A SURVEY OF PLACEBO USE IN A GENERAL-HOSPITAL

A SURVEY OF PLACEBO USE IN A GENERAL-HOSPITAL
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DOI:
10.1016/0163-8343(81)90002-5
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发表时间:
1981-01-01
影响因子:
7
通讯作者:
FLYNN, P
FLYNN, P
中科院分区:
医学2区
文献类型:
--
作者:
GRAY, G;FLYNN, P

文献摘要

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注册护士(230)和医生(70)参加了一项回顾性研究,在大学为基础的综合医院设置检查安慰剂的影响,处方模式和工作人员的态度。尽管在过去的30年里有大量的实验文献致力于安慰剂效应,但安慰剂的医疗和手术使用似乎忽视了实验数据。尽管80%的工作人员在医院使用过安慰剂,但他们对安慰剂效应的了解在许多方面都是不足的。在医院内,89%的安慰剂使用是针对疼痛的改善;人们认为,重点应该放在教育工作人员感知疼痛的情感,社会和生理伴随因素,而不是诉诸纯粹的物理方法。需要承认工作人员在道德使用安慰剂方面的冲突应该是这种教育方法的重要组成部分。
Registered nurses (230) and physicians (70) participated in a retrospective study scrutinizing placebo effects, prescribing patterns and staff attitudes in a university-based general hospital setting. Despite copious experimental literature devoted to placebo effects over the past 30 yr, the medical and surgical use of placebos seems to disregard experimental data. Although 80% of the staff had used placebos in the hospital, their knowledge of placebo effects was in many respects deficient. Within the hospital, 89% of placebo use was directed toward the amelioration of pain; it is believed that emphasis should be placed on the education of staff to perceive emotional, social and physiological concomitants of pain rather than resorting to a purely physicalistic approach. A need to acknowledge staff conflicts over the ethical use of placebos should be a significant part of this educational approach.