Blumenfield M, Levy N B, Kaufman D
Gen Hosp Psychiatry. 1979 Dec;1(4):306-10. doi: 10.1016/0163-8343(79)90005-7.
A survey questionnaire about attitudes toward terminal illness was administered to all medical students, interns, and all medical, surgical, and psychiatric residents at the Downstate Medical Center. The majority of students and new physicians surveyed reported that patients with terminal illness should be told their diagnosis--a reversal of attitudes as compared with those revealed by studies done before 1970. Most of the respondents also expressed the view that they would want to be told of their own fatal illness. The attitudes at different levels in medical school, internship, and residency did not differ significantly despite the differences in formal education and clinical experience of the respondents. Implications of these findings are discussed with particular emphasis on the need to teach an individualized approach to the dying patient.
一份关于对绝症态度的调查问卷被发放给了唐斯泰特医学中心的所有医学生、实习生以及所有内科、外科和精神科住院医生。参与调查的大多数学生和新医生报告称，应该告知绝症患者他们的诊断结果——这与1970年以前的研究结果相比，态度发生了转变。大多数受访者还表示，他们希望被告知自己身患绝症。尽管受访者在正规教育和临床经验方面存在差异，但医学院、实习阶段和住院医生阶段不同层次的态度并没有显著差异。本文讨论了这些研究结果的意义，特别强调了针对临终患者教授个性化方法的必要性。
