欧洲的胃肠道科医生告诉癌症患者什么?
O O Thomsen1, H R Wulff, A Martin
1Medical Department C, Herlev Hospital (University of Copenhagen), Denmark.
Lancet (London, England)
|February 20, 1993
概括
欧洲胃肠科医生在癌症诊断披露方面存在差异. 北欧的医生通常会通知病人和配偶,而南欧和东欧的医生往往会向病人隐信息,优先考虑配偶的沟通.
科学领域:
- 医学伦理 医学伦理
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
背景情况:
- 在医学实践中,特别是在瘤学中,讲真相是一个复杂的伦理问题.
- 文化和地区的差异极大地影响了医生与患者之间关于癌症诊断的沟通.
研究的目的:
- 调查欧洲胃肠病学家对癌症病例中说实话的态度.
- 探索向患者及其配偶披露结直肠癌诊断的区域差异.
主要方法:
- 一项调查分发给欧洲各地的胃肠科医生.
- 受访者被要求描述他们对假设的结肠癌病例的沟通方法,详细说明与患者和配偶共享的信息.
主要成果:
- 北欧的胃肠道科医生通常会向患者和配偶披露诊断,但在患者同意的情况下,会有例外情况.
- 在南欧和东欧,大多数胃肠病学家倾向于隐患者的诊断,即使在直接询问时,通常会向配偶提供充分的信息.
- 一些北欧医生报告说,当癌症转移时,他们会夸大真相.
结论:
- 欧洲胃肠病学家在癌症诊断披露方面的做法存在显著的区域差异.
- 这些变化可能源于不同医生的态度和受文化影响的患者期望的结合.
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