Experiences of truth disclosure in terminally ill cancer patients in palliative home care

摘要: Objective: The aim of this study was to explore the experiences and preferences terminally ill cancer patients regarding truth telling in communication poor prognoses. Method: We recorded transcribed interviews with 45 who knew their terminal, analyzed responses hermeneutically. Results: Patients identified three different modes truth: (1) absolute objective that they are dying; (2) partial about condition including some facts but not all details; (3) desired truth, originating patient’s own beliefs a healthy or better life. Coping strategies were related patients’ preferred mode facing order take action; parts maintain hope; hovering between avoiding truth. In struggle for existential survival, used coping strategies, changing from one another depending upon circumstances. Significance results: Varying use impacts on patient concerning bad news doctors. Truth-telling entails more than merely providing information forthcoming death. It also concerns how physicians other healthcare staff can support survival by fine-tuning “truth” according individuals’ preferences.