Doctors communication of trust, care, and respect in breast cancer: qualitative study
Doctors communication of trust, care, and respect in breast cancer: qualitative study
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DOI：
10.1136/bmj.38046.771308.7c
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发表时间：
2004-04-10
影响因子：
105.7
通讯作者：
Salmon, P
中科院分区：
文献类型：
--
作者：
Wright, EB;Holcombe, C;Salmon, P
目的 确定乳腺癌患者希望医生如何与他们沟通。设计定性研究。设置乳腺病房和患者住所。参与者 39 名乳腺癌女性。主要结果测量患者对医生的特征或他们重视或不赞成的行为的报告。结果患者并不主要关心医生的沟通技巧。相反，他们强调医生持久的特征。具体来说，他们重视那些他们认为是技术专家的医生，与吴廷琰建立了个人关系，并尊重他们。因此，她们重视目前在培训和研究中未强调的沟通形式，并且本质上并不重视目前认为重要的其他沟通形式，包括提供信息和选择。 结论 患有乳腺癌的女性试图将她们的医生视为会照顾她们的依恋人物。他们寻求的沟通既不损害他们的观点，又增强他们受到照顾的信心。测试和阐述我们的分析将有助于将传播研究和教学的重点放在患者的需求上，而不是专业人士认为他们需要的东西上。
Objective To determine how patients with breast cancer want their doctors to communicate With them.Design Qualitative study. Setting Breast unit and patients' homes.Participants 39 Women with breast cancer.Main outcome measure Patients' reports of doctors' characteristics or behaviour that they valued or deprecated.Results Patients were not primarily concerned With doctors' communication skills. Instead they emphasised doctors' enduring characteristics. Specifically, they valued doctors whom they believed were technically expert, had formed individual relationships with diem, and respected them. They therefore valued forms of communication that are currently not emphasised in training and research and did not intrinsically value others that are currently thought important, including provision of information and choice.Conclusions Women with breast cancer seek to regard their doctors as attachment figures who will care for them. They seek communication that does not compromise this view and that enhances confidence that they are cared for. Testing and elaborating our analysis will help to focus communication research and teaching on what patients need rather than on what Professionals think they need.