在无意识中触摸无意识 - - 与无意识患者进行催眠沟通
1Department of Anesthesiology, University Hospital Regensburg, Regensburg, Germany.
催眠沟通,或建议,即使在无意识的情况下,也会影响患者,减少术后的疼痛和痛苦. 这表明无意识的患者应该继续进行沟通,因为意识不是感知或心理影响的先决条件.
科学领域:
- 心理学 心理学 心理学
- 神经科学是一个神经科学.
- 麻醉学 麻醉学
背景情况:
- 催眠涉及无意识的心灵接触通过建议调节功能,需要减少批判性思维.
- 患者报告和创伤后应激障碍 (PTSD) 表明,在昏迷或麻醉等无意识状态下,人们可以保持意识.
- 当前的神经生理学诊断不能最终排除无意识患者的意识或感官处理.
研究的目的:
- 在无意识的患者中调查建议的有效性.
- 探索在全身麻醉下患者的感知和沟通的作用.
- 倡导与无意识的个体进行持续的治疗沟通.
主要方法:
- 一项多中心研究评估了在深度全身麻醉下患者的催眠沟通效应.
- 该研究侧重于可测量的结果,如术后疼痛,阿片类药物使用,恶心和吐.
- 使用受控条件来评估治疗建议的影响.
主要成果:
- 催眠沟通显著降低了手术后疼痛的发生率和严重程度.
- 相当一部分患者获得了好处,这表明影响范围远远超过少数个体.
- 还观察到术后阿片类药物使用,恶心和吐的减少.
结论:
- 失去意识并不能防止心理伤害;治疗性沟通至关重要.
- 催眠沟通,解决有意义的话题,是无意识患者的有效语言.
- 意识的存在或不存在与感知到的信号和暗示的影响是次要的.
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