Communication at times of transitions: How to help patients cope with loss and re-define hope
Communication at times of transitions: How to help patients cope with loss and re-define hope
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DOI：
10.1097/00130404-200609000-00010
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发表时间：
2006-09-01
期刊：
影响因子：
2.2
通讯作者：
Arnold, Robert M.
中科院分区：
文献类型：
--
作者：
Evans, Wendy G.;Tulsky, James A.;Arnold, Robert M.
患者在癌症治疗过程中经历多次转变。肿瘤学家在帮助患者度过这些转变方面具有独特的优势。当患者的情况发生变化时，他们必须应对损失和相关的负面情绪。然后他们能够重新定义希望。在过渡期间，患者希望肿瘤科医生提供生物医学信息，表明他们关心并理解他们作为个体，并平衡希望和现实。引起担忧和表达同理心可以向患者表明肿瘤科医生关心并理解他们，并帮助患者应对转变带来的损失和负面情绪。肿瘤学家可以通过对患者准备好听到的内容保持敏感，并帮助他们发现和识别现实的希望来保持希望。这是通过询问-告诉-询问和希望最好、为最坏的情况做好准备的技巧来实现的，最重要的是通过对患者的希望和恐惧感到好奇来实现。
Patients undergo multiple transitions during the course of their cancer care. Oncologists are uniquely positioned to help patients through these transitions. When patients' situations change, they must cope with loss and associated negative emotions. They then are able to redefine hope. During transitions, patients want their oncologists to provide biomedical information, show that they care about and understand them as individuals, and balance hope and realism. Eliciting concerns and expressing empathy shows patients that their oncologist cares about and understands them and also helps patients to cope with the loss and negative emotions that transitions create. Oncologists can maintain hope by being sensitive to what patients are ready to hear when, and by helping them discover and identify realistic hopes. This is accomplished with the Ask-Tell-Ask and Hope for the Best, Prepare for the Worst techniques, and most importantly by being curious about patients' hopes and fears.