Leonhardt Jonas, Winkler Marcela, Kollikowski Anne, Schiffmann Lisa, Quenzer Anne, Einsele Hermann, Löffler Claudia
Department of Internal Medicine II, University Hospital of Wuerzburg, Wuerzburg, Germany.
Department of Natural and Integrative Medicine, Robert-Bosch-Hospital, Stuttgart, Germany.
Front Psychol. 2023 Jul 6;14:1140693. doi: 10.3389/fpsyg.2023.1140693. eCollection 2023.
National and international guidelines recommend early integration of evidence-based multimodal interventions and programs, especially with a focus on relaxation techniques and other Mind-Body-based methods to maintain the quality of life of oncology patients, improve treatment tolerability, and promote healthy lifestyle behaviors. Consequently, we aim to understand what drives patients and how they navigate integrative medicine to best advise them. This study aimed to detect possible topics of particular interest to patients and identify the patient groups that could benefit most from further programs. Furthermore, we aimed to investigate if patients are open-minded toward integrative oncology concepts and learn about their motivational level to maintain or change behavior.
Between August 2019 and October 2020 we surveyed patients undergoing oncological therapy in a university oncological outpatient center using a custom-developed questionnaire based on established Mind-Body Medicine concepts.
We included 294 patients with various cancers. More than half reported problems sleeping through (61%) and 42% felt stressed frequently, invariably rating this as detrimental to their health. Moreover, a slight majority (52%) felt physically limited due to their disease and only 30% performed defined exercise programs. Women were significantly more likely to feel stressed and reported with alarming frequency that they often feel "everything was up to them." The 40-65-year-olds reported significantly less restful sleep, more stress and were more dissatisfied with their situation. However, this group already used natural remedies most frequently and was most often motivated to use relaxation techniques in the next 6 months. The lower the perceived individual energy level (EL), the less frequently patients did sport, the more frequently they felt their disease impaired their activity, mostly feeling stressed and tense. We also found significant associations between negative emotions/thoughts and the variables "sleep," "use of relaxation techniques," "personal stress perception," and "successful lifestyle modification."
Mind-Body programs that focus on patient's individual resources, with tools to explore impairing patterns of self-perception and cognitive biases, can be a valuable resource for oncology patients and should therefore be part of an integrative medical treatment concept.
国家和国际指南建议尽早整合基于证据的多模式干预措施和项目，尤其注重放松技巧和其他基于身心的方法，以维持肿瘤患者的生活质量，提高治疗耐受性，并促进健康的生活方式行为。因此，我们旨在了解促使患者采取行动的因素以及他们如何选择整合医学以提供最佳建议。本研究旨在发现患者可能特别感兴趣的主题，并确定最能从进一步项目中受益的患者群体。此外，我们旨在调查患者对肿瘤整合治疗概念是否持开放态度，并了解他们维持或改变行为的动机水平。
在2019年8月至2020年10月期间，我们在一所大学肿瘤门诊中心对接受肿瘤治疗的患者进行了调查，使用基于既定身心医学概念定制开发的问卷。
我们纳入了294名患有各种癌症的患者。超过一半的患者报告存在入睡困难问题（61%），42%的患者经常感到压力，一致认为这对他们的健康有害。此外，略多数患者（52%）因疾病感到身体受限，只有30%的患者进行规定的锻炼项目。女性明显更容易感到压力，且令人担忧的是，她们经常表示“一切都取决于自己”。40至65岁的患者报告睡眠质量明显较差，压力更大，对自己的状况更不满意。然而，这一年龄组最频繁使用天然疗法，并且在未来6个月内最常被激励去使用放松技巧。患者感知到的个人能量水平（EL）越低，进行运动的频率就越低，他们越频繁地感到疾病妨碍了他们的活动，大多感到压力和紧张。我们还发现负面情绪/想法与“睡眠”、“放松技巧的使用”、“个人压力感知”和“成功的生活方式改变”等变量之间存在显著关联。
关注患者个人资源、配备探索自我认知和认知偏差受损模式工具的身心项目，对肿瘤患者可能是一种宝贵资源，因此应成为综合医疗治疗概念的一部分。
