Korean oncology context. This version will be updated constantly to keep up with emerging evidence from empirical research and clinical experience.
癌症患者普遍存在心理困扰，因此广泛需要开发一种评估和管理困扰的系统。本项目旨在为韩国癌症患者和韩国医疗体系制定切实可行的建议。
基于本项目一系列研究的结果，我们按照苏格兰校际指南网络（SIGN）推荐的步骤和参数制定了指南。开发小组由来自多个专业的人员组成，包括精神科医生、心理学家、护士、社会工作者、卫生政策专家和方法学家。指南还反映了来自各种医疗保健提供者、患者和相关协会的意见。
癌症患者心理困扰管理的主要建议包括：(1) 为韩国癌症患者开发了困扰概念、筛查工具、管理算法和分诊方法；(2) 针对抑郁、焦虑、失眠和谵妄提出了四个症状特异性指南和管理算法。
这是韩国首次在心理肿瘤学领域制定困扰管理建议的努力。这些指南为韩国癌症患者的社会心理护理提供了标准。我们在韩国肿瘤学背景下为整合癌症护理迈出了重要一步，将患者的心理社会护理作为患者护理的重要组成部分。该版本将根据实证研究和临床经验的新证据不断更新。
