诺塞博效应:临床实践中的偏见 - - 一种伦理方法
Iulia-Virginia Răducan-Florea1, Florin G Leaşu2, Eleonora A Dinu2
1County Emergency Hospital, Tulcea, Romania; and.
American journal of therapeutics
|April 1, 2024
概括
常常被忽视的nocebo效应显著影响患者的福祉和治疗结果. 了解其伦理影响对于知情同意和患者护理至关重要.
科学领域:
- 医学伦理 医学伦理
- 精神病体医学是一种精神病体医学.
- 临床心理学 临床心理学
背景情况:
- 诺塞博效应是安慰剂效应的对应物,影响患者的生活质量和治疗决策.
- 它提出了关于患者自主权,非恶性和知情同意的实际和道德挑战.
研究的目的:
- 探索在医学实践和研究中围绕nocebo效应的伦理困境.
- 分析患者的信息和避免伤害之间的平衡.
主要方法:
- 一个10年的文献综述 (2012-2021年) 使用关键词如"nocebo"",安慰剂"和"道德".
- 在PubMed,Scopus,Google Scholar和WHO的文档中进行了搜索.
主要成果:
- 在nocebo研究和临床实践中的伦理问题需要更好的理解和管理.
- 一个关键的悖论涉及提供完整的患者信息,同时保持自主性和避免伤害.
- 保持透明度和小心沟通副作用的平衡至关重要,特别是对于敏感患者.
结论:
- 一旦忽视了nocebo效应,它对治疗结果的影响越来越被认可.
- 医疗专业人员正在识别和解决nocebo反应的临床和伦理影响.
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