Herbert Melanie, Hinz Andreas, Morfeld Matthias, Petrowski Katja, Zenger Markus
Hochschule Magdeburg Stendal Fachbereich Angewandte Humanwissenschaften Osterburger Str. 25 D-39576 Stendal Deutschland.
Abteilung für Medizinische Psychologie und Medizinische Soziologie Universitätsmedizin Leipzig Deutschland Medizinische Psychologie und Medizinische Soziologie Leipzig.
Z Psychosom Med Psychother. 2020 Jun;66(2):133-148. doi: 10.13109/zptm.2020.66.2.133.
The aims of the present study were to determine the need for psychosocial support of cancer patients, the subjective request for support and to examine the relationship between the need for psychosocial counselling, psychological distress and quality of life. 112 patients (consecutive) answered questionnaires about mental stress (GAD-2 and PHQ-2), quality of life (SF-8) as well as the Hornheide Screening Instrument (HSI) during their hospital stay (T1), two weeks (T2) and three months after their discharge (T3). The need for psychosocial support goes down from 65.2 % (T1) to 39.3 % (T3). The psychological distress was in a positive (GAD-2 - HSI T1: r = 0.44, p < 0.01; PHQ-2 - HSI T1: r = 0.54, p < 0.01), the quality of life in a negative relationship to the need for support (SF-8 PCS - HSI T1: r = -0.45, p < 0.01; SF-8 MCS - HSI T1: r = -0.56, p < 0.01). The match between the need for support and the subjective desire to be cared for by psychologists was low (conversation persons not needing support: T1: 17.1 %, T2: 3.8 %, T3: 5.5 %; conversation persons needing support: T1: 13.7 %, T2: 18.4 %, T3: 18.2 %). The divergence between the assessed need for support and the subjective desire for consultations leads to the conclusion that both methods, screening and asking for desire of counseling, should be adopted in combination to provide adequate psychooncological support.
本研究的目的是确定癌症患者对心理社会支持的需求、对支持的主观诉求，并探讨心理社会咨询需求、心理困扰与生活质量之间的关系。112名患者（连续纳入）在住院期间（T1）、出院两周后（T2）和出院三个月后（T3）回答了关于精神压力（广泛性焦虑障碍2项量表和患者健康问卷2项量表）、生活质量（简短健康调查量表SF-8）以及霍恩海德筛查工具（HSI）的问卷。对心理社会支持的需求从65.2%（T1）降至39.3%（T3）。心理困扰与支持需求呈正相关（广泛性焦虑障碍2项量表 - HSI T1：r = 0.44，p < 0.01；患者健康问卷2项量表 - HSI T1：r = 0.54，p < 0.01），生活质量与支持需求呈负相关（简短健康调查量表生理健康分量表 - HSI T1：r = -0.45，p < 0.01；简短健康调查量表心理健康分量表 - HSI T1：r = -0.56，p < 0.01）。支持需求与由心理学家提供护理的主观愿望之间的匹配度较低（不需要支持的访谈对象：T1：17.1%，T2：3.8%，T3：5.5%；需要支持的访谈对象：T1：13.7%，T2：18.4%，T3：18.2%）。评估的支持需求与咨询主观愿望之间的差异表明，应同时采用筛查和询问咨询愿望这两种方法，以提供充分的心理肿瘤学支持。
