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患者告知家属坏消息的路径、困境及对策

仲凤行 尹秀平 白天添

中国医学伦理学2025,Vol.38Issue(1):116-122,7.
中国医学伦理学2025,Vol.38Issue(1):116-122,7.DOI:10.12026/j.issn.1001-8565.2025.01.17

患者告知家属坏消息的路径、困境及对策

The path,dilemma,and countermeasures for patients to inform their families of the breaking bad news

仲凤行 1尹秀平 2白天添3

作者信息

  • 1. 齐鲁医药学院康复医学院,山东 淄博 255300
  • 2. 中国中医科学院医学实验中心,北京 100005
  • 3. 北京城市学院教育学部,北京 100191
  • 折叠

摘要

Abstract

Clinically,the occurrence of the breaking bad news is inevitable.For patients,they not only need to accept and cope with bad news,but also need to inform the bad news to their families with clear thinking and appropriate language,seeking their support and cooperation.This paper analysed the connotation and informing dilemma of bad news,investigated patients'informing tendencies,as well as evaluated the advantages and disadvantages of three disclosure methods,including concealment,immediate informing,and staged informing.On these bases,a detailed response strategy for patients to inform their families was proposed in three parts,including pre-preparation,mid-articulation,and post-summary.In the initial phase,thorough preparation is essential.During the middle stage,when delivering bad news,use plain language and help family members adjust their emotions.In the final phase,ensure that all information and viewpoints have been fully communicated.In addition,the roles and analysis steps that doctors should play were analysed from their perspective and combined with the degree of doctor-patient trust.Effective informing of bad news is not only about communication skills,but also involves a deep understanding and respect for the psychological needs of patients and their families.Through meticulous preparation,appropriate expression,emotional support,and clear confirmation,communication and trust are promoted to face and overcome difficulties together.

关键词

坏消息告知/医患沟通/告知困境/医学人文

Key words

informing of the breaking bad news/doctor-patient communication/informing dilemma/medical humanities

分类

医药卫生

引用本文复制引用

仲凤行,尹秀平,白天添..患者告知家属坏消息的路径、困境及对策[J].中国医学伦理学,2025,38(1):116-122,7.

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