病人的自疗|开完处方,医生这样做,可能让你好得更快( 五 )


检查过病人,开了处方,下好医嘱,后面还有那么多繁忙的事务等着你处理,多待这五分钟是为什么?
再多给病人一点温暖,一点安慰,一点希望,一点信心。这点点滴滴,流入病人的心田,都能转化成促进康复的神奇力量!
主要参考资料
· Finniss DG. Placebo Effects: Historical and Modern Evaluation. Int Rev Neurobiol. 2018; 139: 1‐27.
· Hashmi JA. Placebo Effect: Theory, Mechanisms and Teleological Roots. Int Rev Neurobiol. 2018; 139: 233-53.
· Evans D. Placebo: mind over matter in modern medicine. London: HarperCollins Publishers, 2004.
· Vance E. Suggestible You: The Curious Science of Your Brain's Ability to Deceive, Transform, and Heal. Washington DC: National Geographic Partners, 2016.
其他参考文献
[1] Kaptchuk TJ et al. Components of placebo effect: randomised controlled trial in patients with irritable bowel syndrome. BMJ. 2008; 336: 999-1003.
[2] Kaptchuk TJ et al. Placebos without deception: a randomized controlled trial in irritable bowel syndrome. PLoS One. 2010; 5(12): e15591.
[3] Charlesworth JEG et al. Effects of placebos without deception compared with no treatment: A systematic review and meta-analysis. J Evid Based Med. 2017; 10: 97-107.
[4] Beecher HK. The powerful placebo. J Am Med Assoc. 1955; 159: 1602-6.
[5] Benedetti F et al., Open versus hidden medical treatments: The patient’s knowledge about a therapy affects the therapy outcome. Prevention & Treatment. 2003; 6. Article 1.
[6] Scott DJ et al. Placebo and nocebo effects are defined by opposite opioid and dopaminergic responses. Arch Gen Sychiatry. 2008; 65: 220-31.
[7] Gupta A et al. Adverse events associated with unblinded, but not with blinded, statin therapy in the Anglo-Scandinavian Cardiac Outcomes Trial-Lipid-Lowering Arm (ASCOT-LLA): a randomised double-blind placebo-controlled trial and its non-randomised non-blind extension phase. Lancet. 2017; 389: 2473-81.
[8] Pedro-Botet J et al. Muscle and statins: from toxicity to the nocebo effect. Expert Opin Drug Saf. 2019; 18: 573-9.
[9] Watson, M. Power of Suggestion. https://www.drmarthawatson.com/power-of-suggestion.
[10] Greville-Harris M & Dieppe P. Bad is more powerful than good: the nocebo response in medical consultations. Am J Med. 2015; 128: 126-9.
[11] Evers AWM et al. Implications of Placebo and Nocebo Effects for Clinical Practice: Expert Consensus. Psychother Psychosom. 2018; 87: 204-10.