在不造成不必要伤害的情况下解释一切：是否有积极构建医疗风险信息的空间？

Explaining all without causing unnecessary harm: Is there scope for positively framing medical risk information?

机构信息

Department of Psychological Medicine, King's College London, London, UK; NIHR Health Protection Research Unit in Emergency Preparedness and Response, King's College London, London, UK.

School of Cancer and Pharmaceutical Sciences, King's College London, London, UK; NIHR Health Protection Research Unit in Emergency Preparedness and Response, King's College London, London, UK.

出版信息

Patient Educ Couns. 2019 Mar;102(3):602-603. doi: 10.1016/j.pec.2018.09.014. Epub 2018 Sep 15.

DOI:10.1016/j.pec.2018.09.014

PMID:30243771

Abstract

Clinicians in the United Kingdom are now legally obliged to tell patients about every risk involved in prescribed medical treatments. Although important for informed consent, warning patients of risks such as side-effects can increase the incidence of these very side-effects, through the nocebo effect. Positively framing risk information could be a potential solution to this dilemma, and preliminary data has shown it is effective in healthy volunteers receiving a sham drug. Future research is needed to test its effectiveness in a clinical population.

摘要

现在，英国的临床医生在法律上有义务告知患者处方医疗中涉及的每一项风险。尽管这对于获得知情同意很重要，但警告患者诸如副作用等风险可能会通过“反安慰剂效应”增加这些副作用的发生率。积极构建风险信息可能是解决这一困境的潜在方法，初步数据表明，在接受假药物的健康志愿者中，这种方法是有效的。需要进一步的研究来测试其在临床人群中的有效性。