Department of Gynecology and Obstetrics, University Medical Centre Freiburg, Hugstetter, Freiburg, Germany.
Int J Gynecol Cancer. 2011 Dec;21(9):1520-4. doi: 10.1097/IGC.0b013e31822925db.
Psycho-oncological counseling should be an integrated part of modern cancer therapy. The aim of this study was to assess the structures and interests of psycho-oncology services within European Society of Gynecological Oncology (ESGO) centers.
In 2010, a survey, which consisted of 15 questions regarding organization of psycho-oncological services and interests in training and research, was sent to all ESGO-accredited centers (n = 41).
The response rate was 65.8% (27 centers). 96.3% (n = 26) of the surveys came from universities, and 3.7% (n = 1) came from nonacademic institutions. Most of the institutions (92.6%, n = 25) offer psycho-oncological care, mainly by psychologists (64%, n = 16) or psycho-oncologists (48%, n = 12). Fifty-two percent of patients are evaluated for sexual dysfunction as sequelae of their disease or treatment-related adverse effects. Fifty-two percent (n = 14) of institutions offer psychological support for cancer care providers. Eighty-five percent (n = 23) of all centers are interested in psycho-oncological training, and the preferred teaching tools are educational workshops (87%). The main issues of interest are sexual problems in patients with cancer, communication and interpersonal skills, responses of patients and their families, anxiety and adjustment disorders, and palliative care. Eighty-five percent (n = 17) of the 20 institutions look for research in the field of psycho-oncology, and 55% (n = 11) of those are already involved in some kind of research.
Although psycho-oncological care is provided in most of the consulted ESGO accredited centers, almost 50% of women lack information about sexual problems. The results of the survey show the need for and interest in psycho-oncology training and research, including sexual dysfunction. Furthermore, psychological support should be offered to all cancer care providers.
心理肿瘤学咨询应当成为现代癌症治疗的一个综合组成部分。本研究旨在评估欧洲妇科肿瘤学会（ESGO）中心的心理肿瘤学服务结构和兴趣。
2010 年，向所有 ESGO 认证中心（n=41）发送了一份调查问卷，其中包含 15 个关于心理肿瘤学服务组织以及培训和研究兴趣的问题。
回复率为 65.8%（27 个中心）。96.3%（n=26）的调查问卷来自大学，3.7%（n=1）来自非学术机构。大多数机构（92.6%，n=25）提供心理肿瘤学护理，主要由心理学家（64%，n=16）或心理肿瘤学家（48%，n=12）提供。52%（n=14）的患者因疾病或治疗相关不良反应而出现性功能障碍，需要进行评估。52%（n=14）的机构为癌症护理人员提供心理支持。85%（n=23）的中心对心理肿瘤学培训感兴趣，首选的教学工具是教育研讨会（87%）。主要关注的问题是癌症患者的性问题、沟通和人际交往技巧、患者及其家属的反应、焦虑和适应障碍以及姑息治疗。20 个机构中的 17 个（n=17）正在寻找心理肿瘤学领域的研究，其中 55%（n=11）已经参与了某种研究。
尽管大多数咨询的 ESGO 认证中心都提供心理肿瘤学护理，但近 50%的女性缺乏有关性问题的信息。调查结果显示了心理肿瘤学培训和研究的需求和兴趣，包括性功能障碍。此外，应该向所有癌症护理人员提供心理支持。
