癌症要告知实情吗?

Should We Tell Patients of Carcinoma the Truth?

面对癌症病人,应该不应该告知实情?这是临床医务人员常常面临的问题,目前尚无统一的标准。新的医疗事故处理条例规定、病人得知癌病的途径、临床治疗现状等方面分别论述告知癌症病人实情的理由。探讨了癌症告知策略:面对家属直言相告、面对病人通过交谈了解病人的性格特点、文化层次和情感类型,列举了不同类型的病人告知的方法。论述其告知病情后如何让病人走出误区,消除恐惧,把生存的压力转变成求生的动力,从而达到配合治疗,使病人敢于正视疾病,面对明天可能发生的任何事情。

Facing patients with carcinoma, should we tell them their real status？ That is a problem and there is still no answer in agreement. Here we expound the reason why we should tell the patients their real status basing on the new regulation of malpractice handling, ways in which patients know their disease and the status quo of clinical treatment. Further more we discuss the strategies of telling carcinoma status to patients, including telling to families of patient or straightly to patient, and list many techniques in communication with patients in telling them truth. After telling the truth to patients, how to help patients to eliminate fear and seek to survive is studied in this paper.