Lenze Florian, Kirchhoff Chlodwig, Pohlig Florian, Knebel Carolin, Rechl Hans, Marten-Mittag Birgit, Herschbach Peter, Eisenhart-Rothe Rüdiger V, Lenze Ulrich
Department of Orthopedics and Sports Orthopedics, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany
Department of Trauma Surgery, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
In Vivo. 2018 Sep-Oct;32(5):1161-1167. doi: 10.21873/invivo.11359.
BACKGROUND/AIM: Psycho-oncological distress is a relevant clinical problem. The aim of this study was to administer a standardized psycho-oncological distress screening for early identification and indication-based treatment of highly distressed orthopedic cancer patients as well as the evaluation of distress patterns.
In total, 35 patients with cancer were psycho-oncologically screened using a cancer-specific expert rating scale (Basic Documentation for Psycho-Oncology Short Form) at three different time points (day of admission, day before discharge, 3 months postoperatively). Psycho-oncological support was offered to all patients whose distress exceeded a defined cut-off value.
Levels of distress in approximately 51% of patients exceeded the cut-off value at the time of admission and these patients received psycho-oncological support. The high distress levels decreased significantly over time. Patients whose distress did not exceed the cut-off value at the first assessment showed low distress levels at all time points.
A relevant number of orthopedic tumor patients suffer from psychosocial distress. Standardized screening might help to identify and adequately treat those patients.
背景/目的：心理肿瘤困扰是一个相关的临床问题。本研究的目的是进行标准化的心理肿瘤困扰筛查，以便早期识别并对高度困扰的骨科癌症患者进行基于指征的治疗，同时评估困扰模式。
总共35例癌症患者在三个不同时间点（入院当天、出院前一天、术后3个月）使用癌症特异性专家评定量表（心理肿瘤学简表基本文档）进行心理肿瘤学筛查。对所有困扰超过设定临界值的患者提供心理肿瘤学支持。
约51%的患者在入院时困扰水平超过临界值，这些患者接受了心理肿瘤学支持。随着时间推移，高困扰水平显著下降。首次评估时困扰未超过临界值的患者在所有时间点困扰水平都较低。
相当数量的骨科肿瘤患者存在心理社会困扰。标准化筛查可能有助于识别并适当治疗这些患者。
