Download PDF
Deutsche Zeitschrift für Onkologie 2011; 43(2): 69-73
DOI: 10.1055/s-0030-1257626
Forschung
© Karl F. Haug Verlag MVS Medizinverlage Stuttgart GmbH & Co. KG

Psychosoziale und spirituelle Bedürfnisse bei Patienten mit chronischen Schmerz- und Krebserkrankungen

Arndt Büssing
1   Professur für Lebensqualität, Spiritualität und Coping, Zentrum für Integrative Medizin, Universität Witten/Herdecke
,
Eberhard Albert Lux
2   Klinik für Schmerz- und Palliativmedizin, Klinikum St. Marien-Hospital, Lünen
,
Annina Janko
3   Schmerzambulanz, Charité – Universitätsmedizin Berlin, Campus Benjamin Franklin
,
Andreas Kopf
3   Schmerzambulanz, Charité – Universitätsmedizin Berlin, Campus Benjamin Franklin
› Author Affiliations
Further Information

Publication History

Publication Date:
11 July 2011 (online)

    Permissions and Reprints

Zusammenfassung

Viele Patienten mit chronischen Erkrankungen haben spirituelle und existenzielle Bedürfnisse, die im Gesundheitssystem zumeist ausgeblendet werden, obwohl sie für viele essenziell sind und ihre Unterstützung oft mit einer besseren Lebensqualität assoziiert sind. Wenn diese identifiziert sind, können Ärzte, Pflegende, Seelsorger, aber auch Angehörige auf diese reagieren und den Patienten in seiner Auseinandersetzung mit chronischer Krankheit unterstützen. Diese Unterstützung schafft letztendlich die Bedingungen, damit sich wesentliche Aspekte der Lebensqualität der Patienten verbessern können.

Summary

Several patients with chronic diseases reported unmet spiritual and existential needs, although they are essential to them, and although spiritual support is often associated with better quality of life. If these needs are identified by medical doctors, nurses, chaplains and patients‘ relatives, they are able to react and to support them in their struggle with chronic illness. This support finally brings about the conditions that essential aspects of patients‘ quality of life can improve.

Schlüsselwörter

Lebensqualität - sekundäre Bedürfnisse - Spiritualität - chronisch Kranke - Krebserkrankung - chronischer Schmerz

Keywords

quality of life - secondary needs - spirituality - chronic disease - cancer - chronic pain
 

  • Literatur

  • 01 Balboni TA, Vanderwerker LC, Block SD et al. Religiousness and spiritual support among advanced cancer patients and associations with end-of-life treatment preferences and quality of life. J Clin Oncol 2007; 25 (5): 555-60
    CrossrefPubMedSearch in Google Scholar
  • 02 Büssing A, Fischer J, Ostermann T, Matthiesen PF. Reliance on God's help as a measure of intrinsic religiosity in healthy elderly and patients with chronic diseases – Correlations with health-related quality of life?. Applied Research in Quality of Life 2009; a 4 (1): 77-90
    CrossrefPubMedSearch in Google Scholar
  • 03 Büssing A, Fischer J, Ostermann T, Matthiesen PF. Reliance on God’s help, depression and fatigue in female cancer patients. Int J Psychiatry Med 2008; 38: 357-72
    CrossrefPubMedSearch in Google Scholar
  • 04 Büssing A, Michalsen A, Balzat HJ et al. Are spirituality and religiosity resources for patients with chronic pain conditions?. Pain Med 2009; b 10: 327-39
    CrossrefPubMedSearch in Google Scholar
  • 05 Büssing A, Balzat HJ, Heusser P. Spiritual needs of patients with chronic pain diseases and cancer - validation of the spiritual needs questionnaire. European Journal of Medical Research 2010; 15 (6): 266-73
    CrossrefPubMedSearch in Google Scholar
  • 06 Büssing A, Koenig HG. Spiritual needs of patients with chronic diseases. Religions 2010; 1: 18-27
    CrossrefPubMedSearch in Google Scholar
  • 07 Büssing A. Spiritualität/Religiosität als Ressource im Umgang mit chronischer Krankheit. In: Büssing A, Kohls N, eds. Spiritualität transdisziplinär. Wissenschaftliche Grundlagen im Zusammenhang mit Gesundheit und Krankheit. Berlin, Heidelberg: Springer; 2011: 107-24
    CrossrefSearch in Google Scholar
  • 08 Canada AL, Murphy PE, Fitchett G et al. A 3-factor model for the FACIT-Sp. Psychooncology 2008; 17 (9): 908-16
    CrossrefPubMedSearch in Google Scholar
  • 09 Cella DF, Tulsky DS, Gray G et al. The Functional Assessment of Cancer Therapy scale: Development and validation of the general measure. J Clin Oncol 1993; 11: 570-79
    PubMedSearch in Google Scholar
  • 10 Cotton SP, Levine EG, Fitzpatrick CM, Dold KH, Targ E. Exploring the relationships among spiritual well-being, quality of life, and psychological adjustment in women with breast cancer. Psychooncology 1999; 8: 429-38
    CrossrefPubMedSearch in Google Scholar
  • 11 Erikson EH. Identität und Lebenszyklus. Frankfurt: Suhrkamp; (1966) 2001
    Search in Google Scholar
  • 12 Klinkhammer-Schalke M, Koller M, Ehret C et al. Implementing a system of quality-of-life diagnosis and therapy for breast cancer patients: results of an exploratory trial as a prerequisite for a subsequent RCT. Br J Cancer 2008; August 5; 99 (3): 415-22
    CrossrefPubMedSearch in Google Scholar
  • 13 Koslander T, da Silva AB, Roxberg A. Existential and spiritual needs in mental health care: An ethical and holistic perspective. J Holist Nurs 2009; 27: 34-42
    CrossrefPubMedSearch in Google Scholar
  • 14 Levine EG, Avive C, Yoo G, Ewing C, Au A. The benefits of prayer on mood and well-being of breast cancer survivors. Support Care Cancer 2009; 17: 295-306
    CrossrefPubMedSearch in Google Scholar
  • 15 Moadel A, Morgan C, Fatone A et al. Seeking meaning and hope: self-reported spiritual and existential needs among an ethnically-diverse cancer patient population. Psychooncology 1999; 8 (5): 378-85
    CrossrefPubMedSearch in Google Scholar
  • 16 Murray SA, Kendall M, Boyd K et al. Exploring the spiritual needs of people dying of lung cancer or heart failure: a prospective qualitative interview study of patients and their carers. Palliat Med 2004; 18 (1): 39-45
    CrossrefPubMedSearch in Google Scholar
  • 17 Peterman AH, Fitchett G, Brady MJ et al. Measuring spiritual well-being in people with cancer: The functional assessment of chronic illness therapy – spiritual well-being scale (FACIT-Sp). Ann Behav Med 2002; 24: 49-58
    CrossrefPubMedSearch in Google Scholar
  • 18 Schipper H, Clinch J, Powell V. Definitions and Conceptual Issues. (Chapter 2) In: Spilker B, ed. Quality of Life Assessments in Clinical Trials. New York: Raven Press; 1990: 11-24
    Search in Google Scholar
  • 19 Williams AL. Perspectives on spirituality at the end of life: a meta-summary. Palliat Support Care 2006; 4 (4): 407-17
    PubMedSearch in Google Scholar
  • 20 Yong J, Kim J, Han SS, Puchalski CM. Development and validation of a scale assessing spiritual needs for Korean patients with cancer. J Palliat Care 2008; 24: 240-46
    PubMedSearch in Google Scholar