Institute of Medical Sociology, Health Services Research and Rehabilitation Science, Faculty of Human Sciences and Faculty of Medicine, University of Cologne, Cologne, Germany.
Eur J Cancer Care (Engl). 2021 Jan;30(1):e13335. doi: 10.1111/ecc.13335. Epub 2020 Oct 4.
Although many cancer patients experience psychological distress, not all affected patients utilise psycho-oncological care. We aim to examine the role of generalised resistance resources (GRRs) and sense of coherence (SOC) in predicting cancer patient needs for psycho-oncological care and its utilisation. A salutogenic prediction model was conceptualised and statistically tested.
Survey data (response rate 88.94%) from 2270 breast cancer patients one year after treatment in one of 88 certified hospitals in North Rhine-Westphalia, Germany, were analysed. Structural Equation Modelling analysis was performed.
21.6% of patients (n = 485; N = 2249) felt they currently needed psycho-oncological care, of which 61.6% currently utilised it (n = 299, N = 485). 42.2% (n = 953, N = 2259) had the need for psycho-oncological care in the previous 12 months, of which 58.0% (n = 553, N = 953) utilised it. Several GRRs directly predict the need for psycho-oncological care and SOC, as well as indirectly predict the utilisation of psycho-oncological care. Past utilisation significantly affects current need and utilisation. The model shows good model fit.
Generalised resistance resources and SOC affect the utilisation of psycho-oncological care. Therefore, measuring key GRRs and SOC during cancer treatment should be integrated into patient care as a salutogenic approach, to identify resources and vulnerabilities on an individual level.
尽管许多癌症患者经历心理困扰，但并非所有受影响的患者都利用心理肿瘤学护理。我们旨在研究一般抵抗资源（GRR）和应对感（SOC）在预测癌症患者对心理肿瘤学护理的需求及其利用中的作用。概念化并统计检验了一个健康预测模型。
对德国北莱茵-威斯特法伦州 88 家认证医院之一的 2270 名乳腺癌患者在治疗后一年的调查数据（响应率 88.94%）进行了分析。进行了结构方程模型分析。
21.6%的患者（n=485；N=2249）目前需要心理肿瘤学护理，其中 61.6%（n=299，N=485）目前正在使用。42.2%（n=953，N=2259）在过去 12 个月中有心理肿瘤学护理的需求，其中 58.0%（n=553，N=953）正在使用。几个 GRR 直接预测心理肿瘤学护理的需求和 SOC，以及间接预测心理肿瘤学护理的利用。过去的利用显著影响当前的需求和利用。该模型显示出良好的模型拟合度。
一般抵抗资源和 SOC 影响心理肿瘤学护理的利用。因此，在癌症治疗期间测量关键的 GRR 和 SOC 应该作为一种健康促进方法整合到患者护理中，以在个体层面上识别资源和脆弱性。
