Subscribe to RSS
DOI: 10.1055/a-1545-2218
Mental Health in der Covid-19-Pandemie – Beobachtungen unter Kopf-Hals-Tumorpatienten
Mental Health During Covid-19 Pandemic – Observations Among Head Neck Cancer Patients
ZUSAMMENFASSUNG
Hintergrund In Krisenzeiten wie der Covid-19-Pandemie hat das individuelle Coping für jeden Tumorpatienten eine besondere Bedeutung zur Bewältigung ihrer spezifischen Belastungen.
Material und Methode Wir haben in zwei Projekten Daten zu Mental Health für Patienten mit Kopf-Hals-Karzinomen erfasst: WHO-5, SpREUK, Distress-Thermometer zu Belastung. Vor der Pandemie inkludierten wir 113 Patienten, während des 1. Lockdowns 84 Patienten und während des 2. Lockdowns 86 Patienten.
Ergebnisse Wir sehen während des 1. Lockdowns im Trend eine Abnahme der allgemeinen Krankheitslast gegenüber der Zeit vor Covid-19. Lebenszufriedenheit steigt, Copingstrategien wie Sinnsuche, Vertrauen und Reflexion der eigenen Situation werden aktiviert. Im zweiten Lockdown lassen diese Entwicklungen wieder nach, wobei insbesondere das per se nicht sehr große religiöse Vertrauen geschwunden zu sein scheint.
Schlussfolgerung Tumorpatienten können Krisensituationen durch Coping besser überwinden. Spiritual Care kann gezielt diese Copingmuster unterstützen.
Abstract
Objective In crisis as Covid-19 pandemic the individual coping has a special importance for each tumor patient in order to overcome their specific burdens.
Material and methods We have measured mental health data of patients with head and neck cancer in two projects – WHO-5, SpREUK, distress thermometer of burdens. Before pandemic we included 113 patients, during 1st wave we registered 84 patients, and 86 patients took part during 2nd wave.
Results During the first lockdown we have seen a decreasing trend of disease burden. The patients reported significant improved life satisfaction and increased search, trust, and reflections. During 2nd wave those developments were still seen, but in reduced amount. The generally not very high scoring religious trust was significantly reduced during the 2nd lockdown.
Conclusions Tumor patients are able to overcome crisis situations by their individual coping strategies. Spiritual care could support these resources.
Publication History
Article published online:
17 September 2021
© 2021. Thieme. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
Literatur
- 1 World Health Organization 2002. WHO Definition of Palliative Care 2002. www.dgpalliativmedizin.de. Im Internet: https://www.dgpalliativmedizin.de/images/stories/WHO_Definition_2002_Palliative_Care_englisch-deutsch.pdf
- 2 Frick E, Roser T. Spiritualität und Medizin; Gemeinsame Sorge für den kranken Menschen. Stuttgart: Kohlhammer; 2009
- 3 Ferrell BR, Temel JS, Temin S. et al Integration of Palliative Care Into Standard Oncology Care: American Society of Clinical Oncology Clinical Practice Guideline Update. J Clin Oncol 2017; 35: 96-112 DOI: 10.1200/JCO.2016.70.1474.
- 4 Büssing A, Hübner J, Walter S. et al Tumor Patientsʼ Perceived Changes of Specific Attitudes, Perceptions, and Behaviors Due to the COVID-19 Pandemic and Its Relation to Reduced Wellbeing. Front Psychiatry 2020; 11: 574314 DOI: 10.3389/fpsyt.2020.574314.
- 5 Büntzel J, Micke O, Klein M. et al Take care or „German Angst“? Lessons from cancer care during COVID-19 pandemic in spring 2020. J Cancer Res Clin Oncol 2021; 147: 2093–2105. DOI: 10.1007/s00432-020-03492-4.
- 6 Johnson DE, Burtness B, Leemans CR. et al Head and neck squamous cell carcinoma. Nat Rev Dis Primers 2020; 6: 92 DOI: 10.1038/s41572-020-00224-3.
- 7 Vitek P, Koscielny S, Büssing A. et al Religiosität und Spiritualität als Ressourcen in der Betreuung von Patienten mit Kopf-Hals-Tumoren. Laryngorhinootologie 2021; DOI: 10.1055/a-1516-4589.
- 8 Büssing A, Recchia DR, Hübner J. et al Tumor patients’ fears and worries and perceived changes of specific attitudes, perceptions and behaviors due to the COVID-19 pandemic are still relevant. J Cancer Res Clin Oncol 2021; 147: 1673-1683 DOI: 10.1007/s00432-021-03573-y.
- 9 Topp CW, Østergaard SD, Søndergaard S. et al The WHO-5 Well-Being Index: A Systematic Review of the Literature. PPS 2015; 84: 167-176 DOI: 10.1159/000376585.
- 10 Büssing A. Spirituality as a Resource to Rely on in Chronic Illness: The SpREUK Questionnaire. Religions 2010; 1: 9-17 DOI: 10.3390/rel1010009.
- 11 Büntzel J, Klein M, Keinki C. et al Oncology services in corona times: a flash interview among German cancer patients and their physicians. J Cancer Res Clin Oncol 2020; 1-3 DOI: 10.1007/s00432-020-03249-z.
- 12 Bäuerle A, Musche V, Schmidt K. et al Mental Health Burden of German Cancer Patients before and after the Outbreak of COVID-19: Predictors of Mental Health Impairment. Int J Environ Res Public Health 2021; 18 DOI: 10.3390/ijerph18052318.
- 13 Büntzel J, Walter S, Hellmund H. et al Auswirkungen der COVID-19-Pandemie auf die Versorgung von HNO-Tumoren – die Patientenperspektive. Laryngorhinootologie 2021; 100: 104-110 DOI: 10.1055/a-1327-4234.