Alsirafy Samy A, Abdel-Kareem Shady S, Ibrahim Noha Y, Abolkasem Mohamed A, Farag Dina E
Palliative Medicine Unit, Kasr Al-Ainy Center of Clinical Oncology & Nuclear Medicine, Kasr Al-Ainy School of Medicine, Cairo University, Cairo, Egypt.
Port Said General Hospital, Port Said, Egypt.
Psychooncology. 2017 Nov;26(11):1758-1762. doi: 10.1002/pon.4206. Epub 2016 Jul 28.
Family caregivers (FCs) of cancer patients are frequently seen as a barrier to honest communication with patients in Egypt. This study was conducted to investigate the attitude of FCs of cancer patients toward cancer diagnosis disclosure (CDD) and its determinants.
A structured interview was used to assess the preferences of 288 FCs regarding CDD.
According to the FCs, 85% of patients were aware of their diagnosis. The majority (81%) of FCs preferred CDD to patients. In case they developed cancer, 92% of FCs wanted to know their diagnosis and 88% wanted to inform their families. In a univariate analysis, factors associated with FCs' negative attitude toward CDD to patients were as follows: patient's lower level of education (P = .001), patient's rural residence (P < .001), hematological malignancies (P < .001), FC's belief that the patient is unaware of diagnosis (P < .001), FC's unwillingness to know his/her own cancer diagnosis (P < .001), and FC's unwillingness to inform his/her family about his/her cancer diagnosis (P < .001). Only 2 factors predicted independently the negative attitude of FCs toward CDD, the FC's belief that the patient is unaware of diagnosis (P < .001), and the FC's unwillingness to know his/her own cancer diagnosis (P = .049).
The results suggest that the majority of FCs of Egyptian cancer patients prefer CDD to patients. The finding that the vast majority of FCs of aware patients preferred CDD suggests that the reaction of Egyptian patients to CDD is acceptable by FCs. Family caregivers with a negative attitude toward CDD may be reflecting their own fears.
在埃及，癌症患者的家庭护理人员（FCs）常被视为阻碍与患者进行坦诚沟通的因素。本研究旨在调查癌症患者的家庭护理人员对癌症诊断告知（CDD）的态度及其决定因素。
采用结构化访谈评估288名家庭护理人员对癌症诊断告知的偏好。
根据家庭护理人员的说法，85%的患者知晓自己的诊断。大多数（81%）家庭护理人员倾向于向患者告知诊断。如果他们患了癌症，92%的家庭护理人员想知道自己的诊断，88%的人想告知家人。在单因素分析中，与家庭护理人员对向患者进行癌症诊断告知持消极态度相关的因素如下：患者教育程度较低（P = 0.001）、患者居住在农村（P < 0.001）、血液系统恶性肿瘤（P < 0.001）、家庭护理人员认为患者不知道诊断结果（P < 0.001）、家庭护理人员不愿意知道自己的癌症诊断结果（P < 0.001）以及家庭护理人员不愿意告知家人自己的癌症诊断结果（P < 0.001）。只有两个因素独立预测了家庭护理人员对癌症诊断告知的消极态度，即家庭护理人员认为患者不知道诊断结果（P < 0.001）以及家庭护理人员不愿意知道自己的癌症诊断结果（P = 0.049）。
结果表明，埃及癌症患者的大多数家庭护理人员倾向于向患者告知诊断。绝大多数知晓诊断结果的患者的家庭护理人员倾向于告知诊断这一发现表明，埃及患者对癌症诊断告知的反应是家庭护理人员可以接受的。对癌症诊断告知持消极态度的家庭护理人员可能反映了他们自己的恐惧。
