Tönnessen D, Schwarz R
Chirurgische Universitätsklinik Heidelberg.
Gesundheitswesen. 1993 Aug-Sep;55(8-9):406-9.
Expert psychosocial care for severely ill people has, time and again, proved both necessary and effective, in particular in the field of oncology. While this fact is reflected by the number of positions allocated to psychosocial care in Paediatric Oncology there remains a grave deficit with regard to adult cancer patients. A survey of all General Hospitals in Baden-Württemberg yields concrete figures in respect of the scarcity of positions available in this area. 149 questionnaires were sent out with a response rate of 78.5% (117). Almost a quarter of the hospitals have no social worker on their staff, and trained psychotherapists are almost unknown. In most cases patients are referred to out-patient institutions and self-help groups. 94 per cent of the respondees considered an improvement in psychosocial support to be necessary, placing particular emphasis on the training and supervision of hospital personnel.
为重症患者提供专业的心理社会护理，已被反复证明是必要且有效的，尤其是在肿瘤学领域。虽然儿童肿瘤学中分配给心理社会护理的职位数量反映了这一事实，但成人癌症患者在这方面仍存在严重不足。对巴登-符腾堡州所有综合医院的一项调查得出了该领域可用职位稀缺的具体数据。共发放了149份问卷，回复率为78.5%（117份）。近四分之一的医院工作人员中没有社会工作者，受过培训的心理治疗师也几乎不存在。在大多数情况下，患者会被转介到门诊机构和自助团体。94%的受访者认为有必要改善心理社会支持，尤其强调对医院工作人员的培训和监督。
