Links M, Kramer J
St. Vincent's Hospital, Darlinghurst, Sydney, NSW, Australia.
Support Care Cancer. 1994 Mar;2(2):91-3. doi: 10.1007/BF00572089.
Hope is an essential aspect of the therapeutic relationship between cancer patients and their carers. Realistic hopes provide considerable support, whereas unrealistic hopes can be destructive by impairing the ability to make appropriate decisions about future plans, treatment, and issues of personal importance. Realistic hopes exist for cancer patients at all stages of their illness. Provision of realistic hope facilities the process of breaking bad news. In this article, the role of hope is explored. Appropriate hopes are identified from the time of pre-diagnostic work-up throughout the phase of definitive treatment and into the transition to palliative and supportive care. A practical approach is developed, which emphasises communication and listening skills, the importance of providing time and the benefits of intermediate goals that facilitate a gradual adjustment in hopes as the disease progresses.
希望是癌症患者与其护理人员之间治疗关系的一个重要方面。现实的希望能提供相当大的支持，而不切实际的希望可能具有破坏性，因为它会削弱患者就未来计划、治疗及个人重要问题做出恰当决定的能力。癌症患者在疾病的各个阶段都存在现实的希望。提供现实的希望有助于传达坏消息的过程。本文探讨了希望的作用。从诊断前检查阶段到确定性治疗阶段，再到向姑息治疗和支持性护理的过渡阶段，都要确定适当的希望。文中提出了一种实用方法，该方法强调沟通和倾听技巧、留出时间的重要性以及中间目标的益处，这些中间目标有助于随着疾病进展使希望逐渐得到调整。
