Professor Chen Xiaobing: How can tumor doctors be well -developed with patients and communicate with patients

Guide

With patients as the center and striving to pursue a win -win situation for doctors and patients, it is the basic requirement for medical workers in the new era. Many patients with liver cancer leave the hospital, like a broken kite -the attending doctor cannot be found, as if you can't find your own home.

On April 13, 2022, at the "National Tumor Prevention Propaganda Week, Liver Disease Physicians in Action" and the Summit of Exchange Summit of Liver Cancer Multi -Disciplinary Exchange, National Health Science Popular Science Experts, Standing Committee of the Standing Committee and Deputy Secretary -General of the Science Commission of the China Anti -Cancer Association Professor Chen Xiaobing, chief physician of the Department of Department of Internal Medicine of Henan Provincial Oncology Hospital, wrote a report on "How Docologists Do a Better Popularization and Communication with Patients" and share unique medical science and education experience.

Professor Chen Xiaobing pointed out that popular science and patient education are the relationship between large and small. If the patients and their families are popularized, they are educated for patients; if they are facing the public, they are medical science. Although the two are different, they both have "patients as the center" as the core.

Cancer = cancer+disease

With the continuous progress of the research of tumor biology, anti -"cancer" treatment has made rapid progress: internal medicine, surgery, radiology, radiological treatment, and interventional therapy for intervention department. "Symptoms" are issues that patients pay more attention to, such as malnutrition, weight loss, pain, fatigue, insomnia, anorexia, nausea and vomiting, etc. At present, the work of "symptoms" treatment is not satisfactory, because the patient does not really feel the patient's personal feelings at the core.

Anti -cancer treatment will use a variety of drugs, such as chemotherapy drugs, targeted drugs, immune drugs, auxiliary drugs, Chinese medicine, various examinations, etc. Drugs are poisonous, no medicine or poison, and various toxic and side effects may cause harm to patients. Doctors should improve this kind of consciousness and timely science to patients and their families in time.

Monitoring and management of various adverse reactions of drugs is very important. It can not only reduce the pain of patients 'diseases, improve the quality of life of patients, but also increase the compliance of patients' medication, reduce the economic burden, and finally obtain better results. Doctors should also find the way of efficacy and safety. Do not cause another more serious problem to solve one problem.

Recommend a metaphor that makes it easy for patients to understand: liver cancer drug treatment is like a high -rise building. Symptoms of supporting treatment, like a foundation; anti -cancer drug treatment, like a high building; the treatment of toxic and side effects is like decoration of the building.

Doctors should be proficient in scientific prevention and treatment of adverse reactions in patients with tumor. Through the human science science and patients with humanistic care, we must also pursue correct popular science with scientific research.

Make good use of popular science information

The doctor should make good use of the various materials in their hands, share it with the patients in time, and lead the patient to learn together. For example, the "Education Handbook of patients with adverse reactions related to tumor immunotherapy" formulated by CSCO, "Tumor Examination Point Inhibitors Related Eachiosteriitis Monitoring and Management Chinese Expert Consensus (2020 Edition)" formulated by the China Anti -Cancer Association (2020 " Handbooks and other manuals such as the "Clinical Management Experts of Tumor Treatment Related Platelets" and other manuals should be kept in the department.

In addition, science popularization is not limited to doctors and patients, but also grass -roots doctors also have learning needs for liver cancer. The "Primary Doctors' Tumor Passing Treatment Manual" published by Fudan University Publishing House expounded the method of managing various symptoms and toxic and side effects of patients, and is a good teacher and friend of grass -roots doctors.

The "Tumor Nutrition Education Theory and Practice" published by the People's Health Publishing House is very concerned about nutritional issues that each tumor patient is very concerned about. What should I eat and what should I not eat? What to eat and what to eat? How to eat natural and balanced diet? These questions can be found in this book.

Science popularization is a ability and part of clinical work. Doctors should integrate daily work with deep clinical science popularization. To this end, Professor Chen Xiaobing also edited "Faced with Cancer: Do not panic or obedient", and conducted educational popularization of patients from the five aspects of "defense", "sieve", "diagnosis", "governance", and "Kang". The "Guidelines for Primary Liver Cancer Patients of the China Anti -Cancer Association" released by the China Anti -Cancer Association in 2021 is the first domestic guide for liver cancer for patients. Once released, it is widely welcomed.

Working method sharing

Clinical doctors should be good at using new media to pay attention and study. Many tumor doctors are very serious and unsmiling. In order to closer their feelings with patients, they can try to use extensive platforms such as Douyin to hold some activities to enjoy with patients. Happy is a good medicine in the world!

Know the new media and don't forget the old media. Medical science must not only occupy self -media, but also occupy the main media. Newspapers, local television stations, and CCTV have provided important channels for medical science.

Doctors should be good at using the strength of the team. One flower is not spring, and the flowers are full of spring. The strength of a person is limited, and the strength of the team is always greater than individuals. They should pay attention to teamwork and complete popular science work.

The science from clinical science is invalid popular science. The popular science work of the doctor should stem from clinical, clinical, clinical drive, problem orientation, and ultimately solve clinical problems.

Take the popular science example of "constipation"

Constipation is one of the common problems of tumor patients. Prevent constipation should drink plenty of water, eat more vegetables, fruits, exercise more, and take medicine appropriately. Doctors should personally consider the patient's feelings, and take the exercise as an example: if the patient has active obstacles or fatigue, he can inform the patient to take deep breath and exercise, and massage (passive exercise) is also exercise.

There are also a lot of attention to the treatment of constipation, and the patient should be notified. For example, oral sodium phosphate should be used carefully in patients with acute renal dysfunction; sodium phosphate, saline, or tap water enema should be used in control and pay attention to might occur in electrolyte abnormalities; /Or the use of enema agents is taboos; for patients with known or suspected mechanical intestinal obstruction, these drugs will not benefit and should not be used.

There are also many misunderstandings of the public's understanding of constipation, and doctors should pay attention to correction. If many people say that eating bananas can treat constipation, but the actual situation is that the content of banana cellulose is low, and the effect of constipation is far from fire dragon fruit and pear. Immature bananas increase constipation. Constipation of honey is usually not the role of honey. Instead, it is the role of water consumed with honey; daily life should be reduced to use, squatting and timely defecation should be the king of constipation.

Tumor prevention and control, win! The protagonist of the science popularization of patients is not only limited to doctors, nurses, nutritionists, pharmacists, etc. should join hands to common popular science and benefit patients. Fighting the epidemic, you and I are together; love to cancer, prevent first!

Professor Chen Xiaobing

▪ Doctor of Medicine, Chief Physician, Professor of Zhengzhou University, Doctoral Tutor, Postdoctoral Cooperative Tutor

▪ Deputy Director of Henan Cancer Hospital, Director of Digestives

▪ Experts from special allowances of the State Council, Excellent Experts of Henan Province Management, Henan Province Academic and Technical Leader

▪ Member of the National Cancer Center "National Anti -Cancer Drug Clinical Application Monitoring Expert Committee"

▪ Experts from the Ministry of Education's degree thesis and excellent papers, experts from the National Natural Science Foundation of China

▪ China Anti -Cancer Association (CACA) Oncology Prevention Science Science Commission Standing Committee Standing Committee and Deputy Secretary -General

▪ CACA Integrated Oncology Branch, Standing Committee Member of the Special Committee of Unknown and Multi -primary Oncology

▪ CACA gastric cancer, integrated tumor cardiology, precision treatment of tumor, and members of the tumor nutrition commission

▪ Chinese Medical Society's Oncology Branch of the Pancreatic Oncology Group, Member of the Supporting Rehabilitation Treatment Group

▪ The Standing Committee and Deputy Secretary -General of the Education Expert Committee of the China Clinical Oncology Society (CSCO)

▪ CSCO biliary tumor committee and member of the pancreatic cancer committee

▪ Chinese Research Hospital Society of Precision Medicine and Tumor MDT Special Committee Standing Committee

▪ Chinese Medical Association Traditional Chinese and Western Medicine Integrated Physician Branch Standing Committee Standing Committee

▪ Central Plains Science and Technology Innovation Leading Talents, Leading Talents of Health and Technology of Henan Province

▪ Henan Province Chief Popular Science Expert (Tumor Prevention), 2020 Henan "Most Beautiful Science and Technology Workers"

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