癌症患者的精神共患和心理社会护理
Andreas Dinkel1, Ute Goerling, André Karger
1Department of Psychosomatic Medicine and Psychotherapy, TUM University Hospital, School of Medicine and Health, Technical University of Munich, Munich, Germany; Comprehensive Cancer Center Munich TUM; Charité - Universitätsmedizin Berlin, Charité Comprehensive Cancer Center, Berlin, Germany; Clinical Institute of Psychosomatic Medicine and Psychotherapy and Medical Faculty, Heinrich-Heine-University-Düsseldorf, Düsseldorf, Germany; Center for Integrated Oncology, Düsseldorf, Germany; Department of Psychosomatic Medicine and Psychotherapy, LVR University Hospital, University of Duisburg-Essen, Essen, Germany; Psycho-Oncology Section, West German Cancer Center and National Center for Tumour Diseases, University Hospital Essen, Germany; Center for Translational Neuro- and Behavioral Sciences, University of Duisburg-Essen, Essen, Germany; Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Germany; Department of Psychosomatic Medicine and Psychotherapy, Center for Mental Health, Stuttgart Hospital, Germany; Stuttgart Cancer Center, Stuttgart Hospital, Germany; Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Tübingen, Germany.
精神健康问题在癌症患者中很常见,影响20-50%的个体. 心理治疗显著改善了癌症患者的心理健康和生活质量.
科学领域:
- 精神瘤学 精神瘤学
- 癌症护理 癌症护理
- 在瘤学中的心理健康.
背景情况:
- 癌症患者经历了显著的心理社会压力和精神障碍.
- 这些问题源于疾病本身,癌症治疗和与护理相关的因素.
研究的目的:
- 审查癌症患者精神疾病的患病率和影响.
- 评估心理治疗和心理药物干预措施的有效性.
- 为癌症患者提供心理社会护理的障碍物.
主要方法:
- 在PubMed出版物的文献搜索.
- 包括德国关于精神瘤学的临床实践指南.
主要成果:
- 焦虑,情感和适应障碍是最常见的,患病率为20-50%.
- 心理症状如痛苦和恐惧的复发是普遍存在的.
- 心理治疗在减少焦虑/抑郁和改善生活质量方面显示出中等到大的效果,并带来持续的好处.
结论:
- 精神伴随性疾病是常见的,对癌症患者有害.
- 心理治疗干预是有效的缓解心理困扰和提高生活质量.
- 尽管取得了进展,但在为癌症患者提供足够的心理社会护理方面仍然存在挑战.
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