关于突发性感音神经性听力损失患者预后的信息:对“患者旅程”过程的影响

V. Manchaiah, D. Stephens, T. Lunner
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引用次数: 2

摘要

摘要目的:本文旨在探讨突发性感音神经性听力损失(SSNHL)患者预后信息提供的意义。方法:对4名SSNHL患者进行半结构化访谈,建立患者旅程模型,该模型已在我们之前的论文(12)中发表。在这项研究中,从一般、伦理和法律角度考虑了信息提供的影响(即与专家讨论和使用相关文献)。结果:四分之三的受访患者报告说,他们的医生(包括全科医生和耳鼻喉专科医生)对预后抱有错误的希望。从初步数据来看,患者对信息提供偏好的看法存在相当大的差异。然而,这个问题需要考虑,因为专业人员提供的信息可能对服务的提供和结果产生严重影响。结论:我们认为,尽管在某些情况下,虚假的希望可能会给患者带来短期的心理利益,但出于一般(即促进患者的旅程过程)、道德和法律原因,提供完整和诚实的信息是必要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Information about the prognosis given to sudden sensorineural hearing loss patients: Implications to ‘patient journey’ process
Abstract Objective: The aim of this short paper is to highlight the implications of information provision about prognosis given to sudden sensorineural hearing loss (SSNHL) patients. Method: Semi-structured interviews were conducted with four SSNHL patients to develop the patient journey model that is published in our previous paper (12). In this study the implications from general, ethical and legal perspectives about the information provision were considered (i.e. discussion with experts and the use of relevant literature). Results: Three out of four patients interviewed reported that their doctors (both general practitioners and ENT specialists) gave false hopes about prognosis. From the preliminary data it appears that there is considerable variability in the views expressed by patients about preference in information provision. However, this issue needs consideration as the information provided by professionals may have a serious impact on service provision and outcome. Conclusions: It is our view that even though, in some instances, it may appear that false hope provides short-term psychological benefit to patients, providing full and honest information is necessary for general (i.e. to facilitate patient journey process), ethical and legal reasons.
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