Shahed University

The Evaluation of Patients’ Tendency and Their Family to Discloser of Malignant Disease

Siamak Afshinmajd | Shiva Rafati | Nahid Rejeh | B.H. Shirazi Sadr | Zahra Poshtchaman

Date :  2019/03/16
Publish in :    اخلاق و تاريخ پزشکي

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Keywords :Professional ethics, Disclosure, Malignant disease, Breaking bad news , Truth telling

Abstract :
Abstract Considering the increasing prevalence of the malignant diseases and their great effects on the different aspects of the patients’ life and even their family, the disclosure of its diagnosis and trust telling to the patients have been changed to one of the main medical ethics challenges. This study aimed for the evaluation of patient’s tendency and their family to disclosure of malignant disease. This study was a cross-sectional research. It has been done with a questionnaire on the 270 people. The sample consisted of three groups: 100 patients without cancer disease, 100 patients’ family members, and 70 patients with cancer disease, who referred to Mustafa Khomeini Hospital. The data were analyzed through SPSS-16 software in this study, 74 of the patients with cancer and 85 of patients without cancer and 50 of patients’ families had tendency to know the diagnosis of malignant disease. In the case of prognosis, 39 of cancer patients and 75 of without cancer patients, were agreed to complete knowledge, and 42 of cancer patients and 22 of without cancer patients, agreed on relative knowledge. Regarding the result of this study and respecting the individuals rights, it seems better for the patients with malignant disease to be informed of their diagnosis and prognosis by the health care workers. Furthermore, it would be better to implement strategies for improvement of patient-physician relationship through physicians communication skills with patients.

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