Charité Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Charité Comprehensive Cancer Center, Charitéplatz 1, 10117, Berlin, Germany.
Department of Psychosomatic and Psychotherapy, Medical Faculty and University Clinic, University of Cologne, Cologne, Germany.
J Cancer Res Clin Oncol. 2023 Dec;149(20):17997-18004. doi: 10.1007/s00432-023-05507-2. Epub 2023 Nov 17.
Patients with cancer suffer from a wide range of psychological distress. Nevertheless, in the literature low utilization rates of psychooncological services are reported. Various factors may influence the utilization of professional support during inpatient care. Up to now it is unclear to what extent patients' attitude towards psychooncological support and physicians' recommendation for psychooncological care may influence the utilization.
In a multicenter longitudinal observational study in Comprehensive Cancer Centers Germany, 1398 patients with mixed cancer diagnoses were assessed at baseline during their hospital stay with respect to psychooncological distress and the need for and use of psychooncological services.
Psychooncological support was used by almost 28.4% of patients up to this time. A positive attitude towards psychooncological support was reported by 41.6%. A recommendation of psychooncological support by a physician was received by 16.2%. These patients reported a significant higher level of distress compared to patients who did not received a recommendation. Multivariable logistic regression detected that the utilization rate was 3.79 times higher among patients with positive attitude towards psychooncological support (OR, 3.79; 95% CI 2.51-5.73, p < 0.001). Utilization was 4.21 times more likely among patients who received a physician´s recommendation (OR, 4.21; 95% CI 2.98-5.95, p < 0.001).
The results of the study provide evidence of the relevance of giving more attention to psychooncological distress and attitudes towards psychooncological care. To reduce reservations, patients need low-threshold information about the psychooncological services offered.
癌症患者会经历广泛的心理困扰。然而，文献中报告的精神肿瘤学服务利用率较低。各种因素可能会影响住院期间对专业支持的利用。迄今为止，尚不清楚患者对精神肿瘤学支持的态度以及医生对精神肿瘤学护理的推荐在多大程度上会影响服务的利用。
在德国综合癌症中心的一项多中心纵向观察研究中，在住院期间，对 1398 名混合癌症诊断的患者进行了心理困扰以及对精神肿瘤学服务的需求和使用的评估。
截至目前，近 28.4%的患者使用了精神肿瘤学支持。41.6%的患者对精神肿瘤学支持持积极态度。16.2%的患者收到了医生推荐的精神肿瘤学支持。与未收到推荐的患者相比，这些患者报告的困扰程度明显更高。多变量逻辑回归检测到，对精神肿瘤学支持持积极态度的患者的利用率要高 3.79 倍（OR，3.79；95%CI 2.51-5.73，p<0.001）。收到医生推荐的患者的利用率增加了 4.21 倍（OR，4.21；95%CI 2.98-5.95，p<0.001）。
该研究结果表明，关注精神肿瘤学困扰和对精神肿瘤学护理的态度具有重要意义。为了减少保留意见，患者需要有关提供的精神肿瘤学服务的低门槛信息。
