Mehnert-Theuerkauf Anja, Springer Franziska
Abteilung für Medizinische Psychologie und Medizinische Soziologie, Universitätsklinikum Leipzig, Philipp-Rosenthal-Straße 55, 04103, Leipzig, Deutschland.
Urologie. 2024 Sep;63(9):878-885. doi: 10.1007/s00120-024-02395-3. Epub 2024 Jul 12.
The number of patients living with or after cancer is constantly increasing due to improved diagnostics and care as well as the ageing society. This is particularly true for the group of older cancer survivors with complex health and supportive care needs. For many of those affected and their relatives, the disease and its treatment are accompanied by high levels of emotional stress, an impaired quality of life, and a variety of psychosocial challenges. Psychosocial distress, such as depression and anxiety, sometimes persists for years after treatment has ended. The most common unmet supportive care needs of patients include psychological and emotional needs as well as information needs. Therefore, it is essential to implement effective psychosocial screening and low-threshold needs-based referral to evidence-based psycho-oncological support services. Around a third of all cancer patients express a desire for professional psycho-oncological support. Although there is compelling evidence that psycho-oncological interventions can reduce psychosocial distress and improve quality of life, there is a need for further research into the design and effectiveness of intervention services for specific subgroups, such as prostate cancer patients.
由于诊断和治疗水平的提高以及社会老龄化,癌症患者存活人数或癌症康复后的人数在不断增加。对于有复杂健康和支持性护理需求的老年癌症幸存者群体来说尤其如此。对于许多受影响的患者及其亲属而言,疾病及其治疗伴随着高度的情绪压力、生活质量受损以及各种心理社会挑战。心理社会困扰,如抑郁和焦虑,有时在治疗结束后会持续数年。患者最常见的未满足的支持性护理需求包括心理和情感需求以及信息需求。因此,实施有效的心理社会筛查以及基于需求的低门槛转介,以获得循证心理肿瘤支持服务至关重要。约三分之一的癌症患者表示希望获得专业的心理肿瘤支持。尽管有确凿证据表明心理肿瘤干预可以减轻心理社会困扰并提高生活质量,但仍需要进一步研究针对特定亚组(如前列腺癌患者)的干预服务的设计和有效性。