Artikel
Different diagnostic procedures concerning psychological support of oncologic in-patients
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Veröffentlicht: | 20. März 2006 |
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Gliederung
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Introduction: Because of spreading fast track medicine, it is important to identify in-patients who need psychological support early. Aim of the following analysis is to describe the outcomes and requirements of different diagnostic procedures within routine treatment.
Methods: We use three independent ways of assessing the need for psychological support of patients:
1. ´Screening´: All patients get the questionnaire HADS (Hospital Anxiety and Depression Scale) before admission. Patients with scores above the cut-off are visited by a psychologist.
2. ´On-demand´: Attending physicians, nurses or social workers might call for psychological interventions when they observe heightened need for support.
3. ´Self-demand´: Patients or their relatives might ask for support by themselves.
Basis of the analysis are the documentations filled out by the psychooncological staff within four months in the department of surgery of the Heidelberg university hospital. Documentation is analysed from the proportion and type of psychiatric diagnosis (ICD: F.10-F.90) assigned by the psychooncological staff.
Results: 121 cases of in-patients are documented. Most diagnoses are adjustment disorders (F43.2). The percentage of psychiatric diagnoses is lowest in ´self-demand` patients (14%). In patients above the cut-off point of the screening questionnaire 17% and in `on-demand´ patients 32% a psychiatric diagnosis is assigned.
Conclusion: Different diagnostic procedures and multi-disciplinary collaboration are required to ensure appropriate psychooncological support for cancer patients during their in-patient treatment.