Approaching difficult communication tasks in oncology
Approaching difficult communication tasks in oncology
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DOI：
10.3322/canjclin.55.3.164
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发表时间：
2005-05-01
影响因子：
254.7
通讯作者：
Fryer-Edwards, K
中科院分区：
文献类型：
--
作者：
Back, AL;Arnold, RM;Fryer-Edwards, K
有效的沟通技巧使医生能够提高患者对自身疾病的理解，提高患者对治疗方案的依从性，高效利用时间，避免职业倦怠，并增加职业成就感。常见的沟通误区包括阻碍交流、说教、依赖常规、串通和过早给予安慰。基本的沟通技巧包括“询问 - 告知 - 再询问”、“再多跟我说说”以及有同理心的回应。与疾病发展轨迹相关的关键沟通任务包括：首次就诊、告知坏消息、做出抗癌治疗决策、提供临床试验、完成抗癌治疗以及停止姑息性化疗。虽然提高或获得新技能最终需要长期的实践和反馈，但本文为医生在癌症患者护理过程中所需的重要沟通技能提供了一个认知框架。
Effective communication skills enable physicians to improve patients' understanding of their illnesses, improve patient adherence to treatment regimens, use time efficiently, avoid burnout, and increase professional fulfillment. Common communication pitfalls include blocking, lecturing, depending on a routine, collusion, and premature reassurance. Fundamental communication skills include "ask-tell-ask," "tell me more," and responding empathetically. Key communication tasks that are linked to the illness trajectory include: the first visit, giving bad news, making anticancer treatment decisions, offering clinical trials, completing anticancer therapy, and discontinuing palliative chemotherapy. While enhancing or acquiring new skills ultimately requires practice and feedback over time, this article provides a cognitive map for important communication skills that physicians need over the course of caring for a person with cancer.