Is there consensus between breast cancer patients and providers on guidelines for breaking bad news?
Is there consensus between breast cancer patients and providers on guidelines for breaking bad news?
复制标题
DOI：
10.1080/08964289909595739
复制
发表时间：
1999-06-01
影响因子：
2.3
通讯作者：
Schofield, MJ
中科院分区：
文献类型：
--
作者：
Girgis, A;Sanson-Fisher, RW;Schofield, MJ
84名乳腺癌患者、64名肿瘤学家和140名肿瘤学护士对15条一般原则和12条建议步骤的重要性进行了评分，以指导临床医生向患者通报坏消息。三个样本中至少有70%的人认为15条原则中的7条和12个步骤中的6个是必不可少的。所有三个小组都同意，患者在法律上和道德上都有权获得准确可靠的信息，患者应该被诚实地、用简单的语言告知诊断和预后，尽管不是直言不讳。各组在其他项目的相对重要性上存在差异，步骤上的差异小于原则上的差异。患者对各种指导步骤和原则的重要性的认识可能是最重要的，因为患者收到令人不安的消息，研究表明消息的传递方式与重要的患者结果有关。讨论了进一步研究的建议。
Eighty-four breast cancer patients, 64 oncologists and 140 oncology nurses rated the importance of 15 general principles and 12 recommended steps to guide clinicians in breaking bad news to patients. At least 70% of the three samples rated 7 of the 15 principles and 6 of the 12 steps as essential. All three groups agreed that patients have a legal and moral right to accurate and reliable information and that patients should be given the diagnosis and prognosis honestly and in simple language, though not bluntly. The groups differed on the relative importance of other items, with less variation about the steps than about the principles. Patients' perceptions of the importance of various guideline steps and principles are probably most important, given that patients receive the troubling news and that research indicates that how the news is delivered is associated with important patient outcomes. Recommendations for further research are discussed.