术前催眠与正念用于减少乳房手术中的术后症状:一项随机临床试验
Silje E Reme1, Alice Munk2, Guy H Montgomery3
1Silje E. Reme, Ph.D.: Department of Psychology, Faculty of Social Sciences, University of Oslo, Oslo, Norway.
Anesthesiology
|November 7, 2025
概括
与正念相比,手术前的催眠显著减少了乳腺癌患者的疲劳和情绪困扰. 这种非药理学方法也降低了芬太尼的使用,为手术后的症状管理提供了一个有希望的选择.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 疼痛管理 疼痛管理
背景情况:
- 乳腺癌手术往往会导致显著的术后症状,如疼痛,疲劳和情绪困扰.
- 这些症状会对患者的生活质量产生负面影响,并延长康复时间.
- 需要有效的干预措施来减轻这些不良影响.
研究的目的:
- 评估手术前催眠在缓解乳腺癌手术后手术后症状方面的有效性.
- 将催眠与正念作为控制干预方法进行比较.
- 为了确定症状减轻和患者康复的潜在益处.
主要方法:
- 一项随机对照试验,涉及203名接受乳腺癌手术的女性.
- 干预组在手术后2小时内接受了手术前的催眠或正念.
- 主要结局包括通过视觉模拟尺度测量的疼痛,疲劳,恶心,不适和情绪困扰.
主要成果:
- 催眠组报告说,与正念组相比,术后疲劳和情绪压力明显降低.
- 在催眠组中观察到术后芬太尼使用量的显著减少.
- 手术前的焦虑水平影响了催眠对情绪困扰的有效性,对于高度焦虑的患者来说,益处更大.
结论:
- 在乳腺癌手术后,术前催眠比正念更有效地减少术后疲劳,情绪困扰和阿片类药物需求.
- 催眠是一种安全的,非药物选择,用于管理特定的术后症状.
- 进一步的研究可以探索催眠在手术恢复中的更广泛应用.
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