Wünsch Alexander, Jeske Niklas, Röderer Natalie, Meiss Frank
Psychoonkologischer Dienst, Medizinische Onkologie, Inselspital, Bern Universitätsspital, Universität Bern, Bern, Schweiz.
Psychosoziale Krebsberatungsstelle Freiburg, Tumorzentrum Freiburg - CCCF in Kooperation mit der Klinik für Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Freiburg, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Hauptstr. 5a, 79104, Freiburg, Deutschland.
Dermatologie (Heidelb). 2024 Aug;75(8):629-639. doi: 10.1007/s00105-024-05347-2. Epub 2024 May 8.
Psychosocial care of cancer patients is an important aspect throughout the entire course of oncological treatment. Since 2015, psychosocial screening has been implemented in the outpatient clinics of the Skin Cancer Center in Freiburg. We present here a post hoc analysis in the context of a quality management program.
Acceptance, psychosocial distress and desire for counseling were evaluated. Exploratively, we investigated which patient and disease characteristics are related to increased subjective distress.
In a full survey from 06/2015 to 12/2015, we evaluated acceptance, psychosocial distress by distress thermometer (DT), and desire for counseling.
Of 753 patients, 345 (45.8%) participated in psychosocial screening and data from 310 (174 men, 136 women; 89.7% melanoma patients, mean time since initial diagnosis 4.7 ± 3.9 years) could be analyzed. The mean burden on the DT was 2.97 ± 2.83 (median 2, range 0-10). High distress (DT ≥ 5) was reported by 84 patients (28.8%). Thirty-four patients (11%) indicated a desire for counseling, and 23 patients took up the counseling offer. The patient group with high distress was younger, more often under ongoing or recently completed systemic therapy, and had more often a desire for counseling.
In addition to assessing psychosocial distress with validated screening instruments, the survey of the subjective desire for care represents an important parameter for the identification of patients in need of care. Young patients and patients with ongoing systemic therapy should be the focus of attention.
癌症患者的心理社会护理是肿瘤治疗全过程的一个重要方面。自2015年以来，弗莱堡皮肤癌中心的门诊已开展心理社会筛查。我们在此展示一项质量管理项目背景下的事后分析。
评估了接受度、心理社会困扰及咨询意愿。我们探索性地调查了哪些患者和疾病特征与主观困扰增加相关。
在2015年6月至2015年12月的全面调查中，我们评估了接受度、用困扰温度计（DT）评估心理社会困扰以及咨询意愿。
753名患者中，345名（45.8%）参与了心理社会筛查，310名患者（174名男性，136名女性；89.7%为黑色素瘤患者，自初次诊断起的平均时间为4.7±3.9年）的数据可进行分析。DT的平均负担为2.97±2.83（中位数为2，范围为0 - 10）。84名患者（28.8%）报告有高度困扰（DT≥5）。34名患者（11%）表示有咨询意愿，23名患者接受了咨询服务。高度困扰的患者群体更年轻，更多处于正在进行或最近完成全身治疗的状态，且更常有咨询意愿。
除了用经过验证的筛查工具评估心理社会困扰外，对主观护理需求的调查是识别需要护理患者的一个重要参数。年轻患者和正在接受全身治疗的患者应成为关注重点。
