Bennett M, Alison D
St James's University Hospital, Leeds, UK.
Postgrad Med J. 1996 Jan;72(843):25-9. doi: 10.1136/pgmj.72.843.25.
Effective doctor-patient communication is an integral part of good clinical care. Telling a patient that he/she has cancer can be a daunting task. If done with empathy and sensitivity it can create an important bond between the doctor and patient. If done brusquely and without tact it can create barriers and lasting hostility. Several key steps help make the breaking of bad news easier for doctors and patients. There is not one 'right formula' but appreciation of and responsiveness to the patient's verbal and non-verbal signals are core skills which can be developed.
有效的医患沟通是优质临床护理不可或缺的一部分。告知患者其患有癌症可能是一项艰巨的任务。如果带着同理心和敏感度去做这件事,就能在医生和患者之间建立起重要的联系。如果做得生硬且缺乏技巧,就会造成隔阂并引发持久的敌意。几个关键步骤有助于让医生和患者更容易接受坏消息。不存在一种“正确的模式”,但理解并回应患者的言语和非言语信号是可以培养的核心技能。