:: Volume 27, Issue 3 (4-2022) ::
__Armaghane Danesh__ 2022, 27(3): 379-393 Back to browse issues page
Examining the Opinions of Companions of Cancer Patients About the Need and How to Tell the News of Incurable Cancer
H Nasrollahi1 , N Jokar2 , M Ansari1 , M Mohammadian Panah 3, A Moslaei1 , SH Omidari1 , N Ahmadlou1
1- Department of Radio-oncology, Namazi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
2- Department of Pediatrics, Namazi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
3- Department of Radio-oncology, Namazi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran , mohpanah@gmail.com
Abstract:   (1192 Views)
Background & aim: Cancer is an incurable disease that is one of the leading causes of death all over the world in the present day. Since the approach to informing the patient about cancer can have a significant effect on the patient's mood, various researches have studied the angles of telling bad news. Due to the fact that people's views are different depending on the culture of each nationality, and in Iran they often share the news of the disease with the companion of the patient, therefore the purpose of the present study was to determine and examine the opinion of the companions of cancer patients about the need and how to tell the news of the disease. It was incurable cancer.
 
Methods: In the present cross-sectional descriptive study conducted at Shiraz University of Medical Sciences, after selecting 200 companions of cancer patients who referred to the radio-oncology clinic of Imam Reza Hospital (A.S.), recording the demographic information of the perspective people, the necessity and manner of telling bad news (through answering a questionnaire whose validity and reliability have already been confirmed) was recorded. This questionnaire contains questions about the person's desire to find out about the incurable disease. The collected data were analyzed using chi-square, Fisher, t and Mann-Whitney statistical tests.
 
Results: According to the opinion of most of the patient's companions, it is better for the patient to be aware of the bad news (88.6% of the cases of the respondent and 66.5% in the case of close relatives), it is better not to give the information to anyone else if the patient does not want to (74 percent), relatives should as well be present when the bad news is given (62.5 percent), it is better to inform the relatives about the news first (54 percent), the doctor should tell the bad news (53 percent), in person ( 84.5 percent) and told in a private place (73.5 percent) and the amount of information given depending on the patient's desire (65 percent). Correspondingly, the opinions of the participants regarding the amount of information depending on the age of people (p=0.02), regarding the place of information depending on the family relationship (p=0.016), regarding the informant regarding the level of education (011) (p=0.0) and place of residence (p=0.012) and related to the way of informing about the person's job (p=0.001) were different.
 
Conclusion: Most people believe that the patient should be informed about the bad news, but the method of presenting it is as well important. According to the findings obtained from the present study, the specific conditions that people are considering have been identified, therefore, by training doctors in this regard, it is possible to improve the way of informing people and patients of bad news and reduce the harm caused by it. became.
 
 
Keywords: Cancer, Doctors, Patient relationship, Patient caregiver
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Type of Study: Research | Subject: Special
Received: 2021/12/31 | Accepted: 2022/04/3 | Published: 2022/05/18



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Volume 27, Issue 3 (4-2022) Back to browse issues page