Downloads
Abstract
Introduction: How to perform a breaking bad news consultation properly with the present circumstances and especially it fits the local people. The way to deliver bad news to cancer patients was studied and practiced widely in the world. Some studies were conducted in Vietnam but not yet in central Vietnam. The people here are quite different in thinking and personality. Hence, they may need and expect consultation differently. The study was performed to note the needs of patients in the breaking bad news of cancer and to explore their own experience of giving bad news.
Methods: A cross-sectional study was conducted on 44 cancer patients undergoing treatment at the Hue University of Medicine and Pharmacy hospital in July 2020.
Results: Of 44 patients, The age average was 56.73. Male was more prevalent in the study with 61.4%. About 45.5% of patients expected to be explained in a private room and most of them desired to hear the truth at the same time with their family (68.2%), only 4.5% of patients wanted the bad news to be delivered only to their families. One hundred percent of patients preferred their oncologists to explain the bad news. More than 80% of patients wanted you received all at once. Patients were interested in getting information about the diagnosis of cancer, stage of cancer, cost of the treatment, treatment option to be selected and results of clinical studies were less important to them. They mostly wanted the truth to be delivered to them than to the family for most of the information contents given by the researchers.
Conclusions: Patients in the study wanted to know the truth but some information was more important than others according to them. They mostly satisfied with the breaking bad news that has been done.
References
Buckman R. (1984). Breaking bad news: Why is it still so difficult?. Br Med J, 288 (6430), 1597-1599.
Fallowfield L. and Jenkins V. (2004). Communicating sad, bad, and difficult news in medicine. Lancet, 363 (9405), 312-319.
Baile W.F., Buckman R., Lenzi R., et al. (2000). SPIKES-A Six‐Step Protocol for Delivering Bad News: Application to the Patient with Cancer. Oncologist, 5 (4), 302-311.
Ong K.J., Back M.F., Lu J.J., et al. (2002). Cultural attitudes to cancer management in traditional South-East Asian patients. Australas Radiol, 46 (4), 370-374.
Grassi L., Giraldi T., Messina E.G., et al. (2000). Physicians’ attitudes to and problems with truth-telling to cancer patients. Support Care Cancer, 8 (1), 40-45.
Jenkins V., Fallowfield L., and Saul J. (2001). Information needs of patients with cancer: results from a large study in UK cancer centres. Br J Cancer, 84 (1), 48-51.
Tse C.Y., Chong A.M.L., and Fok S.Y. (2004). Breaking bad news: A Chinese perspective. Hong Kong Pract, 26 (3), 146-150.
Wang S.Y., Chen C.H., Chen Y.S., et al. (2004). The attitude toward truth telling of cancer in Taiwan. J Psychosom Res, 57 (1), 53-58.
Nguyễn Văn Bằng, Nghiêm Thị Minh Châu, Nguyễn Hoàng Thanh N.T.H. (2015). Research needs understanding of patients which to have cancer. military hospital 103, <http://hospital103.vn/vietnamese/bai-bao-y-hoc/nghien-cuu-nhu-cau-tu-van-cua-benh-nhan-bibenh-
ly-ung-thu/584/?fbclid=IwAR0YFGBHWUZ4dGhaDLooojiSzLnYMPVDqVesPFfUtEynv_9duKhl9tErpAE>, accessed: 08/03/2020.
Jiang Y., Liu C., Li J.-Y., et al. (2007). Different attitudes of Chinese patients and their families toward truth telling of different stages of cancer. Psychooncology, 16 (10), 928-936.
Fujimori M. and Uchitomi Y. (2009). Preferences of Cancer Patients Regarding Communication of Bad News: A Systematic Literature Review. Jpn J Clin Oncol, 39 (4), 201-216.
Fujimori M., Akechi T., Morita T., et al. (2007). Preferences of cancer patients regarding the disclosure of bad news. Psychooncology, 16 (6), 573-581.
Rutten L.J.F., Arora N.K., Bakos A.D., et al. (2005). Information needs and sources of information among cancer patients: a systematic review of research (1980-2003). Patient Educ Couns, 57 (3), 250-261.
Kim M.K. and Alvi A. (1999). Breaking the Bad News of Cancer: The Patient’s Perspective. Laryngoscope, 109 (7), 1064-1067.
Schofield P.E., Beeney L.J., Thompson J.F., et al. (2001). Original article Hearing the bad news of a cancer diagnosis : The Australian melanoma. 365-371.
| Published | 05-01-2025 | |
| Fulltext |
|
|
| Language |
|
|
| Issue | No. 64 (2020) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.2020.64.4 | |
| Keywords | breaking bad news, cancer patients, needs, preferences, Hue |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2020 Journal of Clinical Medicine Hue Central Hospital