{"title":"病人对坏消息的偏好:来自伊朗的横断面研究","authors":"Kourosh Amini, Sahar Meshkini, Farhad Ramezanibadr","doi":"10.20529/IJME.2023.039","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The sensitivity and skill of care providers, especially physicians, while communicating bad news to patients can improve patients' acceptance of treatment and their emotional adjustment. We aimed to determine how to break bad news to cancer patients and consider their preferences in this regard.</p><p><strong>Methods: </strong>This is a cross-sectional study in which 249 patients participated. The Poisson sampling method was used. Data were collected using the Measure of Patient Preferences (MPP) and patient demographic profile forms.</p><p><strong>Results: </strong>Of the 249 participants, 178 (71.5%) were aware of their cancer diagnosis and 201 (80.7%) preferred to be informed of their cancer diagnosis. Patients' preferences included: \"Having his/her doctor take the time to answer all of his/her questions completely\", \"Feeling confident about his/her doctor's technical competence and skill\", and \"His/her doctor telling him/her the best treatment option\".</p><p><strong>Conclusion: </strong>According to our results, care providers should consider patients' preferences in communicating and delivering bad news. Achieving this goal requires managers to plan for improving the communication skills of healthcare providers.</p>","PeriodicalId":35523,"journal":{"name":"Indian journal of medical ethics","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Patients' preferences on breaking bad news: a cross-sectional study from Iran.\",\"authors\":\"Kourosh Amini, Sahar Meshkini, Farhad Ramezanibadr\",\"doi\":\"10.20529/IJME.2023.039\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The sensitivity and skill of care providers, especially physicians, while communicating bad news to patients can improve patients' acceptance of treatment and their emotional adjustment. We aimed to determine how to break bad news to cancer patients and consider their preferences in this regard.</p><p><strong>Methods: </strong>This is a cross-sectional study in which 249 patients participated. The Poisson sampling method was used. Data were collected using the Measure of Patient Preferences (MPP) and patient demographic profile forms.</p><p><strong>Results: </strong>Of the 249 participants, 178 (71.5%) were aware of their cancer diagnosis and 201 (80.7%) preferred to be informed of their cancer diagnosis. Patients' preferences included: \\\"Having his/her doctor take the time to answer all of his/her questions completely\\\", \\\"Feeling confident about his/her doctor's technical competence and skill\\\", and \\\"His/her doctor telling him/her the best treatment option\\\".</p><p><strong>Conclusion: </strong>According to our results, care providers should consider patients' preferences in communicating and delivering bad news. Achieving this goal requires managers to plan for improving the communication skills of healthcare providers.</p>\",\"PeriodicalId\":35523,\"journal\":{\"name\":\"Indian journal of medical ethics\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian journal of medical ethics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.20529/IJME.2023.039\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian journal of medical ethics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.20529/IJME.2023.039","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
Patients' preferences on breaking bad news: a cross-sectional study from Iran.
Background: The sensitivity and skill of care providers, especially physicians, while communicating bad news to patients can improve patients' acceptance of treatment and their emotional adjustment. We aimed to determine how to break bad news to cancer patients and consider their preferences in this regard.
Methods: This is a cross-sectional study in which 249 patients participated. The Poisson sampling method was used. Data were collected using the Measure of Patient Preferences (MPP) and patient demographic profile forms.
Results: Of the 249 participants, 178 (71.5%) were aware of their cancer diagnosis and 201 (80.7%) preferred to be informed of their cancer diagnosis. Patients' preferences included: "Having his/her doctor take the time to answer all of his/her questions completely", "Feeling confident about his/her doctor's technical competence and skill", and "His/her doctor telling him/her the best treatment option".
Conclusion: According to our results, care providers should consider patients' preferences in communicating and delivering bad news. Achieving this goal requires managers to plan for improving the communication skills of healthcare providers.
期刊介绍：
The Indian Journal of Medical Ethics (formerly Issues in Medical Ethics) is a platform for discussion on health care ethics with special reference to the problems of developing countries like India. It hopes to involve all cadres of, and beneficiaries from, this system, and strengthen the hands of those with ethical values and concern for the under-privileged. The journal is owned and published by the Forum for Medical Ethics Society, a not-for-profit, voluntary organisation. The FMES was born out of an effort by a group of concerned doctors to focus attention on the need for ethical norms and practices in health care.
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