Neurology Department, Memory Clinic, Brugmann University Hospital, Brussels, Belgium.
Acta Neurol Belg. 2009 Dec;109(4):283-93.
To check their opinions concerning the disclosure of the diagnosis of Alzheimer's disease, a questionnaire was sent to all Belgian geriatricians. Of 309 questionnaires, 28.5 percent were returned. 54% of the responders always announce the diagnosis to their patients, 35% prefer to reveal the diagnosis only to patients with mild dementia. Doctors who announce the diagnosis to all their patients were more likely to be men and younger. Geriatricians who believe there is a benefit for the patient were more likely to be younger and to speak Dutch. The main arguments against revealing the diagnosis were the diagnostic uncertainty, the patient's right not to know and fear of provoking a depressive reaction or suicide. Other arguments used against disclosure are discussed.
为了了解他们对阿尔茨海默病诊断披露的看法，向所有比利时老年病医生发送了一份问卷。在收到的 309 份问卷中，28.5%的问卷被退回。54%的回应者总是向他们的病人宣布诊断结果，35%的人更喜欢只向轻度痴呆症患者透露诊断结果。向所有患者宣布诊断结果的医生更有可能是男性和年轻人。认为对患者有益的老年病医生更年轻，更倾向于说荷兰语。反对透露诊断结果的主要理由是诊断的不确定性、患者的知情权以及担心引发抑郁反应或自杀。其他反对披露的论点也进行了讨论。
