科研之友
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摘要
BackgroundBad health news is difficult to communicate, especially when parents must give bad news to their children. %26lt;br%26gt;MethodsWe had 170 lay persons, 33 nurses and six physicians in Toulouse, France, judge the appropriateness of the parents%26apos; behaviour in 64 scenarios of parents dealing with this problem. The scenarios were composed according to a four within-subject orthogonal design: child%26apos;s age (4, 6, 8 or 10), severity of disease (lethal or worrisome but curable), child%26apos;s concern or not about his illness and parents%26apos; decision about communicating the news (tell nothing, minimize, tell the truth or ask the physician to tell the truth). %26lt;br%26gt;ResultsCluster analysis revealed four clusters, labelled Always Tell the Truth%26apos; (33%, including a majority of doctors and nurses), Tell Nothing or Minimize%26apos; (16%, with an older average age), Tell the Truth Except in Cases of Incurable Illness%26apos; (22%) and Depends on Child%26apos;s Characteristics%26apos; (29%). %26lt;br%26gt;ConclusionsPhysicians in training and in practice need to be aware that lay people - and likely parents as well - have diverse and complex opinions about when and how parents should give bad health news to their children.
- 出版日期2014-1
