Geiser Franziska, Bijani Jasmin, Imbierowicz Katrin, Conrad Rupert, Liedtke Reinhard, Schild Hans, Schüller Heinrich
Klinik und Poliklinik für Psychosomatik und Psychotherapie der Universität Bonn, Germany.
Onkologie. 2006 Nov;29(11):509-13. doi: 10.1159/000095972. Epub 2006 Oct 25.
Despite the growing attention to the how, when and where of disclosing a cancer diagnosis, not all patients are satisfied with how the news is broken to them. As in German-speaking countries there is a lack of empirical studies on this subject, this analysis was conducted to determine how the cancer diagnosis was given in a German sample, and how satisfied the patients are with the disclosure experience.
162 outpatients received a self-report questionnaire focusing on their experiences with physician-patient communication when the diagnosis was disclosed.
Guidelines had been respected in most cases. 17% of patients were dissatisfied with the diagnosis disclosure. They reported a significantly shorter duration of the interaction, lack of privacy, deficits in understanding the information, and less emotional support by the physician.
Adherence to guidelines of diagnosis disclosure in the German sample was fairly high. Respecting both informational and emotional needs is essential for patient satisfaction and can be taught in communication training.
尽管人们越来越关注癌症诊断告知的方式、时间和地点，但并非所有患者都对诊断消息的传达方式感到满意。由于在德语国家缺乏关于这一主题的实证研究，因此进行了这项分析，以确定在德国样本中癌症诊断是如何告知的，以及患者对告知体验的满意程度。
162名门诊患者收到一份自我报告问卷，重点关注诊断告知时他们在医患沟通方面的经历。
在大多数情况下，指南得到了遵守。17%的患者对诊断告知不满意。他们报告称互动时间明显较短、缺乏隐私、理解信息存在缺陷，以及医生提供的情感支持较少。
在德国样本中，对诊断告知指南的遵守程度相当高。满足信息需求和情感需求对于患者满意度至关重要，并且可以在沟通培训中传授。
