老年医疗机构内的老人,体弱、多病、各器官功能丧失,最终面临着生命终末期的到来,向亲属或其本人传达疾病坏消息,是医务人员面临的一项具有挑战性的工作。一、疾病坏消息的定义患者疾病加重、肿瘤扩散、治疗失败并对疾病的进程造成不利影响;或治疗上出现不可逆转的副作用;或一些诸如艾滋病毒的检测结果呈现阳性等等情况出现时,则意味着疾病坏消息的形成。这些疾病坏消息可以严重地影响个人将来生活前景、导致个 Elderly people in geriatric health care institutions, frail and sick, the loss of function of various organs, eventually face the end of life and communicate the bad news to their relatives or their own. This is a challenging task faced by medical staff. First, the definition of bad news Disease patients with increased disease, tumor proliferation, treatment failure and adversely affect the progress of the disease; or treatment of irreversible side effects; or some tests such as HIV positive results appear, etc., It means the formation of disease bad news. The bad news about these illnesses can seriously affect the future life prospects of individuals, leading to a