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首页> 外文期刊>Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer >'Do not tell': what factors affect relatives' attitudes to honest disclosure of diagnosis to cancer patients?
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'Do not tell': what factors affect relatives' attitudes to honest disclosure of diagnosis to cancer patients?

机译：“不告诉”：哪些因素影响亲戚对癌症患者诚实披露诊断的态度？

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摘要

Disclosure of the diagnosis of cancer to patients is a difficult task for physicians in developing countries. Family members often oppose truth telling. The aim of this study was to evaluate the incidence of the "do not tell" attitude in a general population of cancer patients and to explore the factors affecting the attitude of cancer patients' relatives about honest disclosure. Using a questionnaire, relatives of 150 patients with recently diagnosed cancer were interviewed. Of the relatives, 66% did not want the diagnosis to be disclosed. Male gender of the patient, a diagnosis of a non-breast cancer malignancy, the presence of stage IV disease, no previous request for disclosure by the patient, insufficient knowledge of the relative about cancer in general, and stronger religious belief of the relative were associated with greater likelihood of the relative having a "do not tell" attitude in univariate analyses ( P=0.032, P=0.000, P=0.051, P=0.021, P=0.128, and P=0.058, respectively). In a multivariate analysis, the diagnosis of a non-breast cancer malignancy, and insufficient knowledge of the relative about cancer in general retained their significance (exp(B)=14.77, P=0.000; exp(B)=3.04, P=0.01, respectively). Differences among different countries and cultures are discussed.
机译：对于发展中国家的医师而言，向患者公开癌症诊断是一项艰巨的任务。家庭成员经常反对讲真话。这项研究的目的是评估普通癌症患者中“不告诉”态度的发生率，并探讨影响癌症患者亲属对诚实公开态度的因素。使用问卷，对150名最近被诊断出癌症的患者的亲属进行了采访。在亲戚中，有66％的人不希望透露诊断信息。患者的男性性别，诊断为非乳腺癌恶性肿瘤，是否存在IV期疾病，患者先前没有要求披露，一般对亲属对癌症的了解不足以及对亲属的宗教信仰较高单变量分析中与亲戚有“不告诉”态度的可能性更大相关（分别为P = 0.032，P = 0.000，P = 0.051，P = 0.021，P = 0.128和P = 0.058）。在多变量分析中，非乳腺癌恶性肿瘤的诊断以及对癌症相对亲属的了解不足通常仍具有其意义（exp（B）= 14.77，P = 0.000; exp（B）= 3.04，P = 0.01） ， 分别）。讨论了不同国家和文化之间的差异。

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