恶性肿瘤患者病情告知时的伦理冲突与应对策略  

Ethical Conflicts and Countermeasures on Diseases Informing of Malignant Tumor Patients

作　　者：唐绍军[1] 姜洁[1] 曾利辉[1] 

机构地区：[1]四川大学华西医院党办,四川成都610041

出　　处：《中国医学伦理学》2017年第10期1259-1262,共4页Chinese Medical Ethics

摘　　要：当前大部分恶性肿瘤的治疗效果不佳,甚至预后很差,在病情告知上很多恶性肿瘤患者的家属基于可能引起患者痛苦的风险考虑倾向于对患者隐瞒病情,而大多数患者希望了解自己的病情诊断以及预后情况。告诉患者真实病情有利于促进患者参与治疗决策,配合治疗,延长生存期,提高生活质量,同时也是相关法律法规的要求,但在实践操作中也面临诸多伦理冲突。对此提出加强健康宣教,对医护人员进行必要的培训,设计个体化告知方案以及医护人员与家属合理配合等策略。At present, most of the malignancies still have poor treatment and even poor prognosis. In the case of disease informing, the families of many patients with malignant tumors are inclined to conceal the disease based on the risks that may result in the patient＇ s pain while patients want to know their disease diagnosis and prognosis. Telling patients the truth is helpful to promote the patients to participate in the treatment decision, cooperate with the treatment, prolong the survival time, improve the quality of life and also is the requirement of relevant laws and regulations, but it also faces many ethical conflicts in practice. Aiming at this, this paper proposed to strengthen health education, make necessary training to medical staff, design individual informative programs, cooperate rea- sonably with family members, and so on.

关 键 词：恶性肿瘤患者 病情告知 伦理冲突 医疗决策 

分 类 号：R-052[医药卫生]