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Aus der Praxis – für die Praxis

Tumorbedingte Fatigue – Prozessevaluation eines Seminars der Universitätsmedizin Greifswald

Published Online:November 30, 2020https://doi.org/10.1024/1012-5302/a000778

Abstract

Zusammenfassung.Hintergrund: Fatigue ist das häufigste und belastendste Symptom bei an Krebs erkrankten Menschen und deren Angehörigen. Das Patienteninformationszentrum (PIZ) der Universitätsmedizin Greifswald ermöglicht Betroffenen, den Umgang mit der Fatigue zu erlernen und ihre Krankheit zu verstehen. Das Fatigue-Seminar wird von Seminarteilnehmenden positiv bewertet, allerdings selten in Anspruch genommen. Fragestellung / Ziel: Primäres Ziel der Beobachtungsstudie war es, herauszufinden, wie bekannt das Seminar ist, ob es Patientinnen und Patienten empfohlen wird und worauf fehlende Zuweisungen zurückzuführen sind. Methodik: Das ärztliche und pflegerisch tätige Fachpersonal aller 13 Stationen des Onkologischen Zentrums (OZ) wurde mit einem selbstentwickelten Fragebogen befragt. Die Fragen wurden auf Einzelitem-Ebene ausgewertet. Es wurden deskriptive Statistiken und Zusammenhangsmaße bestimmt. Ergebnisse: Das Fatigue-Seminar ist den n = 115 Befragungsteilnehmenden kaum bekannt und / oder wird Betroffenen nicht immer empfohlen. Dort, wo das PIZ in der Vergangenheit schon präsent war, sind das Wissen über die Fatigue höher und das Seminar bekannter. Screeninginstrumente werden zur Diagnostik kaum eingesetzt. Schlussfolgerungen: Das Seminar muss besser beworben werden. Zur Steigerung des Bekanntheitsgrades soll es den psychologischen Mitarbeitenden und auf den Stationen vorgestellt werden. Dabei sind der systematische Einbezug von Screeninginstrumenten im Behandlungspfad von an Krebs erkrankten Menschen und die Empfehlung des Seminars für Personen mit belastenden Fatigue-Symptomen zu diskutieren.


Cancer-related fatigue – Process evaluation of a seminar of the University Medicine Greifswald

Abstract.Background: Fatigue is the most common and stressful symptom in cancer patients and their relatives. The patient information center (PIZ) of the University Medicine Greifswald enables patients to learn how to deal with fatigue and to understand their disease. The fatigue seminar is well accepted by seminar participants, but it is rarely taken up by patients. Aim: The primary objective of this observational study was to find out how well-known this seminar is, whether it is recommended to patients and what the reasons for missing referrals are. Methods: Medical and nursing staff of all 13 wards of the Oncology Centre was surveyed by means of a self-developed questionnaire. The questions were analyzed on a single item level. Descriptive statistics and measures of correlation were determined. Results: The fatigue seminar of the PIZ is hardly known to the n = 115 respondents and / or is not always recommended to those affected. Where the PIZ has been present in the past, the knowledge about fatigue is higher and the seminar is better known. Screening instruments are hardly used for diagnostics. Conclusions: The fatigue seminar needs to be promoted in a better way. In order to increase its popularity, it should be presented both to the psychological staff and on the wards. The systematic inclusion of screening instruments in the treatment path of cancer patients and the inclusion of the fatigue seminar in the range of treatment for patients with distressing fatigue symptoms should be discussed.

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