Effect of Cancer Diagnosis and Suggestions for Diagnostic Communication in Patient Vision
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Data de Publicação: | 2018 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista Brasileira de Cancerologia (Online) |
Texto Completo: | https://rbc.inca.gov.br/index.php/revista/article/view/197 |
Resumo: | Introduction: Cancer is classified as a chronic disease and has been growing in the world; therefore, the doctor needs, more and more, to prepare to attend cancer patients. Most of the bad news protocols are not performed through the patient’s lens. Objective: To know the effect of the diagnosis of cancer for the patient, and his suggestion about the way of communicating the diagnosis. Method: Qualitative study of narratives of oral histories, recorded and later transcribed, using the method of content analysis proposed by Laurence Bardin. The sample consisted of 30 cancer patients aged 34 to 88 years in a private clinic in Salvador, Bahia. Results and Discussion: The categories were: acceptance (53%), shock/fright (33%), suffering (20%), fear (2%), rationalism (2%), patient was able to present one or more types of reactions. Selected categories on diagnostic communication: diagnosis by non-oncologist (53.3%), diagnosis by non-physician (30%), diagnosis by oncologist (16.6%), and subcategories were: adequate and inadequate. Pessimistic speech was considered an inadequate medical communication; while an appropriate physician-friendly posture. Conclusion: Acceptance of the disease and shock/fright were the most prevalent effects at diagnosis. Patients with mild to moderate symptoms were considered to be diagnosed. What it indicates in this study is that, perhaps, oncologists are more prepared to report bad news than other professionals. Taking into account the characteristics of the subject and giving information in a gentle manner, giving hope were the main suggestions of diagnostic communication by the patients. |
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Effect of Cancer Diagnosis and Suggestions for Diagnostic Communication in Patient VisionEfecto del Diagnóstico de Cáncer y Sugerencias para Comunicación Diagnóstica en la Visión de los PacientesEfeito do Diagnóstico de Câncer e Sugestões para Comunicação Diagnóstica na Visão dos PacientesNeoplasiasRevelação da VerdadeNarrativas PessoaisPesquisa QualitativaPsico-OncologiaNeoplasmsTruth DisclosurePersonal NarrativesQualitative ResearchPsycho-OncologyNeoplasiasRevelación de la VerdadNarrativas PersonalesInvestigación CualitativaPsicooncologíaIntroduction: Cancer is classified as a chronic disease and has been growing in the world; therefore, the doctor needs, more and more, to prepare to attend cancer patients. Most of the bad news protocols are not performed through the patient’s lens. Objective: To know the effect of the diagnosis of cancer for the patient, and his suggestion about the way of communicating the diagnosis. Method: Qualitative study of narratives of oral histories, recorded and later transcribed, using the method of content analysis proposed by Laurence Bardin. The sample consisted of 30 cancer patients aged 34 to 88 years in a private clinic in Salvador, Bahia. Results and Discussion: The categories were: acceptance (53%), shock/fright (33%), suffering (20%), fear (2%), rationalism (2%), patient was able to present one or more types of reactions. Selected categories on diagnostic communication: diagnosis by non-oncologist (53.3%), diagnosis by non-physician (30%), diagnosis by oncologist (16.6%), and subcategories were: adequate and inadequate. Pessimistic speech was considered an inadequate medical communication; while an appropriate physician-friendly posture. Conclusion: Acceptance of the disease and shock/fright were the most prevalent effects at diagnosis. Patients with mild to moderate symptoms were considered to be diagnosed. What it indicates in this study is that, perhaps, oncologists are more prepared to report bad news than other professionals. Taking into account the characteristics of the subject and giving information in a gentle manner, giving hope were the main suggestions of diagnostic communication by the patients.Introducción: El cáncer se clasifica como una enfermedad crónica y viene creciendo en el mundo; el médico necesita, cada vez más, prepararse para atender a los pacientes oncológicos. La mayoría de los protocolos de malas noticias no se realiza a través de la óptica del paciente. Objetivo: Conocer el efecto del diagnóstico de cáncer para el paciente, y su sugerencia sobre el modo de comunicación del diagnóstico. Método: Estudio cualitativo de narrativas de historias orales, grabadas y posteriormente transcritas, siendo utilizado el método de análisis de contenido propuesto por Laurence Bardin. La muestra fue constituida por 30 pacientes oncológicos de 34 a 88 años en una clínica particular de Salvador, BA. Resultados y Discusíon: En el caso del diagnóstico, las categorías extraídas fueron: aceptación (53%), shock/susto (33%), sufrimiento (20%), miedo (2%), racionalismo (2%), siendo que el mismo, el paciente pudo presentar uno o más tipos de reacciones. En la mayoría de los casos, se observó un aumento de la mortalidad por rotavirus en los últimos años. Habla pesimista fue considerada una comunicación médica inadecuada; mientras que una postura amiga del médico, adecuada. En las sugerencias de comunicación diagnóstica, las categorías fueron: tomando en consideración las características del paciente, modo suave y dando esperanza y junto a un familiar. Conclusión: La aceptación de la enfermedad y el shock/susto fueron los efectos más prevalentes al diagnóstico. Lo que indica en este estudio es que, quizás, los oncólogos están más preparados para informar malas noticias que los demás profesionales. Tomar en consideración las características del sujeto y dar información de modo suave, dando esperanza fueron las principales sugerencias de comunicación diagnóstica por los pacientes. Introdução: O câncer é classificado como uma doença crônica e vem crescendo no mundo; logo, o médico precisa, cada vez mais, se preparar para atender aos pacientes oncológicos. Na maioria das vezes, os protocolos de más notícias não são realizados por meio da óptica do paciente. Objetivo: Conhecer o efeito do diagnóstico de câncer para o paciente e a sua sugestão sobre o modo de comunicação do diagnóstico. Método: Estudo qualitativo de narrativas de histórias orais, gravadas e, posteriormente, transcritas, sendo utilizado o método de análise de conteúdo proposto por Laurence Bardin. A amostra foi constituída por 30 pacientes oncológicos de 34 a 88 anos em uma clínica particular de Salvador, BA. Resultados e Discussão: Sobre o efeito do diagnóstico, as categorias extraídas foram: aceitação (53%), choque/susto (33%), sofrimento (20%), medo (2%), racionalismo (2%), sendo que o mesmo paciente pode apresentar um ou mais tipos de reações. Categorias selecionadas sobre comunicação diagnóstica: diagnóstico por médico não oncologista (53,3%), diagnóstico por não médico (30%), diagnóstico por médico oncologista (16,6%); as subcategorias foram: adequada e inadequada. Fala pessimista foi considerada uma comunicação médica inadequada; enquanto uma postura amiga do médico, adequada. Sobre sugestões de comunicação diagnóstica, as categorias foram: levando em consideração as características do paciente, modo suave e dando esperança, e junto a um familiar. Conclusão: A aceitação da doença e o choque/susto foram os efeitos mais prevalentes ao diagnóstico. O que indica neste estudo é que, talvez, os oncologistas são mais preparados a informarem más notícias do que os outros profissionais. Levar em consideração as características do sujeito e dar informação de modo suave, dando esperança foram as principais sugestões de comunicação diagnóstica pelos pacientes.INCA2018-12-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/19710.32635/2176-9745.RBC.2018v64n4.197Revista Brasileira de Cancerologia; Vol. 64 No. 4 (2018): Oct./Nov./Dec.; 489-497Revista Brasileira de Cancerologia; Vol. 64 Núm. 4 (2018): oct./nov./dic.; 489-497Revista Brasileira de Cancerologia; v. 64 n. 4 (2018): out./nov./dez.; 489-4972176-974510.32635/2176-9745.RBC.2018v64n4reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporenghttps://rbc.inca.gov.br/index.php/revista/article/view/197/129https://rbc.inca.gov.br/index.php/revista/article/view/197/400Neumayer, Alessandra da CunhaAguiar, Márcia Cristina Maciel deSchettini Sobrinho, Eldsamira da Silva MascarenhasGonçalves, Alinne Santiago Ramosinfo:eu-repo/semantics/openAccess2021-11-29T20:05:42Zoai:rbc.inca.gov.br:article/197Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:05:42Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false |
dc.title.none.fl_str_mv |
Effect of Cancer Diagnosis and Suggestions for Diagnostic Communication in Patient Vision Efecto del Diagnóstico de Cáncer y Sugerencias para Comunicación Diagnóstica en la Visión de los Pacientes Efeito do Diagnóstico de Câncer e Sugestões para Comunicação Diagnóstica na Visão dos Pacientes |
title |
Effect of Cancer Diagnosis and Suggestions for Diagnostic Communication in Patient Vision |
spellingShingle |
Effect of Cancer Diagnosis and Suggestions for Diagnostic Communication in Patient Vision Neumayer, Alessandra da Cunha Neoplasias Revelação da Verdade Narrativas Pessoais Pesquisa Qualitativa Psico-Oncologia Neoplasms Truth Disclosure Personal Narratives Qualitative Research Psycho-Oncology Neoplasias Revelación de la Verdad Narrativas Personales Investigación Cualitativa Psicooncología |
title_short |
Effect of Cancer Diagnosis and Suggestions for Diagnostic Communication in Patient Vision |
title_full |
Effect of Cancer Diagnosis and Suggestions for Diagnostic Communication in Patient Vision |
title_fullStr |
Effect of Cancer Diagnosis and Suggestions for Diagnostic Communication in Patient Vision |
title_full_unstemmed |
Effect of Cancer Diagnosis and Suggestions for Diagnostic Communication in Patient Vision |
title_sort |
Effect of Cancer Diagnosis and Suggestions for Diagnostic Communication in Patient Vision |
author |
Neumayer, Alessandra da Cunha |
author_facet |
Neumayer, Alessandra da Cunha Aguiar, Márcia Cristina Maciel de Schettini Sobrinho, Eldsamira da Silva Mascarenhas Gonçalves, Alinne Santiago Ramos |
author_role |
author |
author2 |
Aguiar, Márcia Cristina Maciel de Schettini Sobrinho, Eldsamira da Silva Mascarenhas Gonçalves, Alinne Santiago Ramos |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Neumayer, Alessandra da Cunha Aguiar, Márcia Cristina Maciel de Schettini Sobrinho, Eldsamira da Silva Mascarenhas Gonçalves, Alinne Santiago Ramos |
dc.subject.por.fl_str_mv |
Neoplasias Revelação da Verdade Narrativas Pessoais Pesquisa Qualitativa Psico-Oncologia Neoplasms Truth Disclosure Personal Narratives Qualitative Research Psycho-Oncology Neoplasias Revelación de la Verdad Narrativas Personales Investigación Cualitativa Psicooncología |
topic |
Neoplasias Revelação da Verdade Narrativas Pessoais Pesquisa Qualitativa Psico-Oncologia Neoplasms Truth Disclosure Personal Narratives Qualitative Research Psycho-Oncology Neoplasias Revelación de la Verdad Narrativas Personales Investigación Cualitativa Psicooncología |
description |
Introduction: Cancer is classified as a chronic disease and has been growing in the world; therefore, the doctor needs, more and more, to prepare to attend cancer patients. Most of the bad news protocols are not performed through the patient’s lens. Objective: To know the effect of the diagnosis of cancer for the patient, and his suggestion about the way of communicating the diagnosis. Method: Qualitative study of narratives of oral histories, recorded and later transcribed, using the method of content analysis proposed by Laurence Bardin. The sample consisted of 30 cancer patients aged 34 to 88 years in a private clinic in Salvador, Bahia. Results and Discussion: The categories were: acceptance (53%), shock/fright (33%), suffering (20%), fear (2%), rationalism (2%), patient was able to present one or more types of reactions. Selected categories on diagnostic communication: diagnosis by non-oncologist (53.3%), diagnosis by non-physician (30%), diagnosis by oncologist (16.6%), and subcategories were: adequate and inadequate. Pessimistic speech was considered an inadequate medical communication; while an appropriate physician-friendly posture. Conclusion: Acceptance of the disease and shock/fright were the most prevalent effects at diagnosis. Patients with mild to moderate symptoms were considered to be diagnosed. What it indicates in this study is that, perhaps, oncologists are more prepared to report bad news than other professionals. Taking into account the characteristics of the subject and giving information in a gentle manner, giving hope were the main suggestions of diagnostic communication by the patients. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-12-31 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigos, Avaliado pelos pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/197 10.32635/2176-9745.RBC.2018v64n4.197 |
url |
https://rbc.inca.gov.br/index.php/revista/article/view/197 |
identifier_str_mv |
10.32635/2176-9745.RBC.2018v64n4.197 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/197/129 https://rbc.inca.gov.br/index.php/revista/article/view/197/400 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
INCA |
publisher.none.fl_str_mv |
INCA |
dc.source.none.fl_str_mv |
Revista Brasileira de Cancerologia; Vol. 64 No. 4 (2018): Oct./Nov./Dec.; 489-497 Revista Brasileira de Cancerologia; Vol. 64 Núm. 4 (2018): oct./nov./dic.; 489-497 Revista Brasileira de Cancerologia; v. 64 n. 4 (2018): out./nov./dez.; 489-497 2176-9745 10.32635/2176-9745.RBC.2018v64n4 reponame:Revista Brasileira de Cancerologia (Online) instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) instacron:INCA |
instname_str |
Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
instacron_str |
INCA |
institution |
INCA |
reponame_str |
Revista Brasileira de Cancerologia (Online) |
collection |
Revista Brasileira de Cancerologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
repository.mail.fl_str_mv |
rbc@inca.gov.br |
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