Institute of Medical Psychology, Greifswald University Medical Faculty, Greifswald, Germany.
Department of Dermatology, Greifswald University Medical Faculty, Greifswald, Germany.
J Dtsch Dermatol Ges. 2022 May;20(5):597-609. doi: 10.1111/ddg.14692. Epub 2022 Apr 15.
The basis for adequate psycho-oncological care is the identification of patients with psychosocial support needs. The German Working Group for Psychooncology also recommends the Hornheider Screening Instrument (HSI) for this purpose. The question, "Is anyone in your family particularly burdened by the hospital stay?" is intended to capture disease-related family stress. But is this item equally suitable for outpatients and inpatients? The study objective was to examine how replacing the original item affects the test performance of this modified version of the HSI and the frequency of psychosocial stress.
92 outpatients and 98 inpatients with skin tumors assessed their psychosocial situation using different questionnaires.
Compared to inpatients, less than half as many outpatients answered the item in the affirmative. If the question was replaced by: "Is someone in your family particularly burdened by your disease or the course of the disease?" this setting-related difference did not arise. The "Alternative item" and the "Modified version of the HIS" (HSI-MV) proved to be superior to the original item and the original HSI with regard to all examined criteria.
The HSI-MV can be used as a reliable and valid instrument for the systematic assessment of psychosocial care needs in outpatient and inpatient settings. Depending on care capacity, a threshold of ≥ 5 or ≥ 4 is appropriate. In addition to screening, the desire for support should be enquired.
充分的心理肿瘤学护理的基础是确定有社会心理支持需求的患者。德国心理肿瘤学工作组也为此推荐使用霍恩黑德筛选工具（HSI）。问题“在你的家庭中是否有人特别因住院而感到负担？”旨在捕捉与疾病相关的家庭压力。但对于门诊患者和住院患者来说，这个项目是否同样适用？本研究的目的是检验用原始项目替代后，修改后的 HSI 的测试性能以及社会心理压力的频率会受到何种影响。
92 名门诊患者和 98 名皮肤肿瘤住院患者使用不同的问卷评估他们的社会心理状况。
与住院患者相比，不到一半的门诊患者对该项目作出肯定回答。如果将问题替换为：“你的家庭中有谁特别因你的疾病或疾病的进程而感到负担？”，这种与设置相关的差异就不会出现。“替代项目”和“修改后的 HSI（HSI-MV）”在所有检查标准上都优于原始项目和原始 HSI。
HSI-MV 可作为一种可靠有效的工具，用于系统评估门诊和住院环境中的社会心理护理需求。根据护理能力，≥5 或≥4 是合适的阈值。除了筛选，还应询问支持的需求。
