Сочувственное отношение способствует быстрому выздоровлению, но если доктор не склонен выбирать выражения, это может ухудшить состояние пациента, объясняет обозреватель BBC Future.

Случалось ли в вашей жизни так, что вы побывали на приеме у врача и ушли от него с ощущением, что вам ничем не помогли?

Ведущий радиопрограммы BBC Discovery Джефф Уотс разыграл сцену с гостем передачи, доктором Марком Портером, пожаловавшись на боль в коленях. В течение всего разговора Портер едва заметно подавал негативные сигналы.

Он сказал, что имеет «плохие новости», что «колени поизносились» из-за остеоартрит, лекарства «немного помогают», но при этом плохо влияют на желудок.

В дальнейшей беседе Вотс выяснил, что такое поведение врача может привести к обострению физических симптомов болезни.

«Я повернул ситуацию таким образом, что все ваши страхи по поводу колен подтвердились: что они на последнем издыхании, что выхода у вас нет, — объясняет доктор Портер. — А когда я говорил о побочных эффектах, я их сильно преувеличивал».

Позитивный настрой врача способен творить настоящие чудеса

В ходе ряда экспериментов выяснили, что лишь упоминание врача о побочных эффектах может повысить вероятность того, что пациенты действительно почувствуют головокружение, усталость, головная боль или расстройство желудка — даже если они принимают настоящие лекарства.

Целебная сила слова

В медицине уже давно известен эффект плацебо — целебная сила веры в лучшее. Но противоположный эффект, который получил название «ноцебо», возможно, еще сильнее.

«Причинить вред проще, чем пользу, — объясняет Вотс. — И это не может не вызывать беспокойства, потому что негативное влияние ноцебо можно наблюдать практически во всех областях медицины, да и не только в ней».

В крайних случаях ноцебо может даже быть смертельно опасным.

Но не стоит впадать в отчаяние. Благодаря такому самому связи между умом и телом правильный разговор врача с пациентом способно творить настоящие чудеса.

Исследователи выяснили, что пациенты с депрессией, которым выписывал плацебо чуткий, сострадательный врач, поправлялись быстрее, чем те, кто получал настоящие лекарства с рук равнодушного психиатра.

Некоторые ученые даже считают, что врачи могут использовать эффект плацебо, чтобы снижать пациентам дозу лекарств — компенсируя это силой убеждения.

«Лечение — это настоящий феномен. Мы способны к самолечению в многих ситуациях, и общение с другими людьми активирует эту способность», — считает Пол Дієппе с Ексетерської медицинской школы в Великобритании.

Врачам не нужно слишком сосредоточивать внимание на побочных эффектах медикаментов

Даже простейшие приемы являются довольно действенными: проявить заботу и сочувствие во время постановки диагноза, понять страхи и сомнения пациента, какими бы нелепыми они не казались.

А при назначении курса медикаментозного лечения врачам следует подчеркивать положительные качества препарата. А побочные эффекты описывать так, чтобы они казались менее страшными. И совершенно точно не надо преувеличивать риски.

«Каждое слово и каждый взгляд оказываются важными», — отмечает Тед Капчук из Гарвардского университета. Исследователь добавляет, что нельзя терять ни одной возможности улучшить состояние больного.

«Не думаю, что для врачей и медсестер это так уже и сложно. Мне кажется, что таким образом они смогут стать неотъемлемой частью курса лечения».

«Осознание важности подобного подхода сейчас только начинает распространяться в медицине», — отметил специалист.

Прочитать оригинал этой статьи на английском языке можно на сайте BBC Future.

Хотите получать главные статьи в мессенджер? Подписывайтесь на наш Telegram.

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