GIVING SAD AND BAD-NEWS
GIVING SAD AND BAD-NEWS
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DOI：
10.1016/0140-6736(93)90219-7
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发表时间：
1993-02-20
期刊：
影响因子：
168.9
通讯作者：
FALLOWFIELD, L
中科院分区：
文献类型：
--
作者：
FALLOWFIELD, L
当坏消息被不敏感地打破时，其影响可能对给予者和接受者都是痛苦的。特别是对于接受者来说，效果可能是持久的。沟通技巧培训不足导致大多数医生无法适当地传达坏消息。医生必须意识到新闻对病人的影响;必须克服害怕因信息而受到指责以及因无法改善情况而感到失败的恐惧;必须学会如何科普接受者的反应。医生应为会面作好充分准备，确保病人已明白有关信息，并在会面后照顾病人的即时需要。如果同时讨论诊断调查或治疗方案，给病人一盘谈话录音带是有帮助的。
When bad news is broken insensitively the impact can be distressing for both giver and recipient. For the recipient especially, the effect can be longlasting. Poor training in communication skills leaves most doctors unable to give bad news appropriately. Doctors must realise what impact the news can have on the patient; must overcome fear of being blamed for the message and of a sense of failure for not being able to improve the situation; and must learn how to cope with the recipient's reaction. Doctors should prepare adequately for the meeting, ensure that the patient has understood the message, and see to the patient's immediate needs after the interview. If diagnostic investigations or therapeutic options are being discussed at the same time, giving the patient an audiotape recording of the interview is helpful.