Background: Due to the establishment of a nationwide certification system for cancer centers in Germany, the availability of psycho-oncological services for cancer patients has increased substantially. However, little is known about the specific intervention techniques that are applied during sessions in an acute care hospital, since a standardized taxonomy is lacking. With this study, we aimed at the investigation of psycho-oncological intervention techniques and the development of a comprehensive and structured taxonomy thereof. Methods: In a stepwise procedure, a team of psycho-oncologists generated a data pool of interventions and definitions that were tested in clinical practice during a pilot phase. After an adaptation of intervention techniques, interrater reliability (IRR) was attained by rating 10 previously recorded psycho-oncological sessions. A classification of interventions into superordinate categories was performed, supported by cluster analysis. Results: Between April and June 2017, 980 psycho-oncological sessions took place. The experts agreed on a total number of 22 intervention techniques. An IRR of 89% for 2 independent psycho-oncological raters was reached. The 22 techniques were classified into 5 superordinate categories. Discussion/Conclusion: We developed a comprehensive and structured taxonomy of psycho-oncological intervention techniques in an acute care hospital that provides a standardized basis for systematic research and applied care. We expect our work to be continuously subjected to further development: future research should evaluate and expand our taxonomy to other contexts and care settings.
Oncol Res Treat

中文翻译：

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德国急诊医院心理肿瘤干预技术分类

背景：由于德国建立了全国性的癌症中心认证体系，为癌症患者提供的心理肿瘤学服务大幅增加。然而，由于缺乏标准化的分类法，人们对在急诊医院治疗期间应用的具体干预技术知之甚少。通过这项研究，我们旨在调查心理肿瘤干预技术并开发其全面和结构化的分类法。方法：在逐步程序中，一个心理肿瘤学家团队生成了一个干预措施和定义的数据池，并在试点阶段在临床实践中进行了测试。在对干预技术进行调整后，通过对 10 次先前记录的心理肿瘤学会议进行评分来获得评价者间可靠性 (IRR)。在聚类分析的支持下，将干预分为上级类别。结果： 2017 年 4 月至 6 月期间，共进行了 980 次心理肿瘤学会议。专家们就总共 22 种干预技术达成了一致。2 名独立的心理肿瘤学评分者的 IRR 达到了 89%。这 22 种技术被分为 5 个上级类别。讨论/结论：我们在急症护理医院开发了一个全面的、结构化的心理肿瘤干预技术分类法，为系统研究和应用护理提供了标准化的基础。我们希望我们的工作不断得到进一步发展：未来的研究应该评估我们的分类并将其扩展到其他背景和护理环境。
肿瘤资源治疗