Saadat Haleh, Drummond-Lewis Jacqueline, Maranets Inna, Kaplan Deborah, Saadat Anusha, Wang Shu-Ming, Kain Zeev N
Center for the Advancement of Perioperative Health, Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut 06510, USA.
Anesth Analg. 2006 May;102(5):1394-6. doi: 10.1213/01.ane.0000204355.36015.54.
In this study we examined the effect of hypnosis on preoperative anxiety. Subjects were randomized into 3 groups, a hypnosis group (n = 26) who received suggestions of well-being; an attention-control group (n = 26) who received attentive listening and support without any specific hypnotic suggestions and a "standard of care" control group (n = 24). Anxiety was measured pre- and postintervention as well as on entrance to the operating rooms. We found that patients in the hypnosis group were significantly less anxious postintervention as compared with patients in the attention-control group and the control group (31 +/- 8 versus 37 +/- 9 versus 41 +/- 11, analysis of variance, P = 0.008). Moreover, on entrance to the operating rooms, the hypnosis group reported a significant decrease of 56% in their anxiety level whereas the attention-control group reported an increase of 10% in anxiety and the control group reported an increase of 47% in their anxiety (P = 0.001). In conclusion, we found that hypnosis significantly alleviates preoperative anxiety. Future studies are indicated to examine the effects of preoperative hypnosis on postoperative outcomes.
在本研究中,我们考察了催眠对术前焦虑的影响。受试者被随机分为3组,一组为催眠组(n = 26),接受幸福感暗示;一组为注意力控制组(n = 26),接受专注倾听和支持,但无任何特定催眠暗示;另一组为“护理标准”对照组(n = 24)。在干预前后以及进入手术室时测量焦虑水平。我们发现,与注意力控制组和对照组的患者相比,催眠组的患者在干预后焦虑程度显著降低(分别为31±8、37±9和41±11,方差分析,P = 0.008)。此外,在进入手术室时,催眠组报告其焦虑水平显著降低了56%,而注意力控制组报告焦虑增加了10%,对照组报告焦虑增加了47%(P = 0.001)。总之,我们发现催眠能显著减轻术前焦虑。未来研究旨在考察术前催眠对术后结果的影响。