Department of Medical Ethics, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Department of General Surgery, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Curr Oncol. 2023 Jul 20;30(7):6964-6975. doi: 10.3390/curroncol30070504.
Quality of life (QOL) is an important indicator of human satisfaction and well-being. QOL is significantly and persistently affected for patients after a cancer diagnosis. Despite some evidence suggesting that psycho-oncologic interventions can provide lasting benefits, the inclusion of such interventions in cancer therapy is not universal. This article provides an overview of the known approaches to the evaluation of QOL in cancer patients and various interventions for improving patients' outcomes, with a focus on the eastern European regional and specific Romanian context. With a mortality rate above and cancer care performance below the EU average and unequally distributed, Romania urgently needs a national coordination program, which is discussed in our review, highlighting the main psychological tools needed for the assessment and the challenges involved in implementing the program. In the end, we suggest some directions for the future development of the psycho-oncologic approach in the context of social considerations, policy, and the unexpected financial challenges the nation provides.
生活质量（QOL）是人类满意度和幸福感的重要指标。癌症诊断后，患者的生活质量会受到显著且持续的影响。尽管有一些证据表明心理肿瘤干预可以提供持久的益处，但此类干预措施在癌症治疗中的应用并不普遍。本文概述了已知的癌症患者生活质量评估方法以及各种改善患者结局的干预措施，重点关注东欧地区和罗马尼亚的具体情况。罗马尼亚的癌症死亡率高于欧盟平均水平，癌症治疗表现低于欧盟平均水平，且分布不均，因此迫切需要一个国家协调计划，我们的综述讨论了该计划，强调了评估所需的主要心理工具以及实施该计划所涉及的挑战。最后，我们针对社会考虑、政策以及国家提供的意外财务挑战背景下心理肿瘤学方法的未来发展提出了一些方向。
