Nielsen D, Schmidt L
Afdeling for Social Medicin, Københavns Universitet.
Ugeskr Laeger. 1997 May 5;159(19):2862-6.
This survey reports the attitude among second year medical doctors towards giving patients bad news. The questionnaire contained a mixture of open and closed questions. The questionnaire was returned by 88/119 (74%). All doctors felt that a patient who suffers from a serious, incurable disease has the right to be told the diagnosis, 98% of the doctors had broken bad news-most of them had done it several times. More than 90% of the doctors judged that their knowledge concerning breaking bad news, communication and crisis- and grief-reactions was average or above, but less than 10% thought that their knowledge was adequate. All the responders wanted instructions on how to break bad news, but only 45% had received some.
本次调查汇报了二年级医生告知患者坏消息的态度。问卷包含开放式和封闭式问题。119份问卷中有88份(74%)被收回。所有医生都认为患有严重不治之症的患者有权知晓诊断结果,98%的医生曾告知过坏消息——其中大多数人这样做过好几次。超过90%的医生认为他们在告知坏消息、沟通以及应对危机和悲伤反应方面的知识水平处于中等或以上,但不到10%的人认为自己的知识足够。所有受访者都希望得到关于如何告知坏消息的指导,但只有45%的人接受过相关指导。