KNOWLEDGE AND USE OF PLACEBOS BY HOUSE OFFICERS AND NURSES
KNOWLEDGE AND USE OF PLACEBOS BY HOUSE OFFICERS AND NURSES
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DOI：
10.7326/0003-4819-91-1-106
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发表时间：
1979-01-01
影响因子：
39.2
通讯作者：
VOGEL, AV
中科院分区：
文献类型：
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作者：
GOODWIN, JS;GOODWIN, JM;VOGEL, AV
对一所大学教学医院的60名内务人员和39名注册护士进行了调查，以确定他们对安慰剂作用和安慰剂使用模式的了解。大多数医生和护士大大低估了服用安慰剂后疼痛缓解的患者比例。安慰剂通常是给那些不喜欢的病人，他们被怀疑夸大了他们的痛苦，或者对通常的医疗方案没有反应，或者两者兼而有之。对安慰剂药物的阳性反应被医生解释为疼痛没有生理基础的证据。如果说有什么不同的话，那就是过度苛求和抱怨的病人对安慰剂的反应比医院工作人员喜欢的病人要小。这正是安慰剂治疗的风险患者类型。
House officers (60) and 39 registered nurses in a university teaching hospital were surveyed to ascertain their knowledge of placebo action and patterns of placebo use. The majority of physicians and nurses greatly underestimated the percentage of patients who experience pain relief when given placebo. Placebos typically were given to disliked patients who were suspected of exaggerating their pain or had failed to respond to usual medical regimens, or both. Positive responses to placebo medication were interpreted by the physicians as evidence that the pain had no physiologic basis. Overdemanding and complaining patients are, if anything, less likely to respond to placebo than patients well liked by the hospital staff. This is precisely the type of patient at risk for placebo treatment.