Brake Henning, Sassmann Heike, Noeres Dorothee, Neises Mechthild, Geyer Siegfried
Medical Sociology Unit, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625 Hannover, Germany.
Support Care Cancer. 2007 Jul;15(7):841-7. doi: 10.1007/s00520-006-0195-6.
What physicians told breast cancer patients about their diagnosis, who informed them, and how this information was conveyed were examined in this study. Finally, the relatives' role in this communication process was considered.
Women with primary breast cancer (N = 222) below the age of 70 were interviewed after surgery and after they were informed about their diagnosis.
One hundred twenty-one women consulted their primary gynecologist first, then they were referred to a radiologist, and finally to the secondary care gynecologist. Forty-seven women omitted the radiologist and only five went directly to the hospital for treatment. In most cases (N = 199), the general practitioner was not involved. Receiving inconsistent information was associated with patient dissatisfaction. This also applies to women who received their diagnosis on the phone. Women awaiting a worse diagnosis were more likely to be accompanied by another person.
Future studies should focus on the possible involvement of family doctors and relatives during the diagnostic process. Giving inconsistent information should be avoided.
本研究调查了医生向乳腺癌患者告知其诊断结果的内容、告知者以及信息传达方式。最后,研究了亲属在这一沟通过程中的作用。
对222名70岁以下的原发性乳腺癌女性患者在术后及被告知诊断结果后进行了访谈。
121名女性首先咨询了她们的初级妇科医生,随后被转诊至放射科医生处,最后转诊至二级护理妇科医生处。47名女性跳过了放射科医生,只有5名女性直接前往医院接受治疗。在大多数情况下(199例),全科医生未参与其中。收到不一致的信息会导致患者不满。这同样适用于通过电话得知诊断结果的女性。等待更坏诊断结果的女性更有可能由他人陪同。
未来的研究应关注家庭医生和亲属在诊断过程中可能发挥的作用。应避免提供不一致的信息。