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讲真话:全科医生对患有痴呆症或晚期癌症的患者会说些什么?

Telling the truth: what do general practitioners say to patients with dementia or terminal cancer?

作者信息

Vassilas C A, Donaldson J

机构信息

Department of Old Age Psychiatry, West Suffolk Hospital, Bury St Edmunds.

出版信息

Br J Gen Pract. 1998 Mar;48(428):1081-2.

PMID:9624754
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1410014/
Abstract

A questionnaire was sent to all general practitioners (GPs) in Cambridgeshire asking them about their practice in telling patients with dementia or terminal cancer their diagnosis. Although the majority of GPs would always or often tell patients of a diagnosis of terminal cancer, this was not the case in dementia; uncertainty of diagnosis was cited as the most important factor in not giving the diagnosis. The implications of these findings are discussed in the light of the GP's role in dementia and the development of new anti-Alzheimer's drugs.

摘要

一份调查问卷被发送给了剑桥郡的所有全科医生(GPs),询问他们告知痴呆症患者或晚期癌症患者诊断结果的做法。尽管大多数全科医生总是或经常会告知患者晚期癌症的诊断结果,但在痴呆症方面情况并非如此;诊断的不确定性被认为是不告知诊断结果的最重要因素。根据全科医生在痴呆症方面的作用以及新型抗阿尔茨海默病药物的研发情况,对这些研究结果的影响进行了讨论。

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本文引用的文献

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Breaking the bad news: what do psychiatrists tell patients with dementia about their illness?
Int J Geriatr Psychiatry. 1994 Jun;9(6):467-71. doi: 10.1002/gps.930090605.
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Information needs of cancer patients in west Scotland: cross sectional survey of patients' views.苏格兰西部癌症患者的信息需求:患者观点的横断面调查
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