Caspian Journal of Neurological Sciences
مجله علوم اعصاب کاسپین
Caspian J Neurol Sci
Literature & Humanities
http://cjns.gums.ac.ir
1
admin
2383-4307
2423-4818
10.32596
en
jalali
1401
6
1
gregorian
2022
9
1
8
4
online
1
fulltext
en
Physicians’ Skills in Breaking Bad News to Patients With Cancer Using SPIKES Protocol
تخصصي
Special
پژوهشي
Research
<strong>Background:</strong> Breaking bad news is an unpleasant task for physicians, especially for patients with cancer.<br>
In this regard, the SPIKES protocol, which is prevalent in several countries, has not been discussed in Iran.<br>
<strong>Objectives:</strong> This study evaluated how the SPIKES protocol was followed by physicians. <br>
<strong>Materials & Methods:</strong> This descriptive cross-sectional study was conducted at Guilan academic<br>
hospitals from December 2021 to April 2022. Patients with cancer participated in the survey who were<br>
referred to the oncology academic centers for follow-ups or radiotherapy and chemotherapy. They were<br>
over 18 years old with the ability of proper communication. The SPIKES questionnaire consists of 12<br>
questions with 6 subscales (settings, invitation, perception, knowledge, emotion, and strategy). It was<br>
filled out through a direct interview.<br>
<strong>Results:</strong> The data from 280 patients were analyzed. Everyone stated that at the time of receiving the<br>
diagnosis, the doctor was not in a hurry and made appropriate eye contact. About 61.1% believed they<br>
were emotionally supported, and 65.4% were satisfied with their final knowledge about the disease and<br>
treatment planning. Patients with older ages and lower levels of education were significantly more likely<br>
to state that physicians’ language was not comprehensive; physicians did not understand them, and the<br>
patients were not emotionally supported (P=0.0001).<br>
<strong>Conclusion:</strong> This study showed that more attention should be paid to older patients with lower levels of<br>
education. They needed more time for conversation and simpler dialect. Some areas, such as “invitation”<br>
are required to be improved.
Communication, Psycho-oncology, Physicians, Cancer
234
243
http://cjns.gums.ac.ir/browse.php?a_code=A-10-32-176&slc_lang=en&sid=1
Bahram
Naderi Nabi
0000-0002-1727-2446
Yes
Department of Anesthesiology, Anesthesiology Research Center, Faculty of Medicine, Alzahra Hospital, Guilan University of Medical Sciences, Rasht, Iran
Zahra
Rafiei Sorouri
0000-0003-2286-6983
No
Department of Obstetrics & Gynecology, Reproductive Health Research Center, Faculty of Medicine, Alzahra Hospital, Guilan University of Medical Sciences, Rasht, Iran
Ali
Pourramzani
0000-0002-1399-1670
No
Cognitive and Addiction Research Center (Kavosh), Shafa Hospital, Guilan University of Medical Sciences, Rasht, Iran
Seyyed Hossein
Mirpour
0000-0002-4155-3061
No
Department of Hematology and Oncology, Faculty of Medicine, Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran
Gelareh
Biazar
0000-0002-4571-6059
No
Department of Anesthesiology, Anesthesiology Research Center, Faculty of Medicine, Alzahra Hospital, Guilan University of Medical Sciences, Rasht, Iran
Zahra
Atrkarroushan
0000-0001-8687-1242
No
Department of Statistic, Faculty of Health, Guilan University of Medical Sciences, Rasht, Iran
Morteza
Mortazavi
No
Student Research Committee, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran
Mohadese
Ahmadi
0000-0002-6140-7520
No
Department of Anesthesiology, Anesthesiology Research Center, Faculty of Medicine, Alzahra Hospital, Guilan University of Medical Sciences, Rasht, Iran