关于披露坏消息的医生知识,实践,挑战和局限性:巴基斯坦的一项多中心研究
Asma Usman1, Sameena Shah2, Samar Zaki1
1Department of Family Medicine, The Aga Khan University Hospital, Karachi, Pakistan.
Journal of family medicine and primary care
|January 10, 2025
概括
医生发现打破坏消息很困难,引用缺乏隐私,时间和培训作为关键障碍. 有效的披露需要提高沟通技巧和文化敏感性.
科学领域:
- 医学沟通 医学沟通
- 医生与病人关系 医生与病人关系
- 巴基斯坦的医疗保健实践
背景情况:
- 对医生来说,打破坏消息是一个具有挑战性的任务,特别是在管理危及生命的疾病的专业领域.
- 了解医生的知识,实践和在巴基斯坦披露坏消息的障碍是至关重要的.
研究的目的:
- 评估医生对披露坏消息的看法和做法.
- 识别巴基斯坦各地医生在披露坏消息时遇到的障碍.
主要方法:
- 在巴基斯坦的15家政府和私人医院进行了一项横截面,多中心的研究.
- 共有来自各种专业的1185名医生进行了调查.
- 对不同省份的反应进行了分析和比较.
主要成果:
- 80%的医生将危及生命的诊断 (如癌症,中风) 与坏消息等同,而不到50%的医生将疟疾或伤寒等疾病视为坏消息.
- 超过57%的医生在0-6级别上将传递坏消息的难度评为4或以上.
- 确定的障碍包括缺乏隐私,时间,培训,对患者/家庭反应的恐惧和个人痛苦.
结论:
- 有效地披露坏消息需要技术能力和适当的培训.
- 以患者为中心的沟通和考虑社会文化因素对于成功的披露至关重要.
- 解决已识别的障碍可以提高巴基斯坦坏消息传递的质量.
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