Al-Mohaimeed Abdulrahman A, Sharaf Fawzy K
Department of Family and Community Medicine, College of Medicine, Qassim University, Saudi Arabia, P.O. Box 6655-51452.
Oman Med J. 2013 Jan;28(1):20-5. doi: 10.5001/omj.2013.05.
The aim of this study was to explore the physicians' perspectives and practices in relation to breaking bad news (BBN) to patients.
A quantitative survey was performed in the Qassim Region from January to July 2011. A cross-sectional study was conducted using a questionnaire administered to all practicing physicians working in both hospitals and Primary Healthcare centers in the Qassim Region. Anonymity was maintained throughout. The target groups received a self-administered questionnaire with a covering letter introducing the study and explaining their rights.
A total of 458 physicians participated in the study. Physicians with higher qualifications had lower total scores of the mean in BBN skills. The majority (70%) preferred to discuss information with close relatives rather than the patients. In case of serious diseases, only 32% said that they would inform the patient's family without the patient's consent. More than 90% of our study sample did not avoid telling their patients the bad news; however, physicians working in Primary Healthcare centers were less reserved.
Although most of the participating physicians were keen to help their patients, they lacked the essential knowledge and skills for breaking bad news. Thus, they are in need of specific training in this regard.
本研究旨在探讨医生在向患者告知坏消息方面的观点和做法。
2011年1月至7月在卡西姆地区进行了一项定量调查。采用问卷调查的横断面研究方法，对卡西姆地区医院和初级医疗保健中心的所有执业医生进行调查。全程保持匿名。目标群体收到一份自行填写的问卷，并附有一封介绍研究并解释其权利的附函。
共有458名医生参与了该研究。资质较高的医生在告知坏消息技能方面的平均总分较低。大多数（70%）医生倾向于与近亲而非患者讨论信息。在患有严重疾病的情况下，只有32%的医生表示他们会在未经患者同意的情况下告知其家属。我们研究样本中超过90%的医生不会回避向患者告知坏消息；然而，在初级医疗保健中心工作的医生则较为保守。
尽管大多数参与研究的医生热衷于帮助患者，但他们缺乏告知坏消息的基本知识和技能。因此，他们在这方面需要接受专门培训。
