SPIKES-A six-step protocol for delivering bad news: application to the patient with cancer.
SPIKES-A six-step protocol for delivering bad news: application to the patient with cancer.
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DOI：
10.1634/theoncologist.5-4-302
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发表时间：
2000-01-01
期刊：
影响因子：
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通讯作者：
Kudelka, A P
中科院分区：
文献类型：
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作者：
Baile, W F;Buckman, R;Kudelka, A P
我们描述了一个协议，披露不利的信息-“打破坏消息”-癌症患者对他们的疾病。该协议简单实用，符合已发表的关于此主题的研究所定义的要求。该协议（SPIKES）由六个步骤组成。我们的目标是使临床医生能够实现采访披露坏消息的四个最重要的目标：从患者那里收集信息，传递医疗信息，为患者提供支持，并在制定未来的策略或治疗计划时引起患者的合作。接受过该方案培训的肿瘤学家、肿瘤学实习生和医学生报告说，他们对向患者披露不利医疗信息的能力的信心有所增加。建议继续评估方案的方向。
We describe a protocol for disclosing unfavorable information-"breaking bad news"-to cancer patients about their illness. Straightforward and practical, the protocol meets the requirements defined by published research on this topic. The protocol (SPIKES) consists of six steps. The goal is to enable the clinician to fulfill the four most important objectives of the interview disclosing bad news: gathering information from the patient, transmitting the medical information, providing support to the patient, and eliciting the patient's collaboration in developing a strategy or treatment plan for the future. Oncologists, oncology trainees, and medical students who have been taught the protocol have reported increased confidence in their ability to disclose unfavorable medical information to patients. Directions for continuing assessment of the protocol are suggested.