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. 2015 Aug;22(4):e264–e272. doi: 10.3747/co.22.2351

TABLE I.

Questionnaire (translated from the Arabic)

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General questions
1 Date of birth: _________________
District: __________________
Province: _________________
2 Gender
□ Male □ Female
3 Education
□ Illiterate
□ Primary/intermediate
□ Secondary
□ University or higher
4 Employment status
□ Employed □ Unemployed
Level of information on cancer
5 Do you have information about cancer?
□ Yes □ No
If yes, from whom did it come:
□ The media?
□ Cultural meetings?
□ The physician?
□ The nurses?
□ A personal experience?
6 Is it possible to recover from cancer?
□ Yes □ No
If yes, what is the possibility?
□ Less than 10% □ 10%–50% □ More than 50%
7 Do you prefer that a patient be told he has cancer?
□ Yes □ No □ I do not know
If yes, why?
□ To better organize their life
□ To help the course of treatment
□ To improve the relationship with the family
□ To avoid living an illusion (know your enemy: knowing the disease makes the patient stronger)
□ To obtain several medical opinions
If no, why?
□ Knowing the truth has a negative effect
□ To avoid changing everyday life
□ To avoid pity from others
□ Because there is no treatment or healing
8 What do you think is the hardest for a cancer patient?
□ Pain
□ Fear
□ Pity of others
□ Other: ______________________________
9 Do you think religious faith plays a role in accepting the disease?
□ Yes □ No □ I do not know
10 Do family and friends play a role in helping the patient to accept the disease?
□ Yes □ No □ I do not know
How?
□ Through moral support
□ Through material support
□ Assistance in treatment (choice of hospital, physician, ...)
□ Help in communicating with the physician
11 In your opinion, what is the most common reaction of the patient when hearing the truth?
□ Anger
□ Fear
□ Perplexity
□ Acceptance and contentment
□ Other
12 Are the following factors important and helpful to accept the disease?
□ Support of friends and family
□ Relationship between physician and patient
□ Relationship between patient and nursing staff
□ Faith
□ Quality of treatment
□ Location of treatment
□ Knowing that the patient will be cured
13 Do you think that the personality of the physician has a positive impact on accepting the disease?
□ Yes □ No □ I do not know
How?
□ Positive psychological influence of the physician
□ Feeling of conviviality with the physician
□ Education and knowledge of the physician
□ Spiritual influence of the physician
□ All of the above
14 Do you think it is necessary to give patients information about their illness and the results of tests and treatments?
□ Yes □ No □ I do not know
□ Sort of □ Other
When?
□ Before treatment
□ During treatment
□ After treatment
15 Which is easier, dealing with patients who know about their disease or who do not know about their disease?
□ Knows □ Does not know
16 In your opinion, how many patients know about their disease?
□ None
□ Fewer than 50%
□ More than 50%
□ All patients
For patients who know about their disease
17 Who told you the truth?
□ Physician
□ Nurses
□ Parents or friends
□ Coincidence
□ Intuition
18 When did you know the diagnosis?
□ Before treatment
□ During treatment
□ After treatment
19 If you knew the truth by yourself, what are the symptoms that pushed you to discover the truth?
□ Hair loss
□ Effects on the digestive system
□ Dry mouth
□ Feeling tired
□ Other
20 Do you regret knowing the truth?
□ Yes □ No
If yes, why?
□ Anxiety □ Fear □ Despair □ Other
If no, why?
□ Organize life in a better way
□ Seek multiple medical opinions
□ Other
For nurses
21 If patients ask you a question about their treatment and they are unaware of their disease, do you tell them the truth?
□ Yes □ No □ I do not know
22 If your answer is no, to whom you refer the matter?
□ The physician
□ Another nurse who has more experience
□ A family member
□ Other: _______________________________
For physicians
23 In which stage of disease progression do you prefer to inform the patient about the truth?
□ Immediately after confirmation of the diagnosis
□ During treatment
□ After treatment
□ At the patient’s request
24 To whom you resort in the first stage to deliver the diagnosis?
□ Patient □ Parents □ Friends
25 What are the standards adopted in delivering the diagnosis?
□ Age of the patient
□ Educational background of the patient
□ Seriousness of the disease (curable or not)
□ Stage of the disease
□ Desire of parents
□ Faith
□ Other: ______________________________
26 What are the obstacles that you encounter when you tell the truth?
□ Psychosomatic consequences for the patient
□ Family’s opposition to informing the patient
□ Fear of not following the treatment
□ Evasion of the burden of pain
□ Other
27 Do you tell the patient about the diagnosis?
□ Directly □ Progressively
28 Do you change the way you interact with the patient depending on the patient’s condition?
□ Yes □ No
29 Do you tell the whole truth about healing?
□ In all cases □ In some cases (curable, incurable)