Haaser T, Lahmi L, Osman D, Gesbert C, Cheval V, Constantinides Y, de Crevoisier R, Dejean C, Escande A, Ghannam Y, Lorchel F, Thureau S, Lagrange J L, Durdux C, Huguet F
Service d'oncologie radiothérapie, hôpital Haut Lévêque, centre hospitalier universitaire de Bordeaux, avenue Magellan, 33600 Pessac, France; Centre éthique et recherche en santé de Bordeaux, centre hospitalier universitaire de Bordeaux, Bordeaux, France; EA 4574 sciences, philosophie, humanités, universités de Bordeaux et Bordeaux Montaigne, Pessac, France.
Service d'oncologie radiothérapie, institut Curie, Paris, France.
Cancer Radiother. 2023 Sep;27(6-7):480-486. doi: 10.1016/j.canrad.2023.06.006. Epub 2023 Aug 10.
Informing patients before receiving radiation therapy is a fundamental ethical imperative. As a condition of the possibility of autonomy, information allows people to make health decisions concerning themselves, which is required by French law. This information includes in particular the potential risks due to radiation therapy. It is therefore necessary to think about what risk is, and how to define and assess it, in order to finally communicate it. The practice of informing people involves many ethical issues relating to the very content of the information, the form in which it is transmitted or even the intention that leads the health professional to say (or not to say) the risk. The transmission of information also questions the way to build a relationship of trust with the patients and how to integrate their own representations about these treatments. Between the risks of paternalism or even defensive medicine, this practice is at the heart of our professional practice.
在接受放射治疗前告知患者是一项基本的伦理要求。作为自主可能性的条件，信息使人们能够就自身健康做出决策，这是法国法律所要求的。该信息尤其包括放射治疗带来的潜在风险。因此，有必要思考什么是风险，以及如何定义和评估风险，以便最终将其传达给患者。告知人们的实践涉及许多伦理问题，这些问题关乎信息的具体内容、传递信息的形式，甚至关乎促使医疗专业人员说出（或不说出）风险的意图。信息的传递还涉及如何与患者建立信任关系，以及如何整合他们对这些治疗的自身认知。在家长式作风甚至防御性医疗的风险之间，这种实践是我们专业实践的核心所在。
