International E-publication: Publish Projects, Dissertation, Theses, Books, Souvenir, Conference Proceeding with ISBN.  International E-Bulletin: Information/News regarding: Academics and Research

Identifying Appropriate Methods of Diagnosis Disclosure and Physician- Patient Communication Pattern among Cancer Patients in Iranian Society

Author Affiliations

  • 1Department of Psychiatry, University of Social Welfare and Rehabilitation Sciences, Tehran, IRAN
  • 2Department of Psychology, Science and Research Branch, Islamic Azad University, Tehran, IRAN
  • 3Deparment of Psychology, Kish International Branch, Islamic Azad University, Kish, IRAN
  • 4Department of Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, IRAN
  • 5Department of Psychology, Kharazmi (MoaalemTarbiat) University, Tehran, IRAN

Int. Res. J. Biological Sci., Volume 3, Issue (6), Pages 47-52, June,10 (2014)

Abstract

Cancer is one of the diseases which make people worry about it all the time. Most people know cancer in terms of death. Training cancer patients about their disease is a part of their treatment. They need training and support in order to cope with disease symptoms and treatment. There is no comprehensive information about awareness rate of Iranian cancer patients from their disease that they prefer to receive necessary information through which person and in which time. Present research is in a field method and has been conducted based on focus group interviews with 40 male cancer patients informed of their diagnosis. Sampling method was available sampling. Statistical universe included all patients referring to blood and oncology center of Dr. Shariati Hospital in Tehran. According to findings, specialist physician is the most suitable person for diagnosis disclosure and breaking bad news. Appropriate time is the interval between definitive diagnosis and initial treatment. Patient prefers to be alone while hearing cancer diagnosis. Also, specialist physician discloses disease diagnosis personally with him in an interval between definitive diagnosis and initial treatment. Cancer Patients prefer active-passive communication pattern which might be caused by dominant culture on Iranian Society (p0.01). In Iran people believe that if patients were aware of their disease, perhaps they may be lost sooner. The amount and accuracy of information disclosure in different countries are different.

References

  1. Holland J.C. and Friedlander M.M., Oncology. In M. Blumenfield and J.J. Strain (Eds.), psychosomatic medicine,Philadelphia: Lippincott Williams and Wilkins, (2006)
  2. Schofield P.E., Butow P.N. and Thompson J.F., et al., Psychological responses of patients receiving a diagnosis of cancer, Annals of Oncology, 14(1), 48–56 (2003)
  3. Sarafino E.P., Health Psychology: Bio psychosocial Interactions, 2nd ed. New York: John Wiley; (1994)
  4. Hoffman R.L. and Mitechel M., Caregiver Burden: Historical Development, Nursing Forum, 33(4), 5-11 (1998)
  5. Hosaka T., Oaki T. and Ichikawa Y., Emotional states of patients with hematological malignancies: a preliminary study, Japanese Journal of Clinical Oncology, 24(4), 186-9 (1994)
  6. Barnett M.M., Does it hurt to know the worst? Psychological morbidity, information preferences and understanding of prognosis in patients with advanced cancer, Psycho-Oncology,15(1), 44-55 (2006)
  7. Mitchell J.L., Cross-Cultural issues in the disclosure of cancer, Cancer Practice, 6(3), 153-6 (1998)
  8. Janghorbani M., Zhianpour M., Tabatabiee H.R., Diagnosis and prognosis disclosure to dying adult cancer patients, Part 1: Physician attitude, Journal of Kerman University of Medical Sciences,1(1), 5-8 (1994)
  9. Gilhooly M.L.M. and Berkely J.S. et al., Truth telling with dying Cancer Patients, Palliative Medicine,2(1), 64-71 (1988)
  10. Kagawa-Singer M., Socioeconomic and cultural influences on cancer care of women, Seminars in Oncology Nursing,11(2), 109-19 (1995)
  11. Tang S.T. and Lee S.Y.C., Cancer diagnosis and prognosis in Taiwan: patient’s preferences versus experiences, Psycho-Oncology; 13(1), 1-13 (2004)
  12. Deng G. and Cassileth B.R., Integrative oncology: complementary therapies for pain, anxiety and mood disturbance, A Cancer Journal for Clinicians,55(2), 109-16 (2005)
  13. Lee A. and Wu H.Y., Diagnosis disclosure in cancer patients- when the family says “no”! Singapore Medical Journal,43(10), 533-3 (2002)
  14. Lin H.R. and Bauer–Wu S.M., Psycho–spiritual well–being in patients with advanced cancer: an integrative review of the literature, Journal of Advanced Nursing, 44(1), 69-80 (2003)
  15. Die T.M., The patient from a different culture, In J.C. Holland (Eds.), Psycho-Oncology, New York: Oxford University Press; (1998)
  16. Woodbine G., The care of Patients dying from Cancer, The Journal of the Royal College of General Practitioners, 32(244), 685-689 (1982)
  17. Juarez G., Ferrell B. and Borneman T., Cultural consideration in education for cancer pain management, Journal of Cancer Education, 14(3), 168-173 (1999)
  18. Tavoli A., The role of information in the quality of life of cancer patients with gastrointestinal cancer, Payesh Journal, 3(1), 257-264 (2007)
  19. Friedrichsen M.J., Strang P.M., Carlsson M.E., Cancer patient’s perceptions of their participation and own resources after receiving information about discontinuation of active tumor treatments, ActaOncologica, 39(8), 919-25 (2000)