Dauchy S, Bendrihen N
Unité de Psycho-Oncologie, Département de Soins de Support, Institut de Cancérologie Gustave-Roussy, 39 Rue Camille-Desmoulins, 94805 Villejuif, France.
Rev Pneumol Clin. 2008 Apr;64(2):112-7. doi: 10.1016/j.pneumo.2008.04.005. Epub 2008 Jun 5.
Although the teaching of communication techniques have begun, albeit slowly, in the schools of medicine, the announcement of bad news remains one of the hardest moment in medical practice. For the physician, whose primary mission is to bring relief, knowing that he may cause psychological distress is a difficult task, especially when considering that the limited therapeutic choices make it impossible for him to promise hope for recovery. This article aims to offer the clinician a pragmatic help for the announcement of the diagnosis of bronchial carcinoma by drawing on recent data in the literature. The data enable improvement of the recommendations issued from more fundamental knowledge relative to the transmission of information and the main emotional and adaptive reactions of the patient. Thus, the announcement can be better adapted to each patient, his expectations and his abilities.
尽管医学学校已经开始教授沟通技巧,尽管进展缓慢,但宣布坏消息仍然是医疗实践中最艰难的时刻之一。对于主要任务是减轻患者痛苦的医生来说,知道自己可能会造成心理困扰是一项艰巨的任务,尤其是考虑到有限的治疗选择使他无法承诺康复的希望。本文旨在借鉴文献中的最新数据,为临床医生在宣布支气管癌诊断时提供切实可行的帮助。这些数据有助于改进基于有关信息传递以及患者主要情绪和适应性反应的更基础知识所提出的建议。这样,宣布过程就能更好地适应每个患者、其期望和能力。