Türk Tıp Öğrencileri Araştırma Dergisi
Yazarlar: Zeynep KÜSKÜ KİRAZ, Evin KOCATÜRK, Zeynep Sena YILMAZ, Ogün Alp YEŞİLTAŞ, Fatma İrem KAYA, Çiğdem ALMAZ, Bahattin ARISOY, Mehmet Alp KAYNAR, Ebubekir YİĞİTBAY, Ayşenur SARI, Seda Nur TAŞ, Özhan DÖNGÜL, Onur Can KILINÇ, Fereshta M. ZAHER
Konular:Sağlık Bilimleri ve Hizmetleri
Anahtar Kelimeler:Life-threatening illness,Approach to terminal patient
Özet: Physicians sometimes have to give bad news to patients and their relatives and they do this with their knowledge, attitude and skills they have acquired over time. The attitudes of the physician while telling the diagnosis and the patient’s conditions at that moment may affect the patient's acceptance and motivation during the treatment process. In this study, we aimed to evaluate the differences between medical students and other faculty students about the process of learning life-threatening illness diagnosis. The questionnaire was composed of 16 questions about the participants' demographic information and opinions on the subject. Questions about opinions were answered as ‘I disagree’, ‘I'm not sure’ or ‘I agree’. The questionnaire was delivered to volunteers in digital environment. Responses were evaluated statistically using SPSS package program. A total of 653 students, 258 from non-medical faculties, 261 from the first 3 grade (1-3) medical students and 134 from the last 3 grade (4-6) medical students participated in our study. The percentage of participants who has not death anxiety wanted to know how long their life was left was higher than those with a death anxiety (p = 0.01). 84.7% of the participants choose that if they have a life-threatening illness, they have right to learn all about the diagnosis and treatment options. Most of the participants thought that the way of learning the diagnosis would be effective in accepting the disease (78.4%), in therapy process (63.2%). 86.4% said that the doctors need training and experience to give a bad news. The answers given to the questions about the possible effects of learning the diagnosis showed a significant difference between the departments of the students (p <0.5). Grade 4-6 medical students were more likely to confirm that the way of telling a diagnosis can have effects patients’ acceptance. And they less confirmed that the way of telling a diagnosis can have effects patients’ healing than other students. In this study, most of the participants stated that the doctor should clearly explain the diagnosis of a life-threatening illness and treatment options to the patient. Also our results suggest that giving bad news to the patient is a situation that requires training and experience.