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根据癌症患者的性格类型为其提供信息:回避型患者。

Informing cancer patient based on his type of personality: the avoidant patient.

作者信息

Kallergis G

机构信息

Department of Mental Health and Behavioral Sciences, School of Health, University of Athens, Athens, Greece.

出版信息

J BUON. 2013 Apr-Jun;18(2):527-31.

Abstract

Imparting bad news to a cancer patient is considered an arduous task, but it seems to be facilitated by the use of the empathic approach. Indeed, doctors who are trained to adhere to a cancer patient informing protocol argue that the hardest step to take is the empathic approach. The usual questions asked are: To tell the diagnosis or not? How much information should we give? Should the patient know or has the right not to know? Is it possible to determine who should say, what, when, and how. The aim of this article was to describe the avoidant character or type of personality, so that any physician can make a diagnosis and tailor the information strategy to the patient's needs. As method of research was used the qualitative method through groups with doctors and nurses, while research within groups lasted for 5 years. The degree of informing the avoidant personality in the range "minimal - small - medium - large - very large" is : The degree of denial varies between "small" and "medium", while the degree of informing varies between "medium" and "small" in order to reach "large" later. Informing the family: The patient reacts to a common approach with the family as he is concerned about inflicting a blow to his image.

摘要

向癌症患者传达坏消息被认为是一项艰巨的任务,但采用共情方法似乎有助于这项工作。事实上,接受过遵循癌症患者告知方案培训的医生认为,最难迈出的一步是共情方法。常见的问题有:是否告知诊断结果?我们应该提供多少信息?患者应该知道还是有权不知道?是否有可能确定谁应该说、说什么、何时说以及如何说。本文的目的是描述回避型性格或人格类型,以便任何医生都能做出诊断并根据患者的需求调整信息策略。研究方法采用了与医生和护士组成小组的定性方法,小组内的研究持续了5年。在“最小 - 小 - 中 - 大 - 非常大”范围内告知回避型人格的程度为:否认程度在“小”和“中”之间变化,而告知程度在“中”和“小”之间变化,以便随后达到“大”。告知家属:患者对与家属的常规方式有反应,因为他担心这会损害自己的形象。

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