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Institute
- Department Sport- und Gesundheitswissenschaften (1535) (remove)
Hintergrund
Lungenkrebsbetroffene sind besonders stark durch psychischen Stress belastet. Gleichzeitig sind die Inanspruchnahmeraten von psychoonkologischer Unterstützung relativ gering. Es ist wenig über die Gründe der (Nicht‑)Inanspruchnahme bekannt.
Fragestellung
Welche emotionalen Herausforderungen erleben Menschen mit Lungenkrebs? Was sind ihre Gründe für die (Nicht‑)Inanspruchnahme psychoonkologischer Unterstützung?
Material und Methode
Es wurden qualitative Interviews mit 20 Lungenkrebsbetroffenen ausgewertet, die im Rahmen der CoreNAVI-Studie durchgeführt wurden.
Ergebnisse
Die Befragten erleben psychischen Stress in Form von Unsicherheiten und Zukunftsängsten. Auch den Druck, schnell von einer Behandlung in die nächste gehen zu müssen und keine Zeit für sich zu haben, nehmen die Betroffenen als belastend wahr. Das offene Sprechen, ohne das persönliche Umfeld belasten zu müssen, sowie konkrete Ratschläge erleben die Nutzer*innen der Psychoonkologie als große Hilfestellung. Die Nichtinanspruchnahme wird durch fehlenden Bedarf und mangelnde Kapazitäten begründet. Zudem werden Vorbehalte gegenüber psychologischer Unterstützung deutlich.
Schlussfolgerung
Betroffene mit Lungenkrebs erleben psychische und emotionale Belastungen auch durch die Vielzahl und Dichte an Therapien. Daraus resultierende fehlende Kapazitäten könnten eine Erklärung für die geringe Inanspruchnahme von psychoonkologischer Unterstützung sein. Eine stärkere Gewichtung der Psychoonkologie gegenüber aufwendigen medizinischen, oft nur geringfügig lebensverlängernden Therapien sowie der Abbau von Vorbehalten gegenüber psychologischer Hilfe sollten in der Versorgungspraxis verstärkt in den Fokus rücken.
In der Jugendpolitik ist die Unterscheidung zwischen einer sportbezogenen und einer "allgemeinen", außersportlichen Jugendarbeit seit langem eine gängige Differenzierung, die weit mehr als nur analytischen Charakter hat. Sie beinhaltet auch die eher selten explizitierte Unterstellung, dass es eine Grenzlinie gäbe zwischen einer "rein sportlich orientierten Arbeit" ohne pädagogische Qualität einerseits und einer "eigentlichen" Jugendarbeit mit pädagogischem Anspruch andererseits. In diesem Beitrag werden die verschiedenen Argumentationslinien diskutiert, mit denen das (Un-)Pädagogische einer Jugendarbeit in Sportorganisationen begründet wird, um die fehlende Kohärenz in den Begründungsmustern aufzeigen. Dabei wird auch deutlich werden, dass die Grenzziehung zwischen einer "unpädagogischen" sportbezogenen und einer "pädagogisch wertvollen" allgemeinen Jugendarbeit de facto von allen Seiten - und somit auch von den Sportverbänden und insbesondere der Deutschen Sportjugend (dsj) - zumindest in den argumentativen Grundzügen anerkannt wird, so dass das "normative" Begründungsmuster der staatlichen Jugendpolitik weitgehend unkritisch übernommen und legitimiert wird. Die konkrete Praxis der Jugendarbeit in Sportvereinen hingegen, auf die sich eine programmatische pädagogische Rechtfertigung der Sport(jugend)organisationen wie auch die pädagogischen "Vorgaben" der staatlichen Jugendpolitik zu beziehen hätten, scheint weder von der einen, noch von der anderen Seite angemessen berücksichtigt zu werden.