García Díaz F
Servicio de Cuidados Críticos y Urgencias, Hospital General de la Defensa San Carlos, San Fernando, Cádiz, España.
Med Intensiva. 2006 Dec;30(9):452-9. doi: 10.1016/s0210-5691(06)74569-7.
Breaking bad news is one of physician's most difficult duties. In spite of this, communication skills are considered a minor professional ability. Bad news is defined as any news that drastically and negatively alters the patient's view of his/her future. Patients never forget where, when and what bad news they were told. The factors that make communicating bad new difficult may come from the sociocultural setting of the patient or the doctor. Randomized studies have shown that communication learning skills may cause a positive impact on the person giving and receiving the bad news. In order to facilitate this task, a practical and dynamic 6-step protocol, described by Baile and Buckman, that may be useful for this task, is described.
传达坏消息是医生最艰巨的职责之一。尽管如此，沟通技巧却被视为一种次要的专业能力。坏消息被定义为任何会极大且负面地改变患者对其未来看法的消息。患者永远不会忘记他们是在何处、何时以及被告知何种坏消息的。导致传达坏消息困难的因素可能源于患者或医生的社会文化背景。随机研究表明，沟通学习技巧可能会对传递和接收坏消息的人产生积极影响。为了便于完成这项任务，本文描述了由贝利和巴克曼提出的一个实用且动态的六步方案，该方案可能对此项任务有用。
