The field of healthcare is increasingly adopting a humanistic perspective in the physician–patient relationship. One of the more salient aspects being studied is the communication between the two. This study serves a dual purpose. Our initial aim was to study how a cancer diagnosis is disclosed to patients by different physicians (GPs/other specialists/oncologists). Secondly, we set out to study how the way in which oncologists normally communicate with their patients impacts variables such as a patient’s anxiety, depression, coping mechanisms, and perception of both their health and their quality of life. A total of 177 patients answered a battery of questionnaires on sociodemographic and disease data: the SPIKES protocol, the EORTCQLQ-COMU26, and the ADAF screening questionnaire. The analyses recorded medium or high scores for some of the steps in the SPIKES protocol when delivering the diagnosis, and significant differences were observed for some of them among different physicians. The level of a cancer patient’s satisfaction with the communication by oncologists was related to their levels of anxiety, depression, vulnerability, and perception of their health and quality of life. Better communication strategies are called for among all healthcare professionals to facilitate the task of breaking bad news to their patients.
医疗领域正日益重视医患关系中的人文关怀视角，其中医患沟通成为备受关注的研究重点。本研究具有双重目的：首先探究不同类别医师（全科医生/其他专科医生/肿瘤科医生）向患者告知癌症诊断的方式差异；其次考察肿瘤科医生常规沟通模式对患者焦虑抑郁水平、应对机制、健康感知及生活质量评价的影响。研究共纳入177名患者，通过系列问卷收集社会人口学与疾病资料，包括SPIKES沟通协议、EORTCQLQ-COMU26量表及ADAF筛查问卷。分析显示，医师在告知诊断时SPIKES协议部分步骤获得中高等评分，且不同类别医师在某些步骤存在显著差异。肿瘤患者对医患沟通的满意度与其焦虑抑郁程度、心理脆弱性、健康感知及生活质量评价存在显著关联。研究建议全体医疗从业者需完善沟通策略，以提升向患者传达不良信息的专业能力。
肿瘤(癌症)患者之家