预测和应对策略在实施癌症真相说:一个定性内容分析
Shi-Zhen Li1,2, Shih-Ying Chen1, Yu-Ling Chang1,3
1School of Nursing, College of Medicine, Chang Gung University, 259 Wen-Hwa 1st Road, Kwei-Shan, Taoyuan, Taiwan, ROC.
概括
台湾医生通过优先考虑以家庭为中心的护理和采用应对策略来保护患者,特别是当家庭要求隐信息时,以应对癌症的真相挑战.
科学领域:
- 在瘤学瘤学.
- 医学伦理 医学伦理
- 跨文化医疗保健沟通跨文化医疗保健沟通
背景情况:
- 西方以患者为中心的沟通与东方以家庭为中心的决策形成鲜明对比.
- 在台湾,参与医生的挑战和癌症真相讲述的应对机制仍未得到充分探索.
研究的目的:
- 调查台湾的护理医生在披露癌症诊断时遇到的困境.
- 确定这些医生在讲真话过程中采用的应对策略.
主要方法:
- 定性描述方法使用深入的,半结构化的访谈.
- 来自两家台湾医疗中心的17名主治医生被故意取样.
- 在采访成绩单上应用了诱导性内容分析.
主要成果:
- 医生面临的困境包括对患者的潜在危害以及家庭合作的必要性.
- 家庭成员要求隐真相带来了挑战,要求医生评估患者的病情.
- 策略包括优先考虑患者的信心和管理延迟治疗,并采用多种方法传递复发消息.
结论:
- 台湾医生经常优先考虑以家庭为中心的护理,即使这与以患者为中心的原则相冲突.
- 医生经常与家庭合作,以确定真相披露的程度和方法.
- 重点是解决患者在复发,转移或显著情绪困扰期间的心理需求.
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