EFFECT OF PATIENTS EXPECTATIONS ON RECOVERY FROM ACUTE TONSILLITIS

EFFECT OF PATIENTS EXPECTATIONS ON RECOVERY FROM ACUTE TONSILLITIS
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DOI:
10.1093/fampra/6.3.188
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发表时间:
1989-09-01
期刊:
影响因子:
2.2
通讯作者:
TIBBLIN, G
TIBBLIN, G
中科院分区:
医学4区
文献类型:
--
作者:
OLSSON, B;OLSSON, B;TIBBLIN, G

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为了调查对患者的个人关注是否会影响他或她从急性扁桃体炎的主观恢复,对100名因这种疾病咨询医生的患者进行了对照研究。在会诊时,随机分配的实验组(n=50)获得了有关诊断,治疗和预后的更详细的信息,并且比对照组(n=50)进行了更广泛的体格检查。在两天后的随访中,与对照组相比,实验组中有更多的人认为他们的症状有所改善(P<0.005),更多的人认为治疗对他们有帮助(P<0.005),更多的人认为他们获得了关于他们的疾病和治疗的足够信息(P<0.001)。因此,故意尝试最大限度地提高预期效果会影响急性扁桃体炎的临床病程,记录为主观改善程度。
To investigate whether the personal attention paid to a patient can affect his or her subjective recovery from acute tonsillitis, a controlled study was performed on 100 patients consulting a doctor for this disease. At the consultation a randomly assigned experimental group (n=50) was given more detailed information about the diagnosis, treatment and prognosis and also a more extensive physical examination than a control group (n=50). At a follow-up interview two days later significantly more of the experimental group felt that their symptoms had improved (P<0.005) than the control group, significantly more felt that the treatment had helped them (P<0.005) and significantly more felt they had received sufficient information about their illness and treatment (P<0.001). A deliberate attempt to maximize the expectation effect was thus shown to influence the clinical course of acute tonsillitis, recorded as the degree of subjective improvement.