„Keine Angst, es tut weh!“ - Psychologische Vorbereitung auf medizinische Maßnahmen in der pädiatrischen Onkologie

Abstract

In the last decades the chances of surviving childhood cancer have increased. Nowadays psychological and psychosocial long term side effects become more spotlighted. Especially the posttraumatic stress disorder is focused at the moment as a possible side effect of childhood cancer. Cancer as a life-threatening illness is unpredictable and associated with repeating loads, such as medical procedures or treatment. Most of the patients report anxiety, especially young children have an increased risk of making a traumatic experience while undergoing medical treatment. A psychological support before, meanwhile and after can ensure compliance as well as reducing emotional and behavioral disorders. Even preventive impact is conceivable. Therefore psychological support has become a standard in pediatric cancer treatment. The current case report of the 10 year old Tom is a practical example how to support has undergoing medical procedures. The interventions described have the aim of stabilizing the patient and reducing his anxiety and discomfort. They also show an effect on self-efficacy.

Progredienzangst bei Eltern krebskranker Kinder: Adaptation eines Fragebogens und Korrelate

“…Bessere Heilungschancen bei Krebserkrankungen rücken die psychischen und psychosozialen Langzeitfolgen für die jungen Patienten und ihre Familien stärker in den Fokus der Gesundheitsversorgung [17]. Eine schwere oder chronische Erkrankung eines Kindes stellt eine große Belastung für die gesamte Familie dar [11,15].…”

A Sorrow Shared Is a Sorrow Halved? Patient and Parental Anxiety Associated with Venipuncture in Children before and after Liver Transplantation

“…Secondly, negative experiences of blood sampling can lead to a fear of needles and for some children, even needle phobia, which can persist into adulthood [6,9]. Especially intrusive medical procedures such as transplantation are often perceived as traumatic both by patients and their parents [10], increasing the risk of developing post-traumatic stress disorders among children [11]. Chronic childhood illnesses and organ transplantations are risk factors for the development of post-traumatic stress disorders (in adulthood) [10][11][12], and the perceived intensity of a medical treatment appears to be an important component of this risk [13].…”