Hypnosis can reduce pain in hospitalized older patients: a randomized controlled study
Hypnosis can reduce pain in hospitalized older patients: a randomized controlled study
复制标题
DOI：
10.1186/s12877-016-0180-y
复制
发表时间：
2016-01-15
期刊：
影响因子：
4.1
通讯作者：
Pautex, Sophie
中科院分区：
文献类型：
--
作者：
Ardigo, Sheila;Herrmann, Francois R.;Pautex, Sophie
背景：慢性疼痛是老年患者常见且严重的健康问题。尽管在这一人群中证据基础相对较少，但治疗方法通常包括非药物方法。催眠已被用于年轻人，并取得了积极的效果。本研究的主要目的是评估催眠(包括自我催眠)在治疗老年住院患者慢性疼痛中的可行性和有效性。方法：采用双臂平行分组设计(催眠与按摩)的单中心随机对照试验。纳入标准为慢性疼痛3个月以上，对日常生活活动有影响，强度4；适应止痛治疗；无认知障碍。结果：共纳入53例患者(平均年龄：80.6+/-8.2~14岁；催眠26例；按摩27例)。每次治疗后，两组患者的疼痛强度均显著降低。在住院期间，催眠组与推拿组相比，以短暂疼痛指数衡量的平均疼痛持续了更大的下降。每次治疗前的疼痛强度测量证实了这一点，只有催眠组的疼痛强度随着时间的推移而减少(P=0.008)。随着时间的推移，抑郁评分只有催眠组有显著改善(P=0.049)。两组患者出院3个月后均无疗效。讨论与结论：催眠是一种安全有效的治疗老年住院患者慢性疼痛的方法。在医院，干预措施不能提供出院后的长期缓解。
Background: Chronic pain is a common and serious health problem in older patients. Treatment often includes non pharmacological approaches despite a relatively modest evidence base in this population. Hypnosis has been used in younger adults with positive results. The main objective of this study was to measure the feasibility and efficacy of hypnosis (including self hypnosis) in the management of chronic pain in older hospitalized patients.Methods: A single center randomized controlled trial using a two arm parallel group design (hypnosis versus massage). Inclusion criteria were chronic pain for more than 3 months with impact on daily life activities, intensity of > 4; adapted analgesic treatment; no cognitive impairment. Brief pain inventory was completed.Results: Fifty-three patients were included (mean age: 80.6 +/- 8.2- 14 men; 26 hypnosis; 27 massage. Pain intensity decreased significantly in both groups after each session. Average pain measured by the brief pain index sustained a greater decrease in the hypnosis group compared to the massage group during the hospitalisation. This was confirmed by the measure of intensity of the pain before each session that decreased only in the hypnosis group over time (P = 0.008). Depression scores improved significantly over the time only in the hypnosis group (P = 0.049). There was no effect in either group 3 months post hospitals discharge.Discussions and conclusion: Hypnosis represents a safe and valuable tool in chronic pain management of hospitalized older patients. In hospital interventions did not provide long term post discharge relief.