Zusammenfassung
Tumorpatienten brauchen die offene und vertrauensvolle Kommunikation mit ihren behandelnden Onkologen; insbesondere, wenn weit reichende Therapieentscheidungen anstehen, sowie in der palliativen Behandlungssituation. Obwohl Arzt-Patienten-Gespräche zu den zentralen Aufgaben onkologisch tätiger Ärzte zählen, haben die wenigsten eine hierin angemessene Aus- und Weiterbildung erfahren. Durch die wiederholte und anhaltende Konfrontation mit Leiden und ungünstigen Krankheitsverläufen sind Ärzte selbst in hohem Maß belastet, mit der Folge beruflicher Unzufriedenheit und Überforderung. In den letzten Jahren wurden strukturierte Trainingsangebote für erfahrene Onkologen entwickelt, die deren Erfahrung und Kompetenz mit einbeziehen und mit praktischen Übungen zu einer effektiveren Kommunikation und veränderten Haltung beitragen. Die Akzeptanz und Zufriedenheit teilnehmender Onkologen ist ermutigend. Auch die Wirksamkeit der Gesprächsführungstrainings kann empirisch belegt werden.
Abstract
Consultation in the cancer setting, in particular with an unfavourable prognosis, requires considerable resources from both patients and doctors. Communication within oncology is a core clinical skill, but one in which few oncologists have received much formal training. Oncologists themselves acknowledge that insufficient training in communication and management skills is a major factor contributing to their own stress, lack of satisfaction and burnout. Doctors impaired in this way cannot provide the appropriate empathy and support required by their patients. Distress in cancer patients who are in need of psychosocial treatment remains unrecognized and hence untreated in the majority of cases. Over the past few years, there have been several initiatives aimed at improving communication skills for healthcare professionals within an oncology setting. There is increasing evidence that communication skills training administered by experienced teachers is effective, even over an extended time period.
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Keller, M., Werner, A. Aufklärung und Begleitung von Tumorpatienten. Onkologe 12, 55–61 (2006). https://doi.org/10.1007/s00761-005-0995-1
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DOI: https://doi.org/10.1007/s00761-005-0995-1
Schlüsselwörter
- Tumorpatienten
- Belastung für den Arzt
- Kommunikation
- Arzt-Patienten-Interaktion
- Gesprächsführungstraining