scholarly journals Psychosocial Care for Adult Cancer Patients: Guidelines of the Italian Medical Oncology Association

Cancers ◽  
2021 ◽  
Vol 13 (19) ◽  
pp. 4878
Author(s):  
Caterina Caminiti ◽  
Francesca Diodati ◽  
Maria Antonietta Annunziata ◽  
Paola Di Giulio ◽  
Luciano Isa ◽  
...  

Psychosocial morbidity can have negative consequences for cancer patients, including maladaptive coping, poor treatment adherence, and lower quality of life. Evidence shows that psychosocial interventions can positively impact quality of life, as well as symptoms and side effects; however, they are not always offered to patients who might benefit from them. These guidelines were produced by a multidisciplinary panel of 16 experts, including patients, following GRADE methodology. The panel framed clinical questions and voted on outcomes to investigate. Studies identified by rigorous search strategies were assessed to rate certainty of evidence, and recommendations were formulated by the panel. Although the quality of the evidence found was generally moderate, interventions could be recommended aimed at improving patient information, communication with healthcare professionals and involvement in decision-making; detecting and managing patient psychosocial needs, particularly with non-pharmacological therapy; and supporting families of patients with advanced cancer. The role of nurses as providers of information and psychosocial care is stressed. Most recommended interventions do not appear to necessitate new services or infrastructures, and therefore do not require allocation of additional resources, but predominantly involve changes in clinical staff behavior and/or ward organization. Patients should be made aware of psychosocial care standards so that they can expect to receive them.

2019 ◽  
Vol 31 (3) ◽  
pp. 227-241
Author(s):  
Melike Ayca Ay ◽  
Imatullah Akyar

Introduction: In some countries, family members are not involved in routine pediatric cancer psychosocial care although it is essential. This integrative review aims to determine the extent of research on family members of pediatric cancer patients in Turkey. Method: Four main keywords were used: parent/sibling/family, child/pediatric, cancer and psychosocial outcomes to search articles on PubMed, EKUAL, ULAKBİM, WOS databases (limited to 1997-2017). Among first 317 hits, 284 records were excluded. Of 33 eligible articles, 14 were excluded due to sample characteristics. Results: Research on psychosocial effects of pediatric cancer on family members is mostly descriptive and offers moderate-quality evidence. The reported psychosocial effects are (1) depression, anxiety, hopelessness, acceptance; (2) burden of care, quality of life, posttraumatic stress disorder; and (3) need for social support, information. Discussion: This study will contribute to the literature and help for the planning of protective psychosocial interventions for family members of children with cancer in Turkey.


2020 ◽  
Vol 29 (10) ◽  
pp. 1704-1712
Author(s):  
Sojung C. Kim ◽  
Robert P. Hawkins ◽  
Dhavan V. Shah ◽  
David H. Gustafson ◽  
Timothy B. Baker

2002 ◽  
Vol 20 (12) ◽  
pp. 2851-2862 ◽  
Author(s):  
Paul B. Jacobsen ◽  
Cathy D. Meade ◽  
Kevin D. Stein ◽  
Thomas N. Chirikos ◽  
Brent J. Small ◽  
...  

PURPOSE: Professionally administered psychosocial interventions have been shown to improve the quality of life of cancer patients undergoing chemotherapy. The present study sought to improve access to psychosocial interventions during chemotherapy treatment by evaluating the efficacy and costs of a patient self-administered form of stress management training that requires limited professional time or experience to deliver. PATIENTS AND METHODS: Four hundred eleven patients about to start chemotherapy were randomly assigned to receive usual psychosocial care only, a professionally administered form of stress management training, or a patient self-administered form of stress management training. Quality-of-life assessments were conducted before randomization and before the second, third, and fourth treatment cycles. Intervention costs were estimated from both payer and societal perspectives. RESULTS: Compared with patients who received usual care only, patients receiving the self-administered intervention reported significantly (P ≤ .05) better physical functioning, greater vitality, fewer role limitations because of emotional problems, and better mental health. In contrast, patients who received the professionally administered intervention fared no better in terms of quality of life than patients receiving usual care only. Costs of the self-administered intervention were estimated to be 66% (from a payer perspective) to 68% (from a societal perspective) less than the average costs of professionally administered psychosocial interventions for patients starting chemotherapy. CONCLUSION: Evidence regarding the efficacy and favorable costs of self-administered stress management training suggests that this intervention has the potential to greatly improve patient access to psychosocial intervention during chemotherapy treatment.


2016 ◽  
Vol 27 (2) ◽  
pp. 243-254 ◽  
Author(s):  
Eveline M. Levert ◽  
Willem A. Helbing ◽  
Karolijn Dulfer ◽  
Ron T. van Domburg ◽  
Elisabeth M. W. J. Utens

AbstractObjectiveThe aim of this study was to investigate the psychosocial needs of both parents of children with CHD (aged 0–18 years) and patients themselves (aged 8–18 years) in the week before cardiac surgery or a catheter intervention.PatientsEligible participants included all consecutive patients (0–18 years) scheduled to undergo cardiac surgery or a catheter intervention in our hospital between March, 2012 and July, 2013. Psychosocial needs were assessed using a disease-specific questionnaire designed for this study, consisting of a 83-item parent version and a 59-item child version (for children ⩾8 years), each covering five domains: physical/medical, emotional, social, educational/occupational, and health behaviour; two items assessed fromwhomand in whatformatpsychosocial care was preferred. Quality of life was also assessed.InterventionsIf parents/patients reported a need for psychosocial care, referral to adequate mental health-care professionals was arranged.ResultsMore than 40% of participatingparentsand >50% of participatingchildrenreported a need for psychosocial care on each of the five domains. Needs for psychosocial care forparents themselveswere highest for those with children aged 0–12 years. Parents and patients report clear preferences when asked fromwhomand in whatformatthey would like to receive psychosocial care. Quality of life was relatively high for both parents and patients. Psychosocial care interventions in our hospital increased significantly after the implementation of this study.ConclusionsResults show that psychosocial care is rated as (very) important by both parents and children during an extremely stressful period of their life.


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