Psycho-social services for Psycho-social services for cancer patientscancer patients

Actual problems of psycho-social services for cancer

patients

Distress / depression

Family disruption / depression

Job Job distressdistress

Cope with Cope with diagnosisdiagnosis

Medical service / doctor

Anxiety / Fatalism

Psychology

Bio-psycho-social concept

1. Actual psychological/mental problems

/Anxiety, depression, distress, stress /

2. Diseases:/Psycho-somatic

diseases, stomach ulcer/

3. Social problems: /family disruption,

family depression)

BodyBodyBodyBody Society Society

Integrated service

1.Medical service

2. Psychological service

PsychologicalCounseling Psycho-

therapy

+ +3. Social service / support

Psycho-social support service

Psycho-social service for cancer patients

1. Social support

2. Psycho-educational groups

3. Support groups

4. Psychological counseling

Improved attitude and capacity to cope with disease is /Feldman 1993, Fahey & Morton 1993, Heinrich& Schlag 1985/

Improved life quality of cancer patients /Celia & Yellen 1993, Spiegel & Yalom 1981/

Improved capacity of cancer patients to cope with disease /Latimer & Schwartz 1986, Spiegel & Bloom 1983/

Survey results Results of qualitative studies with Results of qualitative studies with individual questionnaire & interviews (40 individual questionnaire & interviews (40 questionnaire fulfilled), conducted among questionnaire fulfilled), conducted among cancer center doctors & nurses, patients and cancer center doctors & nurses, patients and their caregivers and family members their caregivers and family members (À.Ninjbadgar,2004):

No knowledge about psycho-social service for cancer patients (90% of patients’ family members and 20% of doctors/nurses)

Ever have not heard that psycho-social service for cancer patients could improve life quality and life duration (85% of patients’ caregivers & family members , 45% of doctors or nurses)

Survey results Do not know at all about support group actvities:100% of patients and their families, 90% of doctors and nurses

70% of doctors and nurses considered that capacity should be gained and knowledge and skills for psychological counseling should be taught in medical universities

Psychological care is very important and necessary:: 95% of patients and their families, 75% answered that psychological care is essential right now.

Professional team

Doctor

Psychologist Nurse

Social worker Auxillary staff

Collaborative activities of professional team

Training / for doctors and nurses in small groups/

À. Psychological service Á. Stress of medical profession Psychological counseling À. For patients Á. For patients’ families Regular support group activities among

patients

Thank you for your Thank you for your attention. attention.