Integration der Lebensqualitätserfassung in den Versorgungsprozess
Beschreibung
vor 20 Jahren
108 of 421 patients undergoing radiotherapy for malignancies of
abdominal and/or pelvic origin participated in this study about
quality of life and its changes over time. METHODS: Patients were
asked to answer a battery of questionnaires which included the
FACT-G, SDS, SSS, FKV, FBK and FLZ combined with questions about
their living situation, radiotherapy side effects and need for
additional support. Points in time were the first week of radiation
therapy (T1), the end of therapy (T2), six weeks (T3) and six
months (T4) after radiation. RESULTS: Participants are younger,
less depressed, have a better overall performance status and
require less additional support than patients refusing or dropping
out of the study. Significant changes show in some scores and
subscores as there are the physical and overall qol and the
relationship with the doctors (FACT-G), physical, social and
overall distress (FBK), active coping-style (FKV) and satisfaction
with health status (FLZ). Patients prefer asking for information
and speaking with their doctors. One third tends to deny to profit
from psychotherapeutic interventions. Factor analysis shows six
main domains influencing quality of life : social support, physical
and social distress, emotional distress, financial satisfaction,
social satisfaction and denying coping strategies. DISCUSSION:
Participants belong to a well selectioned group with good physical
and psychosocial resources. They require nevertheless additional
support and admit in most of the cases to profit of talks with
psychologists. It has to be supposed that non-participating
patients are even more in need of such help. Cluster analysis
supposes that desire for psychological support is specific for
distressed and dissatisfied patients. Further evaluation of the
economic benefits of individual psycho-oncologic prevention is
needed. A short scoring questionnaire using six main items of qol
should help physicians to prevue the patients need and aptity for
psycho-oncologic interventions as for example individual
psychotherapy, group therapy and support of the family and medical
staff.
abdominal and/or pelvic origin participated in this study about
quality of life and its changes over time. METHODS: Patients were
asked to answer a battery of questionnaires which included the
FACT-G, SDS, SSS, FKV, FBK and FLZ combined with questions about
their living situation, radiotherapy side effects and need for
additional support. Points in time were the first week of radiation
therapy (T1), the end of therapy (T2), six weeks (T3) and six
months (T4) after radiation. RESULTS: Participants are younger,
less depressed, have a better overall performance status and
require less additional support than patients refusing or dropping
out of the study. Significant changes show in some scores and
subscores as there are the physical and overall qol and the
relationship with the doctors (FACT-G), physical, social and
overall distress (FBK), active coping-style (FKV) and satisfaction
with health status (FLZ). Patients prefer asking for information
and speaking with their doctors. One third tends to deny to profit
from psychotherapeutic interventions. Factor analysis shows six
main domains influencing quality of life : social support, physical
and social distress, emotional distress, financial satisfaction,
social satisfaction and denying coping strategies. DISCUSSION:
Participants belong to a well selectioned group with good physical
and psychosocial resources. They require nevertheless additional
support and admit in most of the cases to profit of talks with
psychologists. It has to be supposed that non-participating
patients are even more in need of such help. Cluster analysis
supposes that desire for psychological support is specific for
distressed and dissatisfied patients. Further evaluation of the
economic benefits of individual psycho-oncologic prevention is
needed. A short scoring questionnaire using six main items of qol
should help physicians to prevue the patients need and aptity for
psycho-oncologic interventions as for example individual
psychotherapy, group therapy and support of the family and medical
staff.
Weitere Episoden
Kommentare (0)