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[Multidisciplinary health care needs of psychologically distressed cancer patients in a Comprehensive Cancer Center]. / Multidisziplinärer Versorgungsbedarf psychisch belasteter Tumorpatienten an einem Comprehensive Cancer Center.
Schiel, R O; Brechtel, A; Hartmann, M; Taubert, A; Walther, J; Wiskemann, J; Rötzer, I; Becker, N; Jäger, D; Herzog, W; Friederich, H-C.
Afiliación
  • Schiel RO; Abteilung für Allgemeine Innere Medizin und Psychosomatik, Medizinische Klinik, Universitätsklinikum Heidelberg.
  • Brechtel A; Abteilung für Allgemeine Innere Medizin und Psychosomatik, Medizinische Klinik, Universitätsklinikum Heidelberg.
  • Hartmann M; Abteilung für Allgemeine Innere Medizin und Psychosomatik, Medizinische Klinik, Universitätsklinikum Heidelberg.
  • Taubert A; Abteilung für Medizinische Onkologie, Nationales Centrum für Tumorerkrankungen, Universitätsklinikum Heidelberg.
  • Walther J; Abteilung für Medizinische Onkologie, Nationales Centrum für Tumorerkrankungen, Universitätsklinikum Heidelberg.
  • Wiskemann J; Abteilung für Medizinische Onkologie, Nationales Centrum für Tumorerkrankungen, Universitätsklinikum Heidelberg.
  • Rötzer I; Abteilung für Medizinische Onkologie, Nationales Centrum für Tumorerkrankungen, Universitätsklinikum Heidelberg.
  • Becker N; Klinisches Krebsregister des NCT, Nationales Centrum für Tumorerkrankungen, Deutsches Krebsforschungszentrum, Heidelberg.
  • Jäger D; Abteilung für Medizinische Onkologie, Nationales Centrum für Tumorerkrankungen, Universitätsklinikum Heidelberg.
  • Herzog W; Abteilung für Allgemeine Innere Medizin und Psychosomatik, Medizinische Klinik, Universitätsklinikum Heidelberg.
  • Friederich HC; Abteilung für Allgemeine Innere Medizin und Psychosomatik, Medizinische Klinik, Universitätsklinikum Heidelberg.
Dtsch Med Wochenschr ; 139(12): 587-91, 2014 Mar.
Article en De | MEDLINE | ID: mdl-24619716
BACKGROUND AND OBJECTIVE: Considering the prolonged life-expectancies and the resulting demands that are placed on cancer patients and their relatives, the importance of specific counseling and support services including psycho-oncology, social services, nutritional, and exercise counseling has profoundly increased. The main focus of the current study was to evaluate the multidisciplinary health care needs of emotionally distressed cancer patients whoe were treated in a Comprehensive Cancer Center. METHODS AND STUDYGROUP: 831 out-patients were evaluated with regard to their psychological distress level and their multidisciplinary health care needs for specialist services of psycho-oncology, social services, nutritional, and exercise counseling using a tablet-PC assisted screening questionnaire. Separate analyses were completed for patients with and without psychological distress. RESULTS: One third of the screened patients showed clinically relevant psychological distress. Health care needs for all specialist services were significantly greater among these patients compared to patients without psychological distress (all p-values < 0.005). The higher needs were foremost presented by the number of needed specialist services (p < 0.001): two thirds of the psychologically distressed patients demonstrated, besides the need for a psycho-oncological service, a need for two or three further specialist services, whereas among patients without psychological distress more than 70% showed a need for at most one specialist service. CONCLUSION: Multidisciplinary health care needs of psychologically distressed cancer patients should be systematically addressed in a Comprehensive Cancer Center, and patients should be offered a coordinated and integrated health care program.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Grupo de Atención al Paciente / Instituciones Oncológicas / Conducta Cooperativa / Comunicación Interdisciplinaria / Necesidades y Demandas de Servicios de Salud / Neoplasias Tipo de estudio: Qualitative_research Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: De Revista: Dtsch Med Wochenschr Año: 2014 Tipo del documento: Article Pais de publicación: Alemania

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Grupo de Atención al Paciente / Instituciones Oncológicas / Conducta Cooperativa / Comunicación Interdisciplinaria / Necesidades y Demandas de Servicios de Salud / Neoplasias Tipo de estudio: Qualitative_research Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: De Revista: Dtsch Med Wochenschr Año: 2014 Tipo del documento: Article Pais de publicación: Alemania