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Yıl:2018; Cilt: 4; Sayı: 2>> Özet
Türkiye Klinikleri Psikiyatri Hemşireliği Özel Dergisi; 2018;4(2):1-8
Psiko-onkoloji/Psikososyal Onkoloji Hizmetinin Gelişimi
NK Yıldırım, M Özkan, G Terakye, S Özkan
İstanbul Üniversitesi, İstanbul
Kanser, hastanın bütünlüğü içinde yaşanan bir deyimdir ve hem hastalığın, hem tedavisinin yaşamın birçok yönü üzerinde derin etkilere sahip olma potansiyeli vardır. Kanser hastalarına optimal bakımın ancak etkili bir fiziksel ve psikososyal bakımın bütüncül olarak verilmesiyle mümkün olacağı kabul edilmektedir. Multidisipliner uygulamanın değerini gösteren, konsültasyon liyezon psikiyatrisinin alt dallarından biri olan psiko-onkoloji veya psikososyal onkoloji, kanser psikiyatrisini temsil eden bir disiplindir. Bu alan, kanserin psikolojik, psikosomatik, psikoterapötik, sosyal, davranışsal ve etik yönleriyle ilgilidir. Psiko-onkolojinin gelişimi esas olarak 20. yüzyılın son çeyreğinde gerçekleşmiştir. Günümüzde, psikososyal bakımın bütün kanser hastalarının rutin programına entegre edilmesi gerektiği vurgulansa da hala psikososyal hizmetlere erişimde önemli engeller bulunmaktadır. Bu nedenle psiko-onkolojinin tarihsel temellerini anlamak önemlidir. Bu makalede, psiko-onkoloji uzmanlığının gelişimi onkolojideki ilerlemeler, kanser ve psikiyatri hakkındaki tutum ve inançlarla birlikte ele alınmıştır.
Development of Psycho-oncology/Psychosocial Oncology Service
Cancer, is experienced in the integrity of the patient, and have strong effects in various aspects of life. It is accepted that the optimal care for cancer patients can only be possible with enabling integrated effective physical, and psychosocial care. One of the sub-branches of consultation liaison psychiatry, psycho-oncology or psychosocial oncology is a discipline representing the cancer psychiatry. This area deals with the psychological, psychosomatic, psychotherapeutic, social, behavioral, and ethical aspects of cancer. The psycho-oncology emerged mainly in the last quarter of the 20th century. Although the integration of psychosocial care to the routine program of all cancer patients has currently been emphasized, there are significant barriers in access to the psychosocial services. Therefore, it is important to understand the historical basis of psycho-oncology. We evaluated the development of the specialty of psycho-oncology with the advances in oncology, and the attitudes and beliefs about cancer, and psychiatry in the present manuscript.

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