随机试验比较催眠与标准治疗患者的焦虑和疼痛在骨盆支架治疗应用器的移除
Lydie Lemoine1, Virginie Adam2, Julia Salleron3
1Department of Brachytherapy, Institut de Cancérologie de Lorraine, Vandœuvre-lès-Nancy, France.
Brachytherapy
|August 29, 2025
概括
正式的催眠并没有显著地减少在拔除支臂治疗应用器时的焦虑或疼痛. 然而,催眠沟通技术可以改善患者与护理人员的关系和患者的护理态度.
科学领域:
- 癌症学
- 治疗疼痛
- 心理干预
背景情况:
- 骨盆支架治疗应用器的移除通常使用Kalinox®气体进行前期治疗.
- 这种手术可能会让患者感到不舒服,焦虑和疼痛.
- 正式的催眠已经被探索为标准护理的辅助.
研究的目的:
- 评估正式催眠在移除支臂治疗应用器时减轻焦虑的有效性.
- 评估催眠对患者手术后疼痛感知的影响.
- 确定催眠是否影响护理人员的满意度和患者管理的方便性.
主要方法:
- 一个前性,随机的,单中心研究,涉及接受骨盆支臂治疗的成年患者.
- 患者被随机分为标准治疗 Kalinox® (对照) 或标准治疗 Kalinox®加正式催眠.
- 主要终点:通过国家/地区焦虑库 (STAI) Y-A测量焦虑;次要终点:使用数值尺度测量疼痛.
主要成果:
- 在催眠和对照组之间没有显著的焦虑分数 (p=0. 76).
- 两组治疗后疼痛评分没有显著差异 (p=0. 055).
- 护理人员的满意度,意识的容易度和护理人员的舒适度在各组之间没有显著差异.
结论:
- 正式催眠没有显著的益处在减轻焦虑在brachytherapy应用程序的移除.
- 催眠沟通技术可以促进患者与护理人员的积极关系.
- 对程序性焦虑进行非药物干预的进一步研究是有必要的.
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