Loge J H, Kaasa S, Ekeberg O, Falkum E, Hytten K
Department of Behavioural Sciences in Medicine, University of Oslo, Norway.
Eur J Cancer. 1996 Jul;32A(8):1344-8. doi: 10.1016/0959-8049(96)00087-1.
To examine Norwegian physicians' attitudes to informing patients of a diagnosis of cancer, a random sample of 1467 were surveyed. The respondents rated their level of agreement to 14 statements, and the responses were analysed by chi-squared statistics. 990 physicians responded (67%). Only 30.5% of the responding physicians had treated more than 10 cancer patients the previous year, which included 7.8% who had treated more than 50. 40.4% had treated none. The great majority (81%) preferred full information of the diagnosis. Physicians with increasing age preferred relatives not being present and gave priority to factual information and informing patients with the same diagnosis identically. Hospital physicians (39.5%) more often preferred other health professionals being present than physicians in private practice (18%) (P < 0.001). Number of cancer patients treated was not associated with attitudes toward the disclosure of information. Norwegian physicians prefer revealing the cancer diagnosis to patients, but have divergent opinions about how to do so. Some of these indicate suboptimal information-giving.
为了调查挪威医生告知患者癌症诊断结果的态度，我们对1467名医生进行了随机抽样调查。受访者对14条陈述的同意程度进行了评分，并采用卡方统计分析了这些回答。990名医生做出了回应（67%）。在做出回应的医生中，只有30.5%的人在前一年治疗过10名以上的癌症患者，其中7.8%的人治疗过50名以上。40.4%的人没有治疗过癌症患者。绝大多数（81%）医生倾向于向患者提供完整的诊断信息。年龄越大的医生越倾向于不让亲属在场，并优先提供事实性信息，且对患有相同诊断的患者提供相同的信息。与私人执业医生（18%）相比，医院医生（39.5%）更常倾向于让其他医疗专业人员在场（P<0.001）。治疗癌症患者的数量与信息披露的态度无关。挪威医生倾向于向患者透露癌症诊断结果，但对于如何透露存在不同意见。其中一些表明信息提供不够理想。
