"Anwendung der Kunsttherapie in der Onkologie: Bewertung der Symptomatik von Patienten mit einer Krebserkrankung" (ARONCO)

Aktiver Komparator: Mit Kunsttherapie

Kunsttherapie als unterstützende Behandlung in 6 aufeinanderfolgenden Sitzungen von Krebsbehandlungen mit oder ohne zusätzliche unterstützende Behandlung

Verhalten: Kunsttherapie

Wenn der Patient in ein Behandlungszimmer gebracht wird, schlägt eine Pflegekraft oder das ARC vor, die seinem Besuch entsprechenden Fragebögen gemäß dem Diagramm der Untersuchungen auszufüllen, dann den Fragebogen abzurufen und an den Kunsttherapeuten weiterzuleiten. Dann greift der Kunsttherapeut ein und schlagen verschiedene künstlerische Hilfsmittel vor: Farbe, Aquarellstifte, Pastelle, Bleistifte, Ton, Origami, Musik als Begleitung zum künstlerischen Schaffen.

Der Workshop dauert von 30 Minuten bis 14:30 Uhr. Es kann durch Eingriffe von Ärzten und Pflegekräften während der medizinischen Versorgung gekürzt werden. Die Behandlungsgrenze ist aus Gründen der Konzentration des Patienten und der Organisation des Dienstes auf 2:30 Uhr festgelegt, aber der Patient ist ein Akteur seiner Betreuung und entscheidet, wann die Sitzung endet.

Am Ende des Eingriffs schlägt die Pflegekraft oder der ARC dem Patienten vor, den Abschlussfragebogen auszufüllen. Diese sind zuletzt abzurufen und an den Kunsttherapeuten weiterzuleiten.

Kein Eingriff: Ohne Kunsttherapie

6 aufeinanderfolgende Krebsbehandlungssitzungen ohne Kunsttherapie mit zusätzlicher unterstützender Behandlung.

Average, Over the 6 Treatment Sessions, of the Change in the ESAS 'Well-being" Assessed Before and After Each Treatment Session.

The aim is to evaluate the impact of art therapy as a supportive care on the improvement of the well-being felt after a session of cancer treatments (chemotherapy, immunotherapy, ...), during 6 sessions, in patients having a cancerous pathology.

The primary endpoint is the 6-session average of the difference between the ESAS score associated with the patient's well-being symptom (a symptom of "feeling good" on the ESAS assessment), obtained before and after the treatment session.

The Edmonton Symptom Assessment System (SESA) is a 9-item symptom rating scale. The quote goes from 0 to 10. A score close to zero means a better result.

Well-being (0=well, 10=bad)

Average Over the 6 Treatment Sessions of the Difference Between ESAS Scores for Each One of the Other Symptoms, Measured Before and After Each Treatment Session

For each of the other symptoms of the ESAS scale, : pain, fatigue, nausea, depression, anxiety, drowsiness, lack of appetite, difficulty breathing, the average over 6 treatment sessions, the difference between the ESAS score associated with the symptom studied, obtained before and after each treatment session.

The Edmonton Symptom Assessment System (SESA) is a 9-item symptom rating scale. The quote goes from 0 to 10. For symptoms assessed within the 1st secondary endpoint, the ESAS score correlates positively to symptom intensity.

Difference in ESAS Scores for Each Symptom Between the First Treatment Session and the Last (6th) Session.

To determine the impact of the 6 sessions of art therapy as supportive care to cancer treatments on the evolution of symptoms, by the ESAS scale, before the first session of art therapy, and after the last session (6th) The secondary judgment criterion 2 corresponds, for each of the ESAS symptoms, to the difference in ESAS score associated with the symptom studied, before the first and the last treatment session (6th).

The Edmonton Symptom Assessment System (SESA) is a 9-item symptom rating scale. The quote goes from 0 to 10. Symptom intensity (0-10) and for well-being a score close to zero means a better result.

Difference in the Total FACT-G Quality-of-life Score Between the First Session and the End of the 6 Anticancer Treatment Sessions.

Secondary endpoint 3 is the difference in total FACT-G quality of life score score between inclusion and the end of the 6 sessions of cancer treatment.

This questionnaire contains 27 items constructed on a Likert scale with 5 coded response modes: 0 "Not at all" / 1 "A little" / 2 "Moderately" / 3 "A lot" / 4 "Enormously".

A score is calculated by dimension ( physical, social, emotional and functional). These scores range from 0 to 28 where 0 represents a low level of well-being and 28 a high level of well-being. This score corresponds to the sum of the raw scores obtained for each dimension, and varies from 0 (low level) to 108 (good level of general well-being).

Score global FACT-G (0-108)

Participants' Satisfaction With Art Therapy as Well as Their Subjective Perception of the Effects Experienced During and After the Sessions

Questionnaire (created by the principal investigator) designed to evaluate patient satisfaction, after 6 sessions of art therapy, on this type of therapy as supportive treatment in onco-therapy. It is composed of 5 questions relating to the feeling of art therapy sessions by the patient. They are rated from 0 to 5 (a better score is close to 5) in relation The secondary endpoint 4 is the satisfaction questionnaire for art therapy, performed only in patients in the therapy group by art.