Phungrassami Temsak, Sriplung Hutcha, Roka Aran, Mintrasak Em nasree, Peerawong Thanarpan, Aegem Umard
Department of Radiology, Faculty of Medicine, Prince of Songkla University, 90110 Songkhla, Thailand.
Soc Sci Med. 2003 Nov;57(9):1675-82. doi: 10.1016/s0277-9536(02)00552-x.
Although radiotherapy usually implies a cancer diagnosis, no available study has been reported as to what proportion of Thai patients treated with radiotherapy know their diagnosis and how they want related information revealed. We questioned 106 patients in order to determine the proportion who knew their cancer diagnosis, and interviewed patients who knew the diagnosis and relatives of patients both who knew and did not know it with semi-structured questionnaires concerning how they wanted to be told. Sixty-seven patients (63.2%) knew their cancer diagnosis. Multivariate analysis showed that the patients with the following characteristics were inclined to know their diagnosis: younger than 70 years old, head and neck or gynecological cancer, no previous treatment before radiotherapy, no accompanying relatives during the treatment, and patients with relatives who wanted to disclose the information. 97.0% of patients who knew the diagnosis indicated that they had really wanted to know, 89.5% and 73.3%, respectively of relatives who accompanied patients who knew and did not know it expressed the same wish. No demographic factors could predict who wanted to be told the diagnosis. The majority of patients and relatives who wanted the diagnosis disclosed wanted to know all related information before treatment. They wanted to hear this directly from the doctor in the presence of their relatives.
尽管放射治疗通常意味着癌症诊断，但尚无研究报告接受放射治疗的泰国患者中知晓自己诊断情况的比例，以及他们希望如何得知相关信息。我们对106名患者进行了询问，以确定知晓自己癌症诊断的患者比例，并通过半结构化问卷对知晓诊断的患者及其知晓和不知晓诊断情况的患者亲属进行了访谈，询问他们希望如何被告知。67名患者（63.2%）知晓自己的癌症诊断。多因素分析显示，具有以下特征的患者倾向于知晓自己的诊断：年龄小于70岁、患有头颈癌或妇科癌症、放疗前未接受过治疗、治疗期间无亲属陪同以及亲属希望透露信息的患者。知晓诊断的患者中有97.0%表示他们确实想知道，分别有89.5%和73.3%的知晓和不知晓诊断情况的患者的陪同亲属表达了同样的愿望。没有人口统计学因素能够预测谁希望被告知诊断情况。大多数希望被告知诊断的患者和亲属希望在治疗前了解所有相关信息。他们希望在亲属在场的情况下直接从医生那里听到这个消息。
