Weis J, Köchlin G
Abteilung Rehabilitationspsychologie, Psychologisches Institut, Universität Freiburg.
Psychother Psychosom Med Psychol. 1993 May;43(5):159-65.
Psychosocial care of cancer patients undergoing bone marrow transplantation. During the last years bone marrow transplantation (BMT) has emerged as a treatment of choice especially for cancer diseases of the haemopoietic system as well as for certain solid tumours. BMT is a very invasive treatment with high dose chemotherapy and total body irradiation, which is accompanied by special psychosocial strains for the patient. Therefore psychosocial care during the acute treatment is needed. In this paper a psychosocial liaison service in a BMT unit as part of a comprehensive psychosocial care on different oncology wards of an acute clinic is presented. Based on a systematic clinical documentation of the psychosocial interventions the practice and problems of the psychosocial care are described. Apart of common problems of psychosocial liaison services known from the literature the experiences show special demands reflecting the special environment of the treatment setting. These problems are discussed with regard to the different target groups (patients, relatives, medical staff). Following the reported experiences some proposals concerning structure and integration of psychosocial care in an BMT unit are given.
接受骨髓移植的癌症患者的心理社会护理。在过去几年中，骨髓移植（BMT）已成为一种首选治疗方法，尤其适用于造血系统癌症疾病以及某些实体瘤。BMT是一种极具侵入性的治疗方法，涉及高剂量化疗和全身照射，会给患者带来特殊的心理社会压力。因此，在急性治疗期间需要心理社会护理。本文介绍了一家BMT病房中的心理社会联络服务，该服务是一家急症诊所不同肿瘤病房全面心理社会护理的一部分。基于心理社会干预措施的系统临床记录，描述了心理社会护理的实践和问题。除了文献中已知的心理社会联络服务的常见问题外，这些经验还显示出反映治疗环境特殊情况的特殊需求。针对不同目标群体（患者、亲属、医护人员）对这些问题进行了讨论。根据所报告的经验，提出了一些关于BMT病房中心理社会护理的结构和整合的建议。
