Kompetenztraining für Patienten

Zusammenfassung

Bei häufigen Tumorentitäten (z. B. Mamma-, Prostata- oder Kolonkarzinom) nehmen 75−80 % der Betroffenen naturheilkundliche Methoden in Anspruch [6], [18], [20]. Patienten in der aktiven Behandlungsphase (Operation, Chemotherapie, Strahlentherapie u. a.) verfolgen mit der Anwendung von Naturheilkunde und Komplementärmedizin häufig die Reduktion von Nebenwirkungen der konventionellen Tumortherapie, aber auch eine aktive Stärkung der Gesundheit [10], [17]. Menschen, die die aktive Tumortherapie abgeschlossen haben, interessieren sich besonders für Möglichkeiten der Rezidivprophylaxe [19]. Dieser Nachfrage von Tumorpatienten entspricht das naturheilkundliche Tumorbegleitprogramm des Kompetenzzentrums für Komplementärmedizin und Naturheilkunde (KoKoNat) des Klinikums rechts der Isar der Technischen Universität München. Die Einzelkomponenten des Patientenkompetenz-Programms werden beschrieben.

Summary

A relatively large proportion of cancer patients, especially those suffering from breast, prostate and colon cancer use complementary medicine (CM). The majority of these patients aim to overcome side effects of their cancer therapy (surgery, chemotherapy, radiation) or to reduce their relapse risk with help of CM [10], [17]. In addition, people with risk factors for cancer (e. g. older age, family history of cancer) use CM to strengthen or restore their health in order to avoid developing the disease [19]. Complementary medicine should be salutogenic orientated and provide comprehensive support for a healthy lifestyle. For this purpose, a naturopathic out-patient program for cancer patients has been developed by the Competence Centre for Complementary Medicine and Naturopathy (CoCoNat), University Hospital rechts der Isar, Technische Universität München (TUM). Main components of the program include in depth consultation by CM-physicians and three levels of individual or group competence trainings. In Competence-Training 1, specialized Health Coaches teach basic skills in naturopathic self-help techniques and self-monitoring of treatment or disease related symptoms. Competence-Training 2 and 3 mediate stress coping strategies e. g. by acquiring QiGong techniques as well as practical skills in endurance workout and implementation strategies for a healthy nutrition in every-day life. The trainings mentioned afore are conceptualized mainly for patients suffering from stress symptoms and cancer fatigue as well as for healthy people interested in cancer prevention with means of a healthy lifestyle program [21].

Schlüsselwörter

Patientenkompetenz - naturheilkundliches Tumorbegleitprogramm - komplementär-medizinische Tumorberatung - onkologisches Nebenwirkungsmanagement - QiGong - Individuelles Gesundheits-Management (IGM) - Salutogenese

Keywords

Complementary medicine - healthy lifestyle program - naturopathic out-patient program for cancer patients - competence training - patient competence

• Literatur

• 1 Barton DL, Liu H, Dakhil SR, Linquist B, Sloan JA, Nichols CR, McGinn TW, Stella PJ, Seeger GR, Sood A, Loprinzi CL. Wisconsin Ginseng (Panax quinquefolius) to improve cancer-related fatigue: a randomized, double-blind trial, N07C2. J Natl Cancer Inst 2013; 105: 1230-1238
• 2 Battaglini CL, Mills RC, Phillips BL, Lee JT, Story CE, Nascimento MG, Hackney AC. Twenty-five years of research on the effects of exercise training in breast cancer survivors: A systematic review of the literature. World J Clin Oncol 2014; 5: 177-190
• 3 Buffart LM, Galvao DA, Brug J, Chinapaw MJ, Newton RU. Evidence-based physical activity guidelines for cancer survivors: current guidelines, knowledge gaps and future research directions. Cancer Treat Rev 2014; 40: 327-340
• 4 Casla S, Hojman P, Marquez-Rodas I, Lopez-Tarruella S, Jerez Y, Barakat R, Martin M. Running away from side effects: physical exercise as a complementary intervention for breast cancer patients. Clin Transl Oncol 2014; Jun 4 [Epub ahead of print]
• 5 Cruciani RA, Zhang JJ, Manola J, Cella D, Ansari B, Fisch MJ. L-carnitine supplementation for the management of fatigue in patients with cancer: an eastern cooperative oncology group phase III, randomized, double-blind, placebo-controlled trial. J Clin Oncol 2012; 30: 3864-3869
• 6 Finnegan-John J, Molassiotis A, Richardson A, Ream E. A systematic review of complementary and alternative medicine interventions for the management of cancer-related fatigue. Integr Cancer Ther 2013; 12: 276-290
• 7 Gesellschaft für Versicherungswissenschaft und -gestaltung e. V. http://gesundheitsziele.de/ 2014 Ref Type: Internet Communication
• 8 Häuser W, Muthny FA. Entwicklung einer Kurzform der Fatigue Impact Scale (FIS-D15). Praxis klinische Verhaltensmedizin und Rehabilitation 2004; 65: 53-60
• 9 He XR, Wang Q, Li PP. Acupuncture and moxibustion for cancer-related fatigue: a systematic review and meta-analysis. Asian Pac J Cancer Prev 2013; 14: 3067-3074
• 10 Ku CF, Koo M. Association of distress symptoms and use of complementary medicine among patients with cancer. J Clin Nurs 2012; 21: 736-744
• 11 Lo LC, Chen CY, Chen ST, Chen HC, Lee TC, Chang CS. Therapeutic efficacy of traditional Chinese medicine, Shen-Mai San, in cancer patients undergoing chemotherapy or radiotherapy: study protocol for a randomized, double-blind, placebo-controlled trial. Trials 2012; 13: 232
• 12 Malakh-Pines A, Aronson E, Kafry D. Burnout: from tedium to personal growth. New York: Free Press; 1981
• 13 Melchart D, Bohnes E, Doerfler W, Eustachi A, Wellenhofer-Li Y. Das Individuelle Gesundheits-Management (IGM) als umfassendes Lebensstil-Programm. Erfahrungsheilkunde 2012; 61(6): 327
• 14 Molassiotis A, Bardy J, Finnegan-John J, Mackereth P, Ryder DW, Filshie J, Ream E, Richardson A. Acupuncture for cancer-related fatigue in patients with breast cancer: a pragmatic randomized controlled trial. J Clin Oncol 2012; 30: 4470-4476
• 15 Molassiotis A, Bardy J, Finnegan-John J, Mackereth P, Ryder WD, Filshie J, Ream E, Eaton D, Richardson A. A randomized, controlled trial of acupuncture self-needling as maintenance therapy for cancer-related fatigue after therapist-delivered acupuncture. Ann Oncol 2013; 24: 1645-1652
• 16 Paramanandam VS, Dunn V. Exercise for the management of cancer-related fatigue in lung cancer: a systematic review. Eur J Cancer Care (Engl) 2014; Apr 10.  DOI: 10.1111/ecc.12198. . [Epub ahead of print]
• 17 Saghatchian M, Bihan C, Chenailler C, Mazouni C, Dauchy S, Delaloge S. Exploring frontiers: use of complementary and alternative medicine among patients with early-stage breast cancer. Breast 2014; 23: 279-285
• 18 Saquib J, Madlensky L, Kealey S, Saquib N, Natarajan L, Newman VA, Patterson RE, Pierce JP. Classification of CAM use and its correlates in patients with early-stage breast cancer. Integr Cancer Ther 2011; 10: 138-147
• 19 Sohl SJ, Weaver KE, Birdee G, Kent EE, Danhauer SC, Hamilton AS. Characteristics associated with the use of complementary health approaches among long-term cancer survivors. Support Care Cancer 2014; 22: 927-936
• 20 Tautz E, Momm F, Hasenburg A, Guethlin C. Use of complementary and alternative medicine in breast cancer patients and their experiences: a cross-sectional study. Eur J Cancer 2012; 48: 3133-3139
• 21 Wang CW, Chan CH, Ho RT, Chan JS, Ng SM, Chan CL. Managing stress and anxiety through qigong exercise in healthy adults: a systematic review and meta-analysis of randomized controlled trials. BMC Complement Altern Med 2014; 14: 8
• 22 Zeng Y, Luo T, Xie H, Huang M, Cheng AS. Health benefits of qigong or tai chi for cancer patients: a systematic review and meta-analyses. Complement Ther Med 2014; 22: 173-186