ALGORITHM FOR ASSESSMENT FAMILY STATUS OF FAMILIES WITH CANCER PATIENT

Authors

  • I. R. Mukharovska O. Bohomolets National Medical University, Kyiv, Ukraine
  • M. V. Markova Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine
  • T. G. Krivonis M. Pyrohov Vinnytsia National Medical University, Vinnytsia, Ukraine
  • I. V. Zhulkevych I. HorbachevskyTernopil National Medical University, Ternopil, Ukraine

DOI:

https://doi.org/10.11603/1681-2786.2020.1.11200

Keywords:

patients family, cancer patients, psycho-oncology, medical-psychological help

Abstract

Purpose: to determine diagnostic criteria and develop an algorithm for analyzing the psychological status of the family with the cancer patient in relation to the course and treatment of the disease and its impact on family functioning.

Materials and methods. The study conducted in the M. Pyrohov Medical-Psychological Center and Vinnytsia Regional Clinical Oncology Clinic during 2015–2019 years with ethical and deontological standards. Based on study modern professional literature about psychological status families with cancer patients, evaluated criteria and developed algorithm of analysis psychological status of such families. On informed consent in research for building algorithm participated 288 families with cancer patient on different stages of treatment.

Results. Based on the definition main criteria that describing the psychological status of the family with the cancer patient, which included: psychological problems and needs, peculiarities of the emotional state, family behavior model, type of interaction during treatment, a step-by-step algorithm for assessing the psychological status of the family with cancer patients developed, which allowed differentiated medical-psychological help.

Conclusions. The basic directions of psychological help for a family with cancer patients are stabilization of psycho-emotional state of family members, transformation irrational ideas about the disease to more realistic, working with existential experiences, strengthening the support component in relationships, teaching effective communication about illness, promotion adaptive strategy for overcoming the disease.

Author Biographies

I. R. Mukharovska, O. Bohomolets National Medical University, Kyiv, Ukraine

MD, PhD (Doctor of Medical Science), Associate Professor, Department of Medical Psychology, Psychosomatic Medicine and Psychotherapy Bogomolets National Medical University, member of the Ukrainian Union of Psychotherapists, member of the Ukrainian Psycho-Oncological Association.

M. V. Markova, Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine

MD, PhD (Doctor of Medical Science), Professor, Department of Sexology, Medical Psychology, Medical and Psychological Rehabilitation of Kharkiv Academy of Postgraduate Education

T. G. Krivonis, M. Pyrohov Vinnytsia National Medical University, Vinnytsia, Ukraine

MD, PhD (Candidate of Medical science), Associate Professor, Department of Medical Psychology and Psychiatry with a course of postgraduate education National Pirogov Memorial Medical University

I. V. Zhulkevych, I. HorbachevskyTernopil National Medical University, Ternopil, Ukraine

MD, PhD (Doctor of Medical Sciences), Professor, Department of Oncology, Radiation Diagnostics and Therapy and Radiation Medicine, I. Horbachevsky Ternopil National Medical University

References

Vybyrana, R.Y., & Zhulkevych, I.V. (2013). Faktory formuvannia osteopenichnoho syndromu v cholovikiv, khvorykh na khronichnu limfoidnu leikemiiu [Factors of osteopenic syndrome in men, patients with chronic lymphoid leukemia]. Visnyk naukovykh doslidzhen – Bulletin of Scientific Researches, 3, 60-64 [in Ukrainian].

Zhulkevych, I.V., & Kryvokulskyi, B.D. (2018). Personalizatsiia v onkolohii: indyvidualnyi pidkhid do profilaktyky tromboembolichnykh uskladnen pry histerektomii [Personalization in oncology: individual approach to the prevention of thromboembolic complications during hysterectomy]. Visnyk sotsialnoi hihiieny ta orhanizatsii okhorony zdorovia Ukrainy – Bulletin of Social Hygiene and Health Protection Organization of Ukraine, 4, 11-18 [in Ukrainian].

Kryvokulskyi, B.D., Kryvokulskyi, D.B., & Zhulkevych, I.V. (2014). Dynamika zmin hemostatychnoho potentsialu na operatsiinomu etapi likuvannia patsiientiv z pukhlynnymy zakhvoriuvanniamy zhinochoi statevoi systemy [Dynamics of changes of memostatic potential on the operational phase of the treatment of patients with malignant diseases of the female reproductive system]. Shpytalna khirurhiia – Hospital Surgery,4, 92-96 [in Ukrainian].

Kuzhel, I.R. (2011). Medyko-psykholohichna dopomoha osobam, yaki zdiisniuiut dohliad za inkrabelnymy onkolohichnymy khvorymy v umovakh paliatyvnoi medytsyny [Medical and psychological assistance to the persons who care for incurable cancer patients in the conditions of palliative medicine]. Extended abstract of Candidate’s thesis. Kharkiv [in Ukrainian].

Kyubler-Ross, E. (2001). O smerti i umiranii [On death and dying]. Kyiv: Izd-vo “Sofiya” [in Russian].

Zhulkevych, I.V., Smiyan, S.I., Havrylyuk, M.Ye., Kmita, H.H., & Kramar, L.T. (2000). Metodolohichni pidkhody do vyvchennia yakosti zhyttia v hematolohichnykh doslidzhenniakh [Methodological approaches to the study of quality of life in hematological research]. Visnyk naukovykh doslidzhen – Bulletin of Scientific Researches, 3,16-23 [in Ukrainian].

Kirkilevskyi, S.I., Zhulkevych, I.V., Mashukov, A.A., Maksymovskyi, V.Ye., Rybin, A.I., Tkachenko, O.I., …, & Linkevich, V.A. (2018). Mistse vnutrishnocherevno i hipertermichnoi khimioperfuzii u kompleksnomu likuvanni khvorykh na perytonealno-dyseminovanyi rak shlunka [The role of intraperitoneal hyperthermic chemoperfusion in the complex treatment of patients with peritoneal-disseminated cancer of the stomach]. Visnyk naukovykh doslidzhen – Bulletin of Scientific Researches, 4, 13-25 [in Ukrainian].

Mukharovska, I.R. (2017). Kliniko-psykholohichna kharakterystyka psykhoemotsiinykh porushen ta systema medyko-psykholohichnoi korektsii i pidtrymky v onkolohichnii praktytsi (fenomenolohiia, mekhanizmy psykhopatohenezu ta adaptatsii na model psykhoonkolohichnoi dopomohy) [Clinical and psychological characteristics of psycho-emotional disorders and system of medical-psychological correction and support in oncological practice (phenomenology, mechanisms of psychopathogenesis and adaptation model of psycho-oncological help)]. Doctor’s thesis. Kharkiv [in Ukrainian].

Mukharovska, I.R. (2016). Osoblyvosti psykholohichnoho stanu chleniv simi onkolohichnoho khvoroho na riznykh etapakh likuvalnoho protsesu [Peculiarities of psychological state of family members of cancer patients at different stages of the healing process]. ScienceRise. Medicalscience, 12 (8), 21-26 [in Ukrainian].

Otroshchenko, N.P., Otroshchenko, I.P., & Otroshchenko, P.A. (2015). Osoblyvosti netsyrkuliarnykh depresii u onkolohichnykh khvorykh [Specification of non-circular depression patients with cancer]. Psykhichne zdorovia – Mental Health, 1 (46), 20-24 [in Ukrainian].

Petelin, D.S., & Lukin, A.V. (2015). Fenomen otkladyvaniya v onkologii [The phenomenon of procrastination in oncology]. Psikhicheskiye rasstroystva v obshchey meditsine – Mental Disorders in General Medicine, 2-3, 40-53 [in Russian].

Kulpa, M.M., Kosowicz, B., Stypuła-Ciuba J., & Kazalska, D. (2014). Anxiety and depression, cognitive coping strategies, and health locus of control in patients with digestive system cancer. Prz. Gastroenterol., 9 (6), 329-335. DOI: https://doi.org/10.5114/pg.2014.47895

Leroy, T., Fournier, E., Penel, N., & Christophe, V. (2016). Crossed views of burden and emotional distress of cancer patients and family caregivers during palliative care. Psychooncology, 25 (11), 1278-1285. DOI: https://doi.org/10.1002/pon.4056

Nipp, R.D., El-Jawahri, A., Fishbein, J.N., Gallagher, E.R., Stagl, J.M., Park, E.R. …, &Temel, J.S. (2016). Factors associated with depression and anxiety symptoms in family caregivers of patients with incurable cancer. Annual of Oncology, 27 (8), 1607-1612. DOI: https://doi.org/10.1093/annonc/mdw205

Rumpold, T., Schur, S., Amering, M., Kirchheiner, K., Masel, E.K., Watzke, H., &Schrank, B. (2016). Informal caregivers of advanced-stage cancer patients: Every second is at risk for psychiatric morbidity. Support Care Cancer, 24 (5), 1975-1982. DOI: https://doi.org/10.1007/s00520-015-2987-z

Drabe, N., Klaghofer, R., Weidt, S., Zwahlen, D., Büchi, S., & Jenewein, J. (2015). Mutual associations between patients’ and partners’ depression and quality of life with respect to relationship quality, physical complaints, and sense of coherence in couples coping with cancer. Psychooncology, 24 (4), 442-450. DOI: https://doi.org/10.1002/pon.3662

Holland, J.C., Breitbart, W.S., Jacobsen, P.B., Loscalzo, M.J., McCorkle, R., & Butow, P.N. (Eds.). (2015). Psycho-oncology. Third Edition. Oxford University press. DOI: https://doi.org/10.1093/med/9780199363315.001.0001

Jeong, A., Shin, D.W., Kim, S.Y., Yang, H.K., Shin, J.Y., Park, K., …, & Park, J.H. (2016). The effects on caregivers of cancer patients’ needs and family hardiness. Psychooncology, 25 (1), 84-90. DOI: https://doi.org/10.1002/pon.3878

Downloads

Published

2020-03-25

How to Cite

Mukharovska, I. R., Markova, M. V., Krivonis, T. G., & Zhulkevych, I. V. (2020). ALGORITHM FOR ASSESSMENT FAMILY STATUS OF FAMILIES WITH CANCER PATIENT. Bulletin of Social Hygiene and Health Protection Organization of Ukraine, (1), 18–23. https://doi.org/10.11603/1681-2786.2020.1.11200

Issue

No. 1 (2020)

Section

Organization of medical care

License

Authors who publish in this journal agree to the following terms:

1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.

 2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.

3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).