gms | German Medical Science

64. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

26. - 29. Mai 2013, Düsseldorf

Implementation of psychooncological interventions in patients with brain tumors

Meeting Abstract

Suche in Medline nach

  • Dorothee Wiewrodt - Klinik für Neurochirurgie, Universitätsklinikum Münster
  • Ralf Brandt - Persönliches Training Brandt
  • Walter Stummer - Klinik für Neurochirurgie, Universitätsklinikum Münster
  • Monika Wigger - Klinik für Neurochirurgie, Universitätsklinikum Münster

Deutsche Gesellschaft für Neurochirurgie. 64. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC). Düsseldorf, 26.-29.05.2013. Düsseldorf: German Medical Science GMS Publishing House; 2013. DocDI.10.07

doi: 10.3205/13dgnc257, urn:nbn:de:0183-13dgnc2575

Veröffentlicht: 21. Mai 2013

© 2013 Wiewrodt et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective: Brain tumor patients and their families suffer from anxiety and uncertainty especially at the time of diagnosis. Initially, mortal fear is predominant, and in later course of disease treatment and tumor related problems take over, i.e. irreversible neurological deficits, self-worth issues, mood imbalances, physical weaknesses, or concentration disturbances. These problems have a major impact on daily life, and individual treatment options are limited.

Method: During the initial psychooncological counselling the several interventions were offered and the patient had to decide, whether he would accept one ore more of the following supportive therapies: 1. Psychooncological and/or psychotherapeutic counselling at the university clinic as inpatient or outpatient. The setting could be arranged individually (i.e. personal, couple or family counselling). 2. Art therapy on the ward at bed side or, for ambulatory patients only, at the Malwerkstatt Muenster (fixed group, every two weeks for 6 months). 3. Personal physical training at home (twice weekly up to 6 months).

Results: During the first nine months, 59 patients participated in the program, and 441 sessions were performed: 204 counselling sessions (range 1–14, 59 patients), 37 art therapy sessions at bed side (range 1–7, 9 patients), 62 art therapy sessions at the Malwerkstatt Muenster (range 4–11, 7 patients), 138 personal training sessions (range 1–42, 9 patients). All participants (100%) experienced increasing satisfaction, lust for life, and positive incentives for every day life. In detail, they enumerate ad 1, counselling: improved ability to deal with conflicts and difficult tasks, reduced anxiety due stress relaxation techniques; ad 2, art therapy: exchange and communication with fellow sufferers, "brain jogging" through drafting exercises, improved creativity, courage making new experiences; ad 3. personal training: reduced lack of confidence, courage to challenge the limit of physical activity, forgetting the illness during training.

Conclusions: Patients with brain tumors used supportive therapies during all periods of disease. The practicability of all interventions was verified. All participants benefited and improved various daily life issues. Patients attending art therapy or the personal training could reduce psychooncological councelling sessions.