International Journal of Medical Investigation
Sun, Jan 5, 2025
Volume 12, Issue 1 (3-2023)
Int J Med Invest 2023, 12(1): 46-53 |
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Ghaedi M, Jahromi M S S, Zare N, Taheri L. Examining the Aspects of Truth-Telling to Patients with the Diagnosis of Amputation: A Cross-Sectional Descriptive Study. Int J Med Invest 2023; 12 (1) :46-53
URL: http://intjmi.com/article-1-958-en.html
URL: http://intjmi.com/article-1-958-en.html
Assistant Professor of Surgery, Jahrom University of Medical Sciences, Jahrom, Iran.
Abstract: (1256 Views)
Background: Amputation of the limbs has been reported to be a significantly stressful event since it is generally associated with disability and affects patients' quality of life. Therefore, being aware of this problem in the treatment process is considered bad news. Truth-telling in the medical profession is necessary since it enables patients to make correct decisions regarding the treatment and healthcare process. Materials and Methods: This is a descriptive cross-sectional study. It is conducted randomly among students, medical professors, and medical staff, with two years of clinical experience. The demographic information questionnaire and the truth-telling questionnaire of Ajzen were used here.
Results: Out of 86 participants in this research, 45 (52.3%) were men and 41 (47.7 %) were women. The average age was 25.31 ± 8.1 years. Patients' general opinion completely agreed with truth-telling and its areas. The highest level of agreement of the respondents with different dimensions of truth-telling, respectively, belongs to the behavioral dimension with an average of 4.7, the tendency dimension with 4.6, and the attitude dimension with 4.3. Furthermore, there was no significant relationship between this component and its dimensions with the variables of gender, age, place of service, and being a physician or medical staff.
Conclusion: Truth-telling and the desire to provide diagnostic and treatment information to patients is associated with many complications, which is necessary due to the support of research, legal duties, and patients’ rights. Physicians must acquire sufficient skills in communicating with patients and providing them with information and prognosis. This issue requires permanent training in the field of presenting bad news. Therefore, in addition to the skill of physicians, patients, and their relatives should also have proper preparation to face this stage in the treatment process, public health information and awareness of the patient's rights in this field can also be valuable.
Results: Out of 86 participants in this research, 45 (52.3%) were men and 41 (47.7 %) were women. The average age was 25.31 ± 8.1 years. Patients' general opinion completely agreed with truth-telling and its areas. The highest level of agreement of the respondents with different dimensions of truth-telling, respectively, belongs to the behavioral dimension with an average of 4.7, the tendency dimension with 4.6, and the attitude dimension with 4.3. Furthermore, there was no significant relationship between this component and its dimensions with the variables of gender, age, place of service, and being a physician or medical staff.
Conclusion: Truth-telling and the desire to provide diagnostic and treatment information to patients is associated with many complications, which is necessary due to the support of research, legal duties, and patients’ rights. Physicians must acquire sufficient skills in communicating with patients and providing them with information and prognosis. This issue requires permanent training in the field of presenting bad news. Therefore, in addition to the skill of physicians, patients, and their relatives should also have proper preparation to face this stage in the treatment process, public health information and awareness of the patient's rights in this field can also be valuable.
References
1. 1. Khademi M, Gharib M, Rashedi V. Prevalence of depression in the amputated patients concerning demographic variables. Iran J War Public Health 2012; 4 (2) :12-17
2. Johannesson, A., G. Larsson, and T. Öberg, From major amputation to prosthetic outcome: a prospective study of 190 patients in a defined population. Prosthetics and orthotics international, 2004. 28(1): p. 9-21.
3. Schoppen, T., et al., Physical, Mental, and Social Predictors of Functional Outcome in Unilateral Lower-Limb Amputees1. Archives of physical medicine and rehabilitation, 2003. 84(6): p. 803-811.
4. Desmond, D. and M. MacLachlan, Psychological issues in prosthetic and orthotic practice: a 25 year review of psychology in Prosthetics and Orthotics International. Prosthetics and orthotics international, 2002. 26(3): p. 182-188.
5. Gauthier-fiagnon, C., M.-C. Grise, and D. Potvin, Predisposing factors related to prosthetic use by patients with a transtibial and transfemoral amputation. JPO: Journal of Prosthetics and Orthotics, 1998. 10(4): p. 99-109.
6. Turner, J.B. and R.J. Turner, Physical Disability, Unemployment, and Mental Health. Rehabilitation Psychology, 2004. 49(3): p. 241.
7. Rising, M.L., Truth telling as an element of culturally competent care at end of life. Journal of Transcultural Nursing, 2017. 28(1): p. 48-55.
8. Chiu, T.-Y., et al., Prevailing ethical dilemmas in terminal care for patients with cancer in Taiwan. Journal of Clinical Oncology, 2009. 27(24): p. 3964-3968.
9. Kazamian A, Parsapour A. Examining the opinion of doctors regarding the statement of facts related to patients with incurable diseases. Ethics in Science and Technology. 2007;1:61-67
10. Ozdogan, M., et al., Factors related to truth-telling practice of physicians treating patients with cancer in Turkey. Journal of palliative medicine, 2006. 9(5): p. 1114-1119.
11. Akbari R, Aghili M. Analysis of the effective factors in physician’s truth telling to cancer patients in Iran. Tehran Univ Med J 2017; 75 (3) :219-227
12. Vahdaninia M, Montazeri A. Truth-telling to cancer patient: a cross-sectional study. Payesh 2003;2(4):259-68.
13. Derekhshan Z, Shamsi Koshki E. Truth telling in medicine: a systematic review. IJMEHM. 2016;8(7): 159.
14 Atrak, H. and M. Mollabakhshi, Lying to patients from benevolent motives. Journal of Medical Ethics and History of Medicine, 2012. 5(4): p. 1-13.
15. Akbari R, Aghili M. Analysis of the effective factors in physician’s truth telling to cancer patients in Iran. Tehran Univ Med J 2017; 75 (3) :219-227.
16. Elwyn, T.S., et al., Cancer disclosure in Japan: historical comparisons, current practices. Social science & medicine, 1998. 46(9): p. 1151-1163.
17. Cansever A., Uzun O., Yildiz C., Ates A., Atesalp A.S. Depression in men with traumatic lower part amputation: a comparison to men with surgical lower part amputation. Mil. Med. 2003 Feb;168(2):106–109.
18. Pélicier N. Breaking bad news: cancer diagnosis. Rev Prat 2006; 56(18): 1997- 2003.
19. Voelter V, Mirimanoff RO, Stiefel F, Rousselle I, Leyvraz S. Breaking bad news. Rev Med Suisse 2005; 1(20): 1352-3.
21. Abdolhassan Kazemi, (2008). Medical Environment, Patient and Bad News, Strides in Development of Medical Education, 4(2), 133. magiran.com/p528526
22. Grassi L, Giraldi T, Messina EG, Magnani K, Valle E, Cartei G. Physicians' attitudes to and problems with truth-telling to cancer patients. Support Care Cancer. 2000 Jan;8(1):40-5. doi: 10.1007/s005209900067. PMID: 10650896.
23. Bendary MM, Sherif GM, Ibrahim AS, Gadallah MA. Truth-telling in Oncology: Egyptian Patients' Attitudes and Preferences. Asian Pac J Cancer Prev. 2022 Dec 1;23(12):4227-4231. doi: 10.31557/APJCP.2022.23.12.4227. PMID: 36580005; PMCID: PMC9971476.
24.Chittem M, Norman P, Harris PR. Relationships between perceived diagnostic disclosure, patient characteristics, psychological distress and illness perceptions in Indian cancer patients. Psychooncology. 2013;6:1375–80.
25. Geppert C. The Balance of Truth-Telling and Respect for Confidentiality: The Ethics of Case Reports. Fed Pract. 2022 Feb;39(2):60-61. doi: 10.12788/fp.0233. Epub 2022 Feb 8. PMID: 35444386; PMCID: PMC9014934.
26. Kazdaglis G., Arnaoutoglou C., Karypidis D., Memekidou G., Spanos G., Papadopoulos O. Disclosing the truth to terminal cancer patients: A discussion of ethical and cultural issues. East. Mediterr. Health J. 2010;16:442–447. doi: 10.26719/2010.16.4.442.
27.Tang W.-R., Fang J.-T., Fang C.-K., Fujimori M. Truth telling in medical practice: Students’ opinions versus their observations of attending physicians’ clinical practice. Psycho-Oncology. 2012;22:1605–1610. doi: 10.1002/pon.3174.
28. Fan Z., Chen L., Meng L., Jiang H., Zhao Q., Zhang L., Fang C.-K. Preference of cancer patients and family members regarding delivery of bad news and differences in clinical practice among medical staff. Support. Care Cancer. 2018;27:583–589.
29. Council of Europe Convention for the Protection of Human Rights and Dignity of the Human Being with Regard to the Application of Biology and Medicine: Convention on Human Rights and Biomedicine. ((accessed on 23 March 2018));1997 Available online:
30. Medical Council of Islamic Republic of Iran,(NGO)- General guide of professional ethics for medical professionals and affiliates of the medical system organization of the Islamic Republic of Iran ((accessed on 2 February 2022)). Available online: https://irimc.org/
31. Ghandourh W.A. Palliative care in cancer: Managing patients’ expectations. J. Med. Radiat. Sci. 2016;63:242–257. doi: 10.1002/jmrs.188.
32. Abazari P., Taleghani F., Hematti S., Ehsani M. Exploring perceptions and preferences of patients, families, physicians, and nurses regarding cancer disclosure: A descriptive qualitative study. Support. Care Cancer. 2016;24:4651–4659. doi: 10.1007/s00520-016-3308-x.
33. Drane JF. Honesty in medicine: Should doctors tell the truth? Am J Bioeth. 2002;2:14–17.
34. Beauchamp TL, Childress JF. Principles of biomedical ethics. 5th ed. New York: Oxford University Press; 2001.
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