Meiss Frank, Reuter Katrin, Müller Katharina, Augustin Matthias, Schäfer Ines, Nashan Dorothée
Klinik für Dermatologie und Venerologie, Universitätsklinikum Freiburg, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Hauptstr. 7, 79104, Freiburg, Deutschland.
Praxengemeinschaft für Psychotherapie und Psychoonkologie (PPPO), Stadtstr. 11, 79106, Freiburg, Deutschland.
Hautarzt. 2019 Apr;70(4):283-289. doi: 10.1007/s00105-018-4350-z.
Psycho-oncological care is a main component of comprehensive oncological care as stated in the National Cancer Plan of the German Federal Government. Correspondingly this goal has been adopted in the strategy of the German Skin Cancer Council. In certified skin cancer centers structural requirements for psycho-oncological care are established. Nevertheless, a large proportion of skin cancer patients are treated in dermatological practices. Up to now data on psycho-oncological care in dermatological practices are missing.
We conducted a descriptive cross-sectional written survey on psycho-oncological care in dermatological practices from October 2016 to February 2017.
In all, 171 practices completed the questionnaire; 19.4% of these practices have an oncological focus. The mean number of treated skin cancer patients was 554.3 ± 659.1 and 62.4 ± 73.6 for melanoma patients. Dermatologists estimated a low proportion (≤5%) of patients with need for psycho-oncological care; however, 21.9% of practices actively offer information on psycho-oncological programs and 26.1% cooperate with psycho-oncological care providers. Interest in psycho-oncological care concepts was stated by 29.3%.
Psycho-oncological care is only occasionally and partly deficiently provided in dermatological practices including referral to psycho-oncological care professionals. The results emphasize the necessity to raise awareness regarding psycho-oncological needs of skin cancer patients and to integrate psycho-oncological counselling into clinical routine in dermatological practices.
正如德国联邦政府的《国家癌症计划》所述，心理肿瘤护理是综合肿瘤护理的主要组成部分。相应地，这一目标已被德国皮肤癌理事会的战略所采纳。在认证的皮肤癌中心，已确立了心理肿瘤护理的结构要求。然而，很大一部分皮肤癌患者是在皮肤科诊所接受治疗的。到目前为止，皮肤科诊所心理肿瘤护理的数据缺失。
我们于2016年10月至2017年2月对皮肤科诊所的心理肿瘤护理进行了一项描述性横断面书面调查。
共有171家诊所完成了问卷；其中19.4%的诊所专注于肿瘤治疗。治疗的皮肤癌患者平均数量为554.3±659.1例，黑色素瘤患者为62.4±73.6例。皮肤科医生估计需要心理肿瘤护理的患者比例较低（≤5%）；然而，21.9%的诊所积极提供心理肿瘤项目的信息，26.1%的诊所与心理肿瘤护理提供者合作。29.3%的诊所表示对心理肿瘤护理概念感兴趣。
在皮肤科诊所，心理肿瘤护理只是偶尔提供，且部分存在不足，包括转介给心理肿瘤护理专业人员。结果强调了提高对皮肤癌患者心理肿瘤需求的认识以及将心理肿瘤咨询纳入皮肤科临床常规的必要性。
