采用以患者为中心的方法，实现对乳腺癌女性患者的优质护理。

Using the patient-centered method to achieve excellence in care for women with breast cancer.

作者信息

Brown J B, Stewart M, McWilliam C L

机构信息

Centre for Studies in Family Medicine, University of Western Ontario, 100 Collip Circle, Suite 245, U.W.O. Research Park, London, Ont., Canada N6G 4X8.

出版信息

Patient Educ Couns. 1999 Oct;38(2):121-9. doi: 10.1016/s0738-3991(99)00059-2.

DOI:10.1016/s0738-3991(99)00059-2

PMID:14528704

Abstract

The diagnosis of breast cancer remains one of the most threatening and emotionally debilitating diagnoses given to patients. Breast cancer elicits fears of loss of ability, control, hope, and at worst--loss of life. Patients and their families, devastated by the diagnosis of cancer, often feel unsupported or dismissed by their health care providers. Using the example of breast cancer, this paper describes how the application of the patient-centred clinical method can assist physicians in caring for patients diagnosed with breast cancer. Composite cases and quotes drawn from qualitative research studies with breast cancer patients are used to illustrate the application of the patient-centred clinical method.

摘要

乳腺癌的诊断仍然是给予患者的最具威胁性且在情感上极具破坏性的诊断之一。乳腺癌引发了对能力丧失、控制权丧失、希望丧失的恐惧，最糟糕的是——生命丧失的恐惧。患者及其家人因癌症诊断而深受打击，往往觉得医疗服务提供者没有给予他们支持或重视。本文以乳腺癌为例，描述了以患者为中心的临床方法的应用如何能帮助医生照顾被诊断患有乳腺癌的患者。从对乳腺癌患者的定性研究中提取的综合病例和引述内容用于说明以患者为中心的临床方法的应用。