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与癌症患者共情讨论预后。

Discussing Prognosis with Empathy to Cancer Patients.

机构信息

Univ. Lille, CNRS, UMR 9193 - SCALab - Sciences Cognitives et Sciences Affectives, F-59000, Lille, France.

出版信息

Curr Oncol Rep. 2021 Mar 14;23(4):42. doi: 10.1007/s11912-021-01027-9.

Abstract

PURPOSE OF REVIEW

Our goal was to provide healthcare professionals (HCPs) with evidence-based data about what can be done to handle prognostic discussions with empathy.

RECENT FINDINGS

First, disclosing prognosis involves a good reason to do so and making sure that the patient will be able to process the discussion. Second, communication tips are given for the three dimensions of empathy: "establishing rapport with the patient," which should not be overlooked; the emotional dimension, which involves an accurate understanding of the patient and communication skills; and the "active/positive" dimension which is about giving hope, explaining things clearly and helping patients take control with shared decision-making and a planned future. Although communication tips are helpful, empathy training should be based more on the development of HCPs' emotional skills, in order to help them regulate their emotions and thus be more comfortable with those of patients and families. Furthermore, research into empathy toward minorities and relatives is needed.

摘要

目的综述

我们的目标是为医疗保健专业人员(HCPs)提供有关如何以共情的方式处理预后讨论的循证数据。

最近的发现

首先,透露预后需要有充分的理由,并确保患者能够处理讨论。其次,为共情的三个维度提供了沟通技巧:“与患者建立融洽关系”,这一点不容忽视;情感维度,涉及对患者的准确理解和沟通技巧;以及“积极/主动”维度,即给予希望、清晰解释并通过共同决策和规划未来帮助患者掌控局面。尽管沟通技巧很有帮助,但共情培训应该更多地基于 HCPs 情感技能的发展,以帮助他们调节自己的情绪,从而更好地理解患者和家属的情绪。此外,还需要研究对少数民族和家属的共情。

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