Questionnaire survey on use of placebo
Questionnaire survey on use of placebo
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DOI：
10.1136/bmj.38236.646678.55
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发表时间：
2004-10-23
影响因子：
105.7
通讯作者：
Lichtenberg, P
中科院分区：
文献类型：
--
作者：
Nitzan, U;Lichtenberg, P
目的 评估临床实践中使用安慰剂的频率和情况以及服用安慰剂的人对其使用的态度。设计回顾性调查问卷。设置耶路撒冷地区的两家大型医院和各个社区诊所。参与者 31 名在医院住院部和门诊部工作的医生、31 名在医院住院部工作的护士长和 27 名在社区诊所工作的家庭医生。主要结果指标 自我报告使用频率和情况；结果 在 89 名受访者中，53 名 (60%) 使用安慰剂（95% 置信区间为 49% 至 70%）。在使用者中，33 人 (62%) 每月服用一次或以上安慰剂； 36 名 (68%) 告诉患者他们正在接受实际药物治疗； 15 人 (28%) 认为安慰剂是一种诊断工具； 48/51 (94%) 报告称，他们发现安慰剂通常或偶尔有效。结论 本研究中接受质疑的大多数从业者继续使用安慰剂。如果使用得当，安慰剂可能在治疗中占有一席之地。必须更广泛地认识这种做法并就其影响进行辩论。
Objectives To gauge the frequency and circumstances of use of placebo in clinical practice and the attitudes towards its use among those who administer it.Design Retrospective questionnaire.Setting Two large hospitals and various community clinics in the Jerusalem area.Participants 31. physicians working in hospital inpatient and outpatient departments, 31 head nurses working in hospital inpatient departments, and 27 family physicians working in community clinics.Main outcome measures Self report of frequency and circumstances of; and attitudes towards, use of placebo.Results Among the 89 respondents, 53 (60%) used placebos (95% confidence interval 49% to 70%). Among users, 33 (62%) prescribed a placebo as often as once a month or more; 36 (68%) told patients they were receiving actual medication; 15 (28%) considered that placebos were a diagnostic tool; and 48/51 (94%) reported that they found placebos generally or occasionally effective.Conclusion Most practitioners questioned in this study continue to use placebos. Used wisely, placebos might have a legitimate place in therapeutics. Wider recognition of the practice and debate about its implications are imperative.