Schulz-Kindermann F, Weis J, Ramm G, Linhart D, Birmele M, Zander A R, Hasenbring M
Einrichtung für Knochenmarktransplantation, Universitätskrankenhaus Eppendorf, Hamburg.
Psychother Psychosom Med Psychol. 1998 Sep-Oct;48(9-10):390-7.
Bone Marrow resp. Peripheral Blood Stem Cell Transplantation (BMT/PBSCT) represents the only chance of cure for many patients with haematological diseases. Treatment and convalescence place significant stress not only on patients but on partners, siblings (who are frequently donors) and medical staff. Stressors are the high risk of mortality and chronic disabilities, acute treatment side-effects and multiple psychological and social demands. This requires support during longt-term psychosocial sequelae. We present problems and possible interventions in an acute and a rehabilitative medical setting, discussing recent findings in respect of donors' motivations, social support and quality of life. Psychosocial support in BMT should be given in a process perspective systematically combining and assessing in- and outpatient interventions.
骨髓及外周血干细胞移植（BMT/PBSCT）是许多血液病患者唯一的治愈希望。治疗和康复不仅给患者，也给其伴侣、兄弟姐妹（他们常为供体）以及医护人员带来巨大压力。压力源包括高死亡风险和慢性残疾、急性治疗副作用以及多种心理和社会需求。这就需要在长期心理社会后遗症方面提供支持。我们阐述了急性和康复医疗环境中的问题及可能的干预措施，讨论了关于供体动机、社会支持和生活质量的最新研究结果。骨髓移植中的心理社会支持应以过程为导向，系统地结合并评估门诊和住院干预措施。
