Cuellar Norma G
University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania 19002, USA.
Pain Manag Nurs. 2005 Sep;6(3):105-11. doi: 10.1016/j.pmn.2005.05.004.
Pain is a physical, emotional and psychologic phenomenon that is often ignored in older adults causing depression and poor quality of life. Older adults report the use of complementary and alternative medicine in some form with 80% of these users reporting improvement in their health conditions. Although physical pain in the older adult is usually managed with pharmacologic interventions, methods that may reduce the use of prescription drugs may decrease adverse effects that can compromise the physiologic state of the older adult. Hypnosis has continued to gain acceptance within mainstream medicine as an appropriate treatment and can be integrated safely with conventional medicine as an effective treatment for a variety of conditions in the older adult. It is an intervention that can be used for relaxation and pain control, especially when conventional pharmacologic regimens have failed. The purpose of this article is to review the concepts related to pain in older adults; the use of complementary and alternative medicine in the older adult; hypnosis and the older adult (i.e., background, definition, benefits, research, mechanism of action, hypnotizability, and the process); and the implications of using hypnosis for pain management in the older adult.
疼痛是一种生理、情感和心理现象，在老年人中常常被忽视，会导致抑郁和生活质量低下。老年人报告以某种形式使用补充和替代医学，其中80%的使用者称健康状况有所改善。尽管老年人的身体疼痛通常通过药物干预来处理，但可能减少处方药使用的方法或许可以降低那些会损害老年人生理状态的不良反应。催眠作为一种合适的治疗方法，在主流医学中越来越被接受，并且可以作为一种有效治疗老年人多种病症的手段，与传统医学安全地结合使用。它是一种可用于放松和控制疼痛的干预措施，尤其是在传统药物治疗方案无效时。本文的目的是回顾与老年人疼痛相关的概念；老年人对补充和替代医学的使用；催眠与老年人（即背景、定义、益处、研究、作用机制、可催眠性及过程）；以及使用催眠进行老年人疼痛管理的意义。
