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催眠对减轻男性烧伤患者的背景疼痛和疼痛焦虑的作用:一项双盲、随机、安慰剂对照研究。

Hypnosis for reduction of background pain and pain anxiety in men with burns: A blinded, randomised, placebo-controlled study.

作者信息

Jafarizadeh Hossein, Lotfi Mojgan, Ajoudani Fardin, Kiani Arezou, Alinejad Vahid

机构信息

Patient Safety Research Centre, Urmia University of Medical Sciences, Urmia, Iran.

Faculty of Nursing, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Burns. 2018 Feb;44(1):108-117. doi: 10.1016/j.burns.2017.06.001. Epub 2017 Aug 8.

DOI:10.1016/j.burns.2017.06.001
PMID:28801149
Abstract

INTRODUCTION

'Background pain' and 'pain anxiety' are among the numerous problems of patients with burns. Non-pharmacological and pharmacological interventions have been used to reduce background pain and pain anxiety. This study compared the effectiveness of hypnosis and 'neutral hypnosis' (as a placebo in the control group) in decreasing the background burn pain and pain anxiety of adult male survivors with burns.

DESIGN

This is a blinded, randomised, placebo-controlled study.

METHODS

Sixty men with burns were included in the minimisation method (30 individuals in the intervention group and 30 individuals in the control group). Four hypnotherapy sessions were performed every other day for each participant in the intervention group. Four neutral hypnosis sessions were performed every other day in the control group. Burn pain and pain anxiety of the patients in both groups were measured at the end of the second and fourth sessions. Repeated measures ANOVA was used for data analysis.

RESULTS

There was no significant difference between the groups in the reduction in background pain intensity. There was a significant reduction in background pain quality and pain anxiety in the intervention group during the four hypnosis sessions. After two hypnotherapy sessions, a significant reduction was observed in the level of background pain quality and pain anxiety of participants.

CONCLUSION

Hypnosis is effective in reducing background pain quality and pain anxiety of men with burns.

摘要

引言

“背景疼痛”和“疼痛焦虑”是烧伤患者众多问题中的一部分。非药物和药物干预已被用于减轻背景疼痛和疼痛焦虑。本研究比较了催眠和“中性催眠”(作为对照组的安慰剂)在减轻成年男性烧伤幸存者的背景烧伤疼痛和疼痛焦虑方面的效果。

设计

这是一项双盲、随机、安慰剂对照研究。

方法

采用最小化法纳入60名烧伤男性(干预组30人,对照组30人)。干预组的每位参与者每隔一天进行4次催眠治疗。对照组每隔一天进行4次中性催眠治疗。在第二次和第四次治疗结束时测量两组患者的烧伤疼痛和疼痛焦虑。采用重复测量方差分析进行数据分析。

结果

两组在背景疼痛强度减轻方面无显著差异。在4次催眠治疗期间,干预组的背景疼痛质量和疼痛焦虑有显著降低。经过两次催眠治疗后,参与者的背景疼痛质量和疼痛焦虑水平有显著降低。

结论

催眠在减轻男性烧伤患者的背景疼痛质量和疼痛焦虑方面是有效的。

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