催眠作为侵袭性医疗程序的非药物干预 - 一个系统的审查和元分析更新
Nike Walter1, Michel Torres Leyva2, Thilo Hinterberger1
1Department for Psychosomatic Medicine, University Medical Center Regensburg, Franz-Josef-Strauß-Allee 11, 93053 Regensburg, Germany.
Journal of psychosomatic research
|April 3, 2025
概括
催眠有效地减少了侵入性医疗程序期间的焦虑和疼痛. 虚拟现实增强和定制的催眠技术显示了最大的益处,观察到的副作用最小.
科学领域:
- 医疗干预 医学干预
- 心理治疗方法 心理治疗方法
背景情况:
- 催眠是一种非药学方法,用于管理程序性焦虑,疼痛和压力.
- 催眠的临床标准化受到技术的变化和不一致的结果措施的阻碍.
研究的目的:
- 评估催眠在侵袭性手术期间减少焦虑,疼痛和生理压力的有效性.
- 确定最佳的催眠技术,并评估安全性和止痛药的使用.
主要方法:
- 20项随机对照试验 (RCT) 的系统审查和元分析,涉及1250名患者.
- 在PubMed,Cochrane图书馆和Scopus中进行文献搜索;使用修订的Cochrane风险偏差工具进行偏差评估.
- 随机效应元分析与基于技术,患者特征和程序类型的子组分析.
主要成果:
- 与标准护理相比,催眠显著降低了焦虑 (SMD = -0.43) 和疼痛 (SMD = -0.35).
- 虚拟现实增强的催眠和针对高焦虑程序的定制干预措施产生了最大的益处.
- 生理压力标志物 (心率,血压) 降低;不良影响最小.
结论:
- 催眠是一种安全有效的干预措施,用于减轻侵袭性手术患者的焦虑和疼痛.
- 建议采用标准化方案和进一步研究,以优化临床使用和常规采用.
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