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催眠和虚拟现实能否减少心脏手术患者的焦虑、疼痛和疲劳:一项随机对照试验。

Can hypnosis and virtual reality reduce anxiety, pain and fatigue among patients who undergo cardiac surgery: a randomised controlled trial.

机构信息

Laboratory of Cognitive Ergonomics and Work Intervention, University of Liège, ULiège (B32), Quartier Agora - Place des Orateurs, 2, 4000, Liège, Belgium.

Algology Department, University Hospital of Liège, CHU Sart Tilman, Domaine Universitaire du Sart Tilman B35, 4000, Liège, Belgium.

出版信息

Trials. 2020 Apr 15;21(1):330. doi: 10.1186/s13063-020-4222-6.

DOI:10.1186/s13063-020-4222-6
PMID:32293517
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7157998/
Abstract

BACKGROUND

Different non-pharmacological techniques, including hypnosis and virtual reality (VR) are currently used as complementary tools in the treatment of anxiety, acute and chronic pain. A new technique called virtual reality hypnosis (VRH), which encompasses a combination of both tools, is regularly used although its benefits and underlying mechanisms remain unknown to date. With the goal to improve our understanding of VRH combination effects, it is necessary to conduct randomised and controlled research trials in order to understand their clinical interest and potential benefits.

METHODS

Patients (n = 100) undergoing cardiac surgery at the Liège University Hospital will be randomly assigned to one of four conditions (control, hypnosis, VR or VRH). Each patient will receive two sessions of one of the techniques: one the day before the surgery and one the day after. Physiological assessments will be made on the monitor and patients will rate their levels of anxiety, fatigue, pain, absorption and dissociation.

DISCUSSION

This study will help to expand knowledge on the application of virtual reality, hypnosis and VRH in the specific context of cardiac and intensive care procedures, and the influence of these non-pharmacological techniques on patient's anxiety, fatigue, pain and phenomenological experience.

TRIAL REGISTRATION

ClinicalTrials.gov: NCT03820700. Date registered on 29 January 2019. Study recruitment date: October 6, 2018. Study anticipated completion date: December 28, 2020.

摘要

背景

目前,包括催眠术和虚拟现实(VR)在内的不同非药物技术被用作治疗焦虑、急性和慢性疼痛的辅助工具。一种名为虚拟现实催眠(VRH)的新技术,它结合了这两种工具,虽然它的好处和潜在机制目前还不清楚,但它经常被使用。为了提高我们对 VRH 组合效应的理解,有必要进行随机对照研究试验,以了解其临床意义和潜在益处。

方法

在列日大学医院接受心脏手术的患者(n=100)将被随机分配到以下四个条件之一(对照组、催眠组、VR 组或 VRH 组)。每位患者将接受其中一种技术的两次治疗:一次在手术前一天,一次在手术后一天。将在监视器上进行生理评估,患者将评估他们的焦虑、疲劳、疼痛、吸收和分离水平。

讨论

这项研究将有助于扩展关于虚拟现实、催眠和 VRH 在心脏和重症监护程序特定背景下的应用知识,以及这些非药物技术对患者焦虑、疲劳、疼痛和现象体验的影响。

试验注册

ClinicalTrials.gov:NCT03820700。注册日期为 2019 年 1 月 29 日。研究招募日期:2018 年 10 月 6 日。研究预计完成日期:2020 年 12 月 28 日。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d793/7157998/0c26c6a1d212/13063_2020_4222_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d793/7157998/0c26c6a1d212/13063_2020_4222_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d793/7157998/0c26c6a1d212/13063_2020_4222_Fig1_HTML.jpg

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