"Applicazione dell'Arteterapia in Oncologia: Valutazione dei Sintomi di Pazienti Affetti da Malattia Cancerosa" (ARONCO)

Comparatore attivo: Con l'arteterapia

Arteterapia come terapia di supporto in 6 sessioni consecutive di trattamenti oncologici con o senza cure di supporto aggiuntive

Comportamentale: Arteterapia

Quando il paziente viene ricoverato in una sala di cura, un infermiere o l'ARC propone di compilare i questionari corrispondenti alla sua visita secondo lo schema delle indagini, quindi recupera il questionario e lo inoltra all'arteterapeuta Quindi, interviene l'arteterapeuta e propongono diversi supporti artistici: pittura, matite acquerellabili, pastelli, matite, argilla, origami, musica come accompagnamento alla creazione artistica.

Il workshop dura da 30 minuti alle 2:30. Può essere tagliato da interventi di medici e infermieri durante le cure mediche. Il limite delle cure è fissato alle ore 2:30 per motivi di concentrazione del paziente, organizzazione del servizio ma il paziente è attore della sua cura, e sceglie quando terminare la seduta.

Al termine dell'intervento, l'infermiere o l'ARC propone al paziente di compilare il questionario finale. Tesi ultime sono recuperarlo e inoltrarlo all'arteterapeuta.

Nessun intervento: Senza arteterapia

6 sedute consecutive di cure oncologiche senza arteterapia con l'aggiunta di altre cure di supporto.

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.