Cancer Disclosure in Iran: Attitude of Patients and Their Families

سال انتشار: 1396
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 104

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تاریخ نمایه سازی: 24 خرداد 1400

چکیده مقاله:

Background: The present study aims at determining the proportion of clinicalinformation known by the patients with cancer and their families about diagnosisof their disease as well as investigating the different attitudes of patients and theirfamilies towards informing the patients of the malignant nature of the disease.Methods: We designed a structured questionnaire which was completed bypatients with cancer who were under follow up in Cancer Institute of TehranUniversity of Medical Sciences, and one member of their families whoaccompanied them while being treated. Patients, physicians, and patients’ familymembers were interviewed separately.Results: A total of ۲۵۰ cancer outpatients and ۲۵۰ patients’ family memberswere interviewed. Overall, ۲۲۷ patients (۹۰.۸%) desired to be informed of theirdiagnosis, and ۹۸ patients (۳۸.۸%) declared that physicians informed themcompletely. One hundred fifty-three family members (۶۱.۲%) believed thatpatients are entitled to know the truth. Stepwise multiple logistic regressionanalysis indicated that patients’ educational grade (odds ratio: ۶.۰۸; ۹۵% CI, ۱.۲۷to ۲۹.۰۷) and patients’ age (odds ratio: ۷.۹۷; ۹۵% CI, ۱.۲۵ to ۵۰.۵۹) werepredictable factors for requesting to know the truth.Conclusions: Findings of the present research indicated that most patients andfamily members wanted to be informed of the diagnosis; The present studysuggests that physicians respect the patients' rights to know the truth and informthem accordingly. This can help them adapt themselves to new condition andmanage their own life.


Mahdi Aghili

Department of Radiation Oncology, Radiation Oncology Research Center, Cancer Institute, Tehran University ofMedical Sciences, Tehran, Iran

Yalda Adili

Imam Khomeini Medical Complex, Tehran University of Medical sciences, Tehran, Iran

Ali Kazemian

Ethics and Medical History Research Center, Tehran University of Medical sciences, Tehran, Iran

Zahra Khazaeipour

Imam Khomeini Medical Complex, Tehran University of Medical sciences, Tehran, Iran