CANCER-PATIENTS PERCEPTIONS OF THEIR DISEASE AND ITS TREATMENT
CANCER-PATIENTS PERCEPTIONS OF THEIR DISEASE AND ITS TREATMENT
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DOI：
10.1038/bjc.1988.218
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发表时间：
1988-09-01
影响因子：
8.8
通讯作者：
STEWART, SS
中科院分区：
文献类型：
--
作者：
MACKILLOP, WJ;STEWART, WE;STEWART, SS
100名正在接受积极治疗的癌症患者接受了采访，以确定他们如何看待自己的疾病，以及他们的看法如何与他们的主治医生相比。98名患者承认他们患有癌症，87名患者正确识别了肿瘤类型。67例局部或区域性疾病患者中有64例意识到这一点，但33例转移性疾病患者中有11例错误地认为癌症是局部的。52名接受治愈治疗的患者中有5人认为他们正在接受姑息治疗，48名接受姑息治疗的患者中有16人认为医生的目的是治愈他们。这48名患者中有40名明显高估了治疗延长生命的可能性。几乎没有受过中等教育的患者更容易低估他们病情的严重性。医生和病人之间的互动没有被直接观察到，因此无法确定病人对自己疾病的不准确看法是由于次优沟通还是否认。医生们常常不能认识到病人的误解。在接受姑息治疗的16个病例中，只有一个病例的医生认识到存在这种误解。
One hundred cancer patients undergoing active treatment were interviewed to determine how they perceived their illness and how their perceptions compared with those of their attending physicians. Ninety-eight patients recognized that they had cancer and 87 correctly identified the tumour type. Sixty-four of 67 patients with local or regional disease were aware of this, but 11 of 33 patients with metastatic disease incorrectly believed that the cancer was localized. Five of 52 patients being treated for cure thought they were being treated palliatively, and 16 of 48 patients receiving palliative treatment believed that the doctor''s aim was to cure them. Forty of these 48 patients significantly overestimated the probability that the treatment would prolong their lives. Patients with little secondary education were significantly more likely to underestimate the seriousness of their condition. Interactions between doctor and patients were not observed directly and it was therefore not possible to determine whether patients'' inaccurate views of their illness were due to suboptimal communication or denial. Doctors frequently failed to recognize their patients'' misconceptions. In only one of the 16 cases in which a patient, who was being treated palliatively, believed that the treatment was curative did the doctor recognize that this misunderstanding existed.