Muneer Mohamed S, Elhassan Ahmed E, Osman Ahmed M, Abdalla Abdelmohaymin A, Abdelrahim Mohamed A, Ali Suad M, Abdalrahman Ihab B
1 Research Fellow, Department of Internal Medicine, Faculty of Medicine, University of Khartoum, Khartoum, Sudan.
2 Research Fellow, Department of Parasitology and Medical Entomology, Institute of Endemic Diseases, University of Khartoum, Khartoum, Sudan.
Trop Doct. 2018 Oct;48(4):340-344. doi: 10.1177/0049475518795765. Epub 2018 Aug 28.
Breaking bad news is a global challenge for all types of health providers. Our study assessed the attitude and practice from the doctors' perspective in a patriarchal society. A descriptive cross-sectional hospital-based study was conducted, involving doctors from both medical and surgical departments. Almost half of the respondents believed that Sudanese patients do not like to know their diagnosis, and a slightly higher proportion had no previous training on how to break bad news. Some 20% indicated that they would conceal the diagnosis from a patient if his or her relatives so requested. Less than one-quarter of respondents followed a standard protocol. Although most of the doctors subscribed to the notion that patients have the right to know everything about their illnesses, not all of them held this attitude towards their local patient population.
传达坏消息对各类医疗服务提供者来说都是一项全球性挑战。我们的研究从医生的角度评估了在一个父权制社会中的态度和做法。开展了一项基于医院的描述性横断面研究，涉及内科和外科的医生。几乎一半的受访者认为苏丹患者不喜欢知道自己的诊断结果，并且有略高比例的人之前没有接受过关于如何传达坏消息的培训。约20%的人表示，如果患者亲属提出要求，他们会向患者隐瞒诊断结果。不到四分之一的受访者遵循标准流程。尽管大多数医生认同患者有权了解其疾病的一切信息，但并非所有人都对当地患者群体持有这种态度。
