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[妇科肿瘤学中的伦理与心理问题]

[Ethical and psychological aspects in gynecologic oncology].

作者信息

Macků J

机构信息

II. gynekologicko-porodnická klinika 1. LF UK a VFN, Praha.

出版信息

Cas Lek Cesk. 1996 Mar 20;135(6):188-90.

PMID:8681364
Abstract

Treatment of women suffering from malignant disease of reproductive organs has its specific ethical, deontological and psychological aspects. The disease is affecting the organs of "feminine identity" and has a very strong emotional impact on each woman. The awareness of the nature of the disease and its treatment brings a long-term stress for each patient. There is a very delicate moment in the relation between the patient and the physician: to inform about the nature of the disease, treatment and its consequences. Such information should be released only in proper time and in proper way, considering the individual character of the patient, her age, intelligence and her present somatic and psychic status. Response of each woman and her adaptability to the disease and its treatment is very individual--depending on the woman's personality, her age, education and, of course, her social background. The physician, as well as, the other personnel must be aware of this fact. They have to choose the most proper psychotherapy and provide the patient with the adequate social support.

摘要

患有生殖器官恶性疾病的女性的治疗有其特定的伦理、道义和心理方面。这种疾病影响着“女性身份”的器官,对每位女性都有非常强烈的情感影响。对疾病本质及其治疗的认知给每位患者带来长期压力。在患者与医生的关系中有一个非常微妙的时刻:告知疾病的本质、治疗方法及其后果。考虑到患者的个性、年龄、智力以及她目前的身体和心理状况,此类信息应仅在适当的时候以适当的方式公布。每位女性对疾病及其治疗的反应和适应能力非常个体化——这取决于女性的个性、年龄、教育程度,当然还有她的社会背景。医生以及其他医护人员必须意识到这一事实。他们必须选择最恰当的心理治疗方法,并为患者提供足够的社会支持。

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