[Bad news in nephrology].
The impact with a diagnosis of terminal chronic kidney failure produces a strong reaction in the patient, who feels confused, scared, angry and often expresses his scepticism about the physician's competence. It as been observed that the physician's attitude during his first contact with the patient determines the features of the patient's approach to the disease and its treatment. Respect, tact, empathy, support and information precision are essential to the establishment of a productive communication relationship resulting in a satisfying level of patients' awareness and compliance. A group of 80 patients was surveyed with a semi-structured interview aimed at evaluating physicians' communication strategies and patients' emotional experience. In order to improve the patients' life quality by making him an active part of every step of his treatment, is strongly recommended the adoption of a patient-centred communication pattern based on contact and positive unconditioned acceptance.
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Servizio di Emodialisi, Arco dell'Angelo, Casa di Cura Lay, Cagliari - Italy. seusimona@hotmail.com
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D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D010817:Physician-Patient Relations; D011795:Surveys and Questionnaires; D014342:Truth Disclosure