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面向言语治疗师的心理肿瘤学:PSYKOL课程的设立与构想

[Psycho-oncology for speech therapists: establishment and conception of the course PSYKOL].

作者信息

Wollbrück D, Danker H, Ullrich P, Pabich J, Singer S

机构信息

Abteilung Medizinische Psychologie und Medizinische Soziologie, Sektion Psychoonkologie, Universität Leipzig, Philipp-Rosenthal-Str. 55, 04103, Leipzig, Deutschland,

出版信息

HNO. 2013 Dec;61(12):1026-31. doi: 10.1007/s00106-013-2778-0.

DOI:10.1007/s00106-013-2778-0
PMID:24327197
Abstract

OBJECTIVE

Head and neck cancer patients show a high psychiatric comorbidity, yet receive only little psychosocial support. Therefore, a specific psychosocial qualification for speech therapists working with head and neck cancer patients seems necessary.

MATERIAL AND METHODS

A course was developed based on a process model. Questionnaires were completed by speech therapists (self-evaluation of working situation; n = 15) as well as therapists interested in further training (collection of issues in the work with head and neck patients who are under psychological pressure assessed as problematic by the therapists; n = 27), whose competence in communication was also evaluated. In addition, a literature research was conducted and a focus group was formed.

RESULTS

High psychosocial demands within the therapists' work with tumor patients and difficulties in communication became obvious. Nearly all interviewees frequently used nonconducive communication patterns, yet implicit knowledge existed (usage of a favorable conversational style in multiple choice test: 68 %). The content and concept of the curriculum were discussed within the focus group and led to the final version of the training.

CONCLUSION

A customised psycho-social training curriculum for speech therapists has been developed.

摘要

目的

头颈癌患者存在较高的精神疾病共病情况,但获得的心理社会支持却很少。因此,为从事头颈癌患者工作的言语治疗师提供特定的心理社会资质培训似乎很有必要。

材料与方法

基于一个过程模型开发了一门课程。言语治疗师(对工作状况进行自我评价;n = 15)以及有进一步培训意愿的治疗师(收集在与心理压力较大的头颈癌患者工作中被治疗师评估为有问题的问题;n = 27)完成了问卷调查,同时还评估了他们的沟通能力。此外,进行了文献研究并组建了一个焦点小组。

结果

治疗师在与肿瘤患者工作中的高心理社会需求以及沟通困难变得明显。几乎所有受访者都频繁使用不利于沟通的模式,但存在隐性知识(在多项选择测试中使用良好对话风格的比例:68%)。课程的内容和概念在焦点小组中进行了讨论,并形成了培训的最终版本。

结论

已为言语治疗师制定了定制的心理社会培训课程。

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本文引用的文献

1
Evaluation of psycho-social training for speech therapists in oncology. Impact on general communication skills and empathy. A qualitative pilot study.肿瘤学言语治疗师心理社会培训评估。对一般沟通技巧和同理心的影响。一项定性试点研究。
J Cancer Educ. 2011 Jun;26(2):294-300. doi: 10.1007/s13187-010-0148-0.
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Psychooncology. 2004 Apr;13(4):269-80. doi: 10.1002/pon.734.
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Can intensive three-day programmes improve nurses' communication skills in cancer care?为期三天的强化培训项目能否提高护士在癌症护理方面的沟通技巧?
Psychooncology. 2003 Dec;12(8):747-59. doi: 10.1002/pon.698.
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Long term benefits of communication skills training for cancer doctors.癌症医生沟通技能培训的长期益处。
Psychooncology. 2003 Oct-Nov;12(7):686-93. doi: 10.1002/pon.691.