Assessment and Evaluation of Psychosocial Distress in Outpatients with Cancer at a University Hospital in Germany.

IF 2 4区 医学 Q3 ONCOLOGY Oncology Research and Treatment Pub Date : 2023-01-01 Epub Date: 2023-07-20 DOI:10.1159/000531888
Laura Hohmann, Kirsten Merx, Simone Weingaertner, Annette Schreiber, Svetlana Hetjens, Wolf-Karsten Hofmann, Ralf-Dieter Hofheinz, Deniz Gencer
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引用次数: 1

Abstract

Introduction: Cancer patients (pts) suffer from a significant amount of psychosocial distress related to tumor disease itself or straining treatments. Despite recommendations on how to screen for and to deal with psychosocial distress in cancer pts, data about implementation of psycho-oncological interventions (poi) in outpatient settings of cancer pts are scarce. The aim of this study was to identify outpatients with cancer in need of poi and to evaluate different assessment instruments.

Methods: N = 200 outpatients with hemat-/oncological malignancies were interviewed between October 2015 and December 2017 at the University Hospital Mannheim using the Basic Documentation for Psycho-Oncology (PO-Bado) and the Hornheider Screening Instrument (HSI) - both clinician-administered assessment tools - followed by descriptive, univariate, and agreement analysis.

Results: N = 61 cancer pts (31%) were identified to be in need for poi considering the results of both questionnaires. The number of identified pts in need of poi was lower when analyzing the results of the PO-Bado (n = 42, 21%) and the HSI (n = 39, 20%) separately. The degree of agreement between the results of PO-Bado and HSI was low (kappa = 0.3655). Several factors like gender, age and diagnosis were identified to have significant impact on the need for poi (p ≤ 0.05).

Conclusion: Our study underlines that different screening instruments for psychosocial distress may identify disparate populations of cancer pts. The study data also revealed significant characteristics that might be associated with elevated levels of psychosocial distress and a clear indication for poi. However, further analyses on larger populations of cancer pts are needed to provide information how to transfer positive screening to poi in clinical routine.

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德国一所大学医院癌症门诊病人心理社会压力评估。
简介:癌症患者(pts)遭受与肿瘤疾病本身或紧张治疗相关的大量心理社会痛苦。尽管有关于如何筛查和处理癌症患者的心理社会痛苦的建议,但关于在癌症患者门诊环境中实施心理-生态干预(poi)的数据很少。本研究的目的是确定癌症门诊需要进行poi的患者,并对不同的评估工具进行评估。方法:2015年10月至2017年12月,在曼海姆大学医院,使用心理肿瘤学基础文献(PO Bado)和Hornheider筛查仪(HSI)对200名血液/肿瘤恶性肿瘤门诊患者进行了访谈,这两种工具都是临床医生管理的评估工具,然后进行描述性、单变量和一致性分析。结果:考虑到两份问卷的结果,N=61名癌症患者(31%)被确定为需要poi。当分别分析PO Bado(n=42.21%)和HSI(n=39.20%)的结果时,需要poi的已识别患者数量较低。PO-Bado和HSI结果之间的一致性程度较低(kappa=0.3655)。性别、年龄和诊断等几个因素对PO-Bado的需求有显著影响(p≤0.05)。结论:我们的研究强调,不同的心理社会压力筛查工具可能会识别癌症患者的不同人群。研究数据还揭示了可能与心理社会痛苦水平升高有关的显著特征,以及poi的明确指示。然而,需要对更多癌症患者进行进一步分析,以提供如何在临床常规中将阳性筛查转移到poi的信息。
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来源期刊
CiteScore
3.20
自引率
0.00%
发文量
84
期刊介绍: With the first issue in 2014, the journal ''Onkologie'' has changed its title to ''Oncology Research and Treatment''. By this change, publisher and editor set the scene for the further development of this interdisciplinary journal. The English title makes it clear that the articles are published in English – a logical step for the journal, which is listed in all relevant international databases. For excellent manuscripts, a ''Fast Track'' was introduced: The review is carried out within 2 weeks; after acceptance the papers are published online within 14 days and immediately released as ''Editor’s Choice'' to provide the authors with maximum visibility of their results. Interesting case reports are published in the section ''Novel Insights from Clinical Practice'' which clearly highlights the scientific advances which the report presents.
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