Madl Martina, Lieb Marietta, Schieber Katharina, Erim Yesim
Department of Psychosomatic Medicine and Psychotherapy, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany.
J Psychosoc Oncol. 2022;40(3):380-396. doi: 10.1080/07347332.2021.1964013. Epub 2021 Dec 3.
The present study aimed at identifying factors that are associated with the frequency and duration of psycho-oncological sessions.
In a retrospective single-center study, data of all patients who made use of the psycho-oncological service (POS) at the University Hospital Erlangen from April 2017 - March 2018 were registered.
Over the course of one year, = 1601 patients made use of the POS.
In the hospital's digital documentation system, relevant data such as frequency of sessions, duration of sessions, gender, age, family status, preexisting mental disorder, prior psychotherapy, cancer entity (type of cancer) and treatment modality were recorded. Socio-demographic and clinical parameters were analyzed to predict frequency and duration of the psycho-oncology sessions.
Regression analyses revealed that among POS users, women, younger patients, patients with a longer hospital stay and those with a preexisting mental disorder attended significantly more sessions than other patients ( < .001). Patients with skin cancer had significantly fewer POS sessions than those with a hematological diagnosis. Also, patients who had undergone surgery had significantly fewer sessions than patients with pharmacological treatment. Younger age and a longer hospital stay significantly predicted longer sessions ( < .001). In the regression model, patients with brain tumors and lung cancer had significantly longer sessions than patients with skin cancer.
With the identification of specific risk groups that require more and longer sessions, we can provide the basis for more patient-tailored intervention approaches and better scheduling according to the patients' needs. However, our results also suggest that the frequency and duration of POS sessions also depend on illness- and treatment-related criteria, e.g. the length of the hospital stay.
本研究旨在确定与心理肿瘤学治疗疗程的频率和时长相关的因素。
在一项回顾性单中心研究中，对2017年4月至2018年3月期间在埃尔朗根大学医院使用心理肿瘤学服务（POS）的所有患者的数据进行了记录。
在一年的时间里，有1601名患者使用了POS。
在医院的数字文档系统中，记录了诸如治疗疗程频率、疗程时长、性别、年龄、家庭状况、既往精神障碍、先前的心理治疗、癌症类型（癌症实体）和治疗方式等相关数据。对社会人口统计学和临床参数进行分析，以预测心理肿瘤学治疗疗程的频率和时长。
回归分析显示，在POS使用者中，女性、年轻患者、住院时间较长的患者以及患有既往精神障碍的患者比其他患者参加的治疗疗程明显更多（P <.001）。皮肤癌患者的POS疗程明显少于血液学诊断患者。此外，接受手术的患者疗程明显少于接受药物治疗的患者。年龄较小和住院时间较长显著预测了更长的疗程（P <.001）。在回归模型中，脑肿瘤和肺癌患者的疗程明显长于皮肤癌患者。
通过识别需要更多和更长疗程的特定风险群体，我们可以为更具患者针对性的干预方法以及根据患者需求进行更好的安排提供依据。然而，我们的结果也表明，POS疗程的频率和时长还取决于疾病和治疗相关标准，例如住院时间长短。
