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  3. 卷 4 编号 1 (2016): Winter (February)
  4. Brief Report

卷 4 编号 1 (2016)

二月 2016

Patients’ Attitude toward Breaking Bad News; a Brief Report

  • Hamed Aminiahidashti
  • Seyed Jaber Mousavi
  • Mohammad Mehdi Darzi

学术急诊医学档案, 卷 4 编号 1 (2016), 1 二月 2016 , 第 34-37 页
https://doi.org/10.22037/aaem.v4i1.214 已出版: 2018-12-11

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摘要

Introduction: Delivering bad news is a stressful moment for both physicians and patients. The purpose of this investigation was to explore the patients’ preferences and attitudes toward being informed about the bad news. Methods: This cross-sectional study was done on patients admitted to Imam Khomeini Hospital, Sari, Iran, from September 2014 to February 2015. Patient attitude regarding breaking bad news was evaluated using a reliable and valid questionnaire. Results: 130 patients were evaluated (61.5% male, mean age = 46.21 ± 12.1 years). 118 (90.76%) participants believed that the patient himself/herself should be informed about the disease’s condition. 120 (92.30%) preferred to hear the news from a skillful physician and 105 (80.76%) believed that emergency department is not a proper place for breaking bad news. Conclusion: Based on the results of the present study, most participants believed that the most experienced and skillful physician should inform them completely regarding their medical condition. At the same time they declared that, it is best to hear bad news in a calm and suitable place and time rather than emergency department or hospital corridors during teaching rounds.
关键词:
  • Truth disclosure
  • attitude
  • patient rights
  • ethics
  • physician-patient relations
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1.
Aminiahidashti H, Mousavi SJ, Darzi MM. Patients’ Attitude toward Breaking Bad News; a Brief Report. Arch Acad Emerg Med [网际网络]. 2018年12月11日 [见引于 2026年7月8日];4(1):34-7. 载于: https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/214
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参考

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Orlander JD, Graeme Fincke B, Hermanns D, Johnson GA. Medical residents' first clearly remembered experiences of giving bad news. Journal of general internal medicine. 2002;17(11):825-40.

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Managheb SE, Hosseinpour M, Mehrabi F. Patient’s viewpoints about how to break bad news. Iranian Journal of Medical Ethics and History of Medicine. 2013;6(4):68-79.

Li J, Gao XH, Yang XM, Jing P, Yu SY. Whether, when, and who to disclose bad news to patients with cancer: a survey in 150 pairs of hospitalized patients with cancer and family members in China. Psychoâ€Oncology. 2012;21(7):778-84.

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Tang ST, Liu T-W, Lai M-S, Liu L-N, Chen C-H, Koong S-L. Congruence of knowledge, experiences, and preferences for disclosure of diagnosis and prognosis between terminally-ill cancer patients and their family caregivers in Taiwan. Cancer investigation. 2006;24(4):360-6.

Ptacek J, Ptacek JJ. Patients’ perceptions of receiving bad news about cancer. Journal of Clinical Oncology. 2001;19(21):4160-4.

Cameron C. Patient compliance: recognition of factors involved and suggestions for promoting compliance with therapeutic regimens. Journal of advanced nursing. 1996;24(2):244-50.

Thomsen OO, Wulff HR, Martin A, Singer P. What do gastroenterologists in Europe tell cancer patients? The Lancet. 1993;341(8843):473-6.

Konstantis A, Exiara T. Breaking bad news in cancer patients. Indian journal of palliative care. 2015;21(1):35.

Alrukban MO, Albadr BO, Almansour M, et al. Preferences and attitudes of the Saudi population toward receiving medical bad news: A primary study from Riyadh city. Journal of family & community medicine. 2014;21(2):85.

Sutherland HJ, Llewellyn-Thomas HA, Lockwood GA, Tritchler DL, Till JE. Cancer patients: their desire for information and participation in treatment decisions. Journal of the Royal Society of Medicine. 1989;82(5):260-3.

Fujimori M, Uchitomi Y. Preferences of cancer patients regarding communication of bad news: a systematic literature review. Japanese journal of clinical oncology. 2009;39(4):201-16.

Ford S, Fallowfield L, Lewis S. Can oncologists detect distress in their out-patients and how satisfied are they with their performance during bad news consultations? British Journal of Cancer. 1994;70(4):767.

Girgis A, Sanson-Fisher RW. Breaking bad news: consensus guidelines for medical practitioners. Journal of Clinical Oncology. 1995;13(9):2449-56.

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