病情告知與溝通技巧 - ttcc.org.tw

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7%. . . 38% . 55%. . . . . . . Adherence . . . . . . . . . . . . . . . . . . . . . . 5-10 . . . . . . . . . . . . . . . . ( SPIKES) . Baile WF, Buckman R, Lenzi R, et al, A six-step protocol for delivery bad news Application to the patient with cancer. Oncologist 5:302-311, 2000. SHARE . Peter Kaye, 1996. Breaking Bad News- A Ten Step Approach. ( SPIKES). S (setting- ). P (perception- ). I invitation- . K knowledge- . E empathize- . S (summary- ). SHARE . Supportive environment . How to deliver the bad news . Additional information . Reassurance and Emotional support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ). . Verbal and Non-Verbal.

•當病人罹患不治之症時，告 知實情對病人或醫護人員都 會帶來強烈衝擊。畢竟大部 分的人尚未準備好要接受事

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