Wright Emma Burkitt, Holcombe Christopher, Salmon Peter
Royal Liverpool University Hospital, Liverpool L7 8XP.
BMJ. 2004 Apr 10;328(7444):864. doi: 10.1136/bmj.38046.771308.7C. Epub 2004 Mar 30.
To determine how patients with breast cancer want their doctors to communicate with them.
Qualitative study.
Breast unit and patients' homes.
39 women with breast cancer.
Patients' reports of doctors' characteristics or behaviour that they valued or deprecated.
Patients were not primarily concerned with doctors' communication skills. Instead they emphasised doctors' enduring characteristics. Specifically, they valued doctors whom they believed were technically expert, had formed individual relationships with them, and respected them. They therefore valued forms of communication that are currently not emphasised in training and research and did not intrinsically value others that are currently thought important, including provision of information and choice.
Women with breast cancer seek to regard their doctors as attachment figures who will care for them. They seek communication that does not compromise this view and that enhances confidence that they are cared for. Testing and elaborating our analysis will help to focus communication research and teaching on what patients need rather than on what professionals think they need.
确定乳腺癌患者希望医生如何与他们沟通。
定性研究。
乳腺科及患者家中。
39名乳腺癌女性患者。
患者对医生受其重视或遭其贬低的特质或行为的报告。
患者主要关注的并非医生的沟通技巧。相反，她们强调医生的持久特质。具体而言，她们重视那些她们认为技术精湛、与她们建立了个人关系且尊重她们的医生。因此，她们重视目前在培训和研究中未得到强调的沟通形式，而对目前认为重要的其他形式（包括提供信息和选择）并无内在的重视。
乳腺癌女性患者希望将她们的医生视为会关心她们的情感依附对象。她们寻求的沟通方式不应损害这种看法，且能增强她们被关爱的信心。对我们的分析进行检验和完善，将有助于使沟通研究和教学聚焦于患者的需求，而非专业人员认为他们自己的需求。
