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告知坏消息。

Breaking bad news.

作者信息

Charlton R C

机构信息

Department of General Practice, University of Otago, Dunedin, New Zealand.

出版信息

Med J Aust. 1992 Nov 2;157(9):615-21. doi: 10.5694/j.1326-5377.1992.tb137405.x.

DOI:10.5694/j.1326-5377.1992.tb137405.x
PMID:1406423
Abstract

OBJECTIVE

To investigate the importance of a sympathetic approach to breaking bad news in the doctor-patient relationship.

DATA SOURCES

Worldwide surveys of views on truth disclosure by health care professionals, the public, and patients with cancer and other diseases.

STUDY SELECTION

Surveys using a Medline Computer Search were identified.

DATA EXTRACTION

Twenty-two questionnaire studies.

DATA SYNTHESIS

The data obtained demonstrate trends of an increasing wish since 1950 on the part of patients, the public and doctors for more openness.

CONCLUSIONS

The skills necessary for breaking bad news well can be acquired through organised undergraduate and postgraduate education which emphasises a good working doctor-patient relationship.

摘要

目的

探讨在医患关系中采用同情方式传达坏消息的重要性。

数据来源

对医疗保健专业人员、公众以及癌症和其他疾病患者关于真相披露观点的全球调查。

研究选择

通过医学在线计算机检索确定的调查。

数据提取

22项问卷调查研究。

数据综合

所获得的数据表明,自1950年以来,患者、公众和医生越来越希望更加坦诚。

结论

通过强调良好医患工作关系的本科和研究生有组织教育,可以获得妥善传达坏消息所需的技能。

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Medical residents' first clearly remembered experiences of giving bad news.医学实习生首次清晰记得的传达坏消息的经历。
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