Zwahlen Diana
Psychosomatik und Medizin Onkologie Universitätsspital, Basel.
Ther Umsch. 2019 Sep;76(4):219-224. doi: 10.1024/0040-5930/a001087.
Standardized distress screening programs do not replace discussing distress and psychosocial care needs with patients Recommendations regarding the communication with the patient on the basis of the distress thermometer. In accordance with international standards, one of the high priority objectives is to introduce routine distress screening during cancer care in order to accurately identify those patients who are most in need of psycho-oncological treatment and to ensure that patients have access to appropriate supportive care services. The practice has been shown to increase the effectiveness of identifying comorbidities such as depression and anxiety, and to increase the number of referrals to psycho-oncological care. However, only a moderate proportion of the distressed patients also accepts referral to or utilizes psycho-oncological support. To optimize distress screening programs, patients' supportive care needs should be addressed and discussed in routine clinical practice. The present manuscript offers recommendations regarding the actual communication with the patient on the basis of a screening tool such as the distress thermometer.
标准化的痛苦筛查项目并不能取代与患者讨论痛苦及心理社会护理需求。基于痛苦温度计与患者沟通的建议。按照国际标准，高度优先目标之一是在癌症护理期间引入常规痛苦筛查，以便准确识别那些最需要心理肿瘤治疗的患者，并确保患者能够获得适当的支持性护理服务。实践表明，这种做法可提高识别抑郁症和焦虑症等合并症的有效性，并增加转介至心理肿瘤护理的人数。然而，只有适度比例的痛苦患者也接受转介或利用心理肿瘤支持。为优化痛苦筛查项目，应在常规临床实践中解决并讨论患者的支持性护理需求。本手稿基于痛苦温度计等筛查工具，提供了与患者实际沟通的建议。
