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[我们应该总是把一切都说出来吗?关于预后管理的困难]

[Should we always tell everything? About the difficulties to manage prognosis].

作者信息

Färdow J, Stolt C M

机构信息

Ogonkliniken, Växjö.

出版信息

Lakartidningen. 2000 Sep 27;97(39):4323-6.

PMID:11076476
Abstract

Patient autonomy should be respected when information is given about serious and life-threatening disease. The patient must be allowed to choose how much he or she wants to know concerning prognosis, and informed consent should be sought early on with regard to which level of autonomy the patient desires. A number of possible explanations as to why doctors conceal information from patients are discussed. Concealing information may damage the patient's trust in the physician. By not providing full information about a deadly disease, a physician may in turn be forced to bear the affliction of another's fears.

摘要

在告知严重和危及生命的疾病信息时,应尊重患者的自主权。必须允许患者选择自己想了解多少关于预后的信息,并且应尽早征求患者对其期望的自主程度的知情同意。文中讨论了医生向患者隐瞒信息的一些可能原因。隐瞒信息可能会损害患者对医生的信任。通过不提供关于致命疾病的全部信息,医生可能反过来被迫承受他人恐惧的折磨。

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