Disclosing the cancer diagnosis. Procedures that influence patient hopefulness.

摘要: Background. Physicians view enhancing patient hopefulness as a critical aspect of cancer treatment, yet little is known about how the circumstances initial disclosure diagnosis affects this important psychosocial variable. The authors examined extent to which various forms physician are seen by patients more or less hopeful and favorable unfavorable. Methods. Statements describing diagnostic were generated from interviews with 10 physicians cancer. Fifty-seven statements rated on two bipolar rating scales favorability an additional 56 recent onset To determine if overall emotional adjustment illness affected these ratings, scores Mental Adjustment Scale also obtained. Results. Results revealed that had clear ideas procedures most least unfavorable, ratings demonstrated factorial validity suggesting broad areas procedure where may make efforts enhance hope, related illness. Conclusions. There was consensus among certain enhanced reduced it. would do well attend carefully treatment continually seek input concerning their preferences for conduct relationship.