Zusammenfassung
Bei häufigen Tumorentitäten (z. B. Mamma-, Prostata- oder Kolonkarzinom) nehmen 75−80 %
der Betroffenen naturheilkundliche Methoden in Anspruch [6], [18], [20]. Patienten in der aktiven Behandlungsphase (Operation, Chemotherapie, Strahlentherapie
u. a.) verfolgen mit der Anwendung von Naturheilkunde und Komplementärmedizin häufig
die Reduktion von Nebenwirkungen der konventionellen Tumortherapie, aber auch eine
aktive Stärkung der Gesundheit [10], [17]. Menschen, die die aktive Tumortherapie abgeschlossen haben, interessieren sich
besonders für Möglichkeiten der Rezidivprophylaxe [19]. Dieser Nachfrage von Tumorpatienten entspricht das naturheilkundliche Tumorbegleitprogramm
des Kompetenzzentrums für Komplementärmedizin und Naturheilkunde (KoKoNat) des Klinikums
rechts der Isar der Technischen Universität München. Die Einzelkomponenten des Patientenkompetenz-Programms
werden beschrieben.
Summary
A relatively large proportion of cancer patients, especially those suffering from
breast, prostate and colon cancer use complementary medicine (CM). The majority of
these patients aim to overcome side effects of their cancer therapy (surgery, chemotherapy,
radiation) or to reduce their relapse risk with help of CM [10], [17]. In addition, people with risk factors for cancer (e. g. older age, family history
of cancer) use CM to strengthen or restore their health in order to avoid developing
the disease [19]. Complementary medicine should be salutogenic orientated and provide comprehensive
support for a healthy lifestyle. For this purpose, a naturopathic out-patient program
for cancer patients has been developed by the Competence Centre for Complementary
Medicine and Naturopathy (CoCoNat), University Hospital rechts der Isar, Technische
Universität München (TUM). Main components of the program include in depth consultation
by CM-physicians and three levels of individual or group competence trainings. In
Competence-Training 1, specialized Health Coaches teach basic skills in naturopathic
self-help techniques and self-monitoring of treatment or disease related symptoms.
Competence-Training 2 and 3 mediate stress coping strategies e. g. by acquiring QiGong
techniques as well as practical skills in endurance workout and implementation strategies
for a healthy nutrition in every-day life. The trainings mentioned afore are conceptualized
mainly for patients suffering from stress symptoms and cancer fatigue as well as for
healthy people interested in cancer prevention with means of a healthy lifestyle program
[21].
Schlüsselwörter
Patientenkompetenz - naturheilkundliches Tumorbegleitprogramm - komplementär-medizinische
Tumorberatung - onkologisches Nebenwirkungsmanagement - QiGong - Individuelles Gesundheits-Management
(IGM) - Salutogenese
Keywords
Complementary medicine - healthy lifestyle program - naturopathic out-patient program
for cancer patients - competence training - patient competence
