The Effectiveness of Adjunctive Hypnosis with Surgical Patients: A Meta-Analysis

The Effectiveness of Adjunctive Hypnosis with Surgical Patients: A Meta-Analysis
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辅助催眠对手术患者的有效性:荟萃分析

DOI:
10.1213/00000539-200206000-00052
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发表时间:
2002
影响因子:
5.7
通讯作者:
D. Bovbjerg
D. Bovbjerg
中科院分区:
医学2区
文献类型:
--
作者:
G. Montgomery;D. David;G. Winkel;J. Silverstein;D. Bovbjerg

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催眠是一种控制手术不良副作用的非药物手段。通常,对催眠文献的回顾本质上是叙述性的,侧重于特定的结果域(例如,患者自我报告的疼痛),很少涉及不同催眠管理模式的影响。因此,采用定量的方法来评估辅助催眠对外科患者的有益影响,以及检查催眠的有益影响是否超出了患者的痛苦和给药方法是很重要的。我们对已发表的对照研究(n = 20)进行了荟萃分析,这些研究对手术患者进行了催眠,以确定:1)总体而言,催眠是否有显著的有益影响,2)是否存在催眠相对更有效的结果,以及3)催眠诱导方法(现场与录音)是否影响催眠效果。我们的研究结果显示了显著的效应量(D = 1.20),表明催眠治疗组手术患者的预后优于对照组89%的患者。临床结果分类和催眠诱导方法之间无显著差异。这些结果支持催眠是一种有效的辅助程序为各种手术患者的立场。
Hypnosis is a nonpharmacologic means for managing adverse surgical side effects. Typically, reviews of the hypnosis literature have been narrative in nature, focused on specific outcome domains (e.g., patients’ self-reported pain), and rarely address the impact of different modes of the hypnosis administration. Therefore, it is important to take a quantitative approach to assessing the beneficial impact of adjunctive hypnosis for surgical patients, as well as to examine whether the beneficial impact of hypnosis goes beyond patients’ pain and method of the administration. We conducted meta-analyses of published controlled studies (n = 20) that used hypnosis with surgical patients to determine: 1) overall, whether hypnosis has a significant beneficial impact, 2) whether there are outcomes for which hypnosis is relatively more effective, and 3) whether the method of hypnotic induction (live versus audiotape) affects hypnosis efficacy. Our results revealed a significant effect size (D = 1.20), indicating that surgical patients in hypnosis treatment groups had better outcomes than 89% of patients in control groups. No significant differences were found between clinical outcome categories or between methods of the induction of hypnosis. These results support the position that hypnosis is an effective adjunctive procedure for a wide variety of surgical patients.
引导意象、催眠和头颈癌手术的恢复:一项探索性研究。
DOI: 10.1080/00207149108409637
发表时间: 1991
期刊: The International journal of clinical and experimental hypnosis
影响因子: --
作者:
Rapkin,DA;Straubing,M;Holroyd,JC
通讯作者: Holroyd,JC