生育力保存与青少年/青年癌症患者：医生沟通面临的挑战。
Fertility preservation and adolescent/young adult cancer patients: physician communication challenges.
作者信息
Quinn Gwendolyn P, Vadaparampil Susan T
机构信息
University of South Florida, College of Medicine, Department of Oncologic Sciences, Tampa, Florida 33647, USA.
出版信息
J Adolesc Health. 2009 Apr;44(4):394-400. doi: 10.1016/j.jadohealth.2008.08.014. Epub 2008 Nov 11.
PURPOSE
The doctor-parent-adolescent triad is a unique communication challenge, particularly in the area of fertility preservation for adolescents with cancer. This paper provides a preliminary exploration into the barriers experienced by physicians in discussing cancer related fertility issues with patients aged 12-18.
METHODS
This study used a subset of the data from qualitative interviews with pediatric oncologists.
RESULTS
The majority of physicians agreed that fertility preservation conversations were awkward because of limited options and resources for the technology as well as the existence of a fine line between establishing a sense of trust between doctor and patient, while not excluding parents.
CONCLUSIONS
Healthcare providers need training on how and when to broach fertility issues with patients, emphasizing open communication and early disclosure.
目的
医生-家长-青少年三方关系是一种独特的沟通挑战，尤其是在为患有癌症的青少年进行生育力保存方面。本文初步探讨了医生在与12至18岁患者讨论癌症相关生育问题时所面临的障碍。
方法
本研究使用了对儿科肿瘤学家进行定性访谈的数据子集。
结果
大多数医生一致认为，由于该技术的选择和资源有限，以及在建立医患之间的信任（同时不排除家长）方面存在微妙界限，生育力保存方面的谈话很尴尬。
结论
医疗保健提供者需要接受关于如何以及何时与患者提及生育问题的培训，强调开放沟通和尽早披露。
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