From the PRISMATICS Lab (Predictive Research In Spine/Neurostimulation Management And Thoracic Innovation in Cardiac Surgery), Poitiers University Hospital, Poitiers, France.
Rehabilitation Centre André Lalande - Fondation Partage et Vie, Noth, France.
Pain Manag Nurs. 2022 Jun;23(3):330-337. doi: 10.1016/j.pmn.2021.06.005. Epub 2021 Aug 1.
Pain is a major public health concern in the aging population. However, medication brings about negative effects that compel healthcare professionals to seek alternative management techniques to alleviate pain. Hypnosis has been recognized as an effective technique to manage pain, but its long-term efficacy has yet to be examined in older adults.
The aim was to assess the effectiveness, over a 12-month period, of home-care hypnosis in elderly participants suffering from chronic pain.
Real-life retrospective one-arm study with a 12-month follow-up.
Elderly Persons Suffering From Chronic Pain enrolled in a clinical health care program that offered home medical follow-up.
PARTICIPANTS/SUBJECTS: Fourteen elderly women (mean age 81 years) with chronic pain participated in the home-care hypnosis program. All participants presented chronic pain (≥6 months) with average pain score >4/10.
Participants took part in seven 15-minute hypnosis sessions within 12 months. The Brief Pain Inventory questionnaire was used to evaluate pain perception and pain interference at baseline and at 3-, 6-, and 12-month follow-up period.
Hypnosis home-care program significantly decreased pain perception and pain interference compared to baseline after 3 months (-29% and -40%, p < .001), and remained lower at 6 (-31% and -54%, p < .001) and 12 (-31% and -47%, p < .001) months.
Seven sessions of 15 minutes allocated throughout a 12-month period produced clinically significant decreases in pain perception and pain interference. Hypnosis could be considered as an optimal additional way for health practitioners to manage chronic pain in an elderly population with long-term efficacy. This study offers a new long-term option to improve chronic pain management at home in elderly populations through a low-cost nonpharmacological intervention.
疼痛是老龄化人口中的一个主要公共卫生问题。然而，药物治疗会带来负面影响，迫使医疗保健专业人员寻求替代管理技术来缓解疼痛。催眠已被公认为一种有效的止痛技术，但尚未在老年人中检查其长期疗效。
评估家庭护理催眠对患有慢性疼痛的老年患者在 12 个月内的有效性。
现实生活中的回顾性单臂研究，随访 12 个月。
患有慢性疼痛的老年人参加了一项提供家庭医疗随访的临床保健计划。
参与者/受试者：14 名患有慢性疼痛的老年女性（平均年龄 81 岁）参加了家庭护理催眠计划。所有参与者均患有慢性疼痛（≥6 个月），平均疼痛评分>4/10。
参与者在 12 个月内接受了 7 次 15 分钟的催眠治疗。使用简短疼痛清单问卷评估基线时以及 3、6 和 12 个月随访时的疼痛感知和疼痛干扰。
与基线相比，家庭护理催眠计划在 3 个月时（-29%和-40%，p<0.001）和 6 个月时（-31%和-54%，p<0.001）和 12 个月时（-31%和-47%，p<0.001）时，疼痛感知和疼痛干扰明显降低。
在 12 个月期间分配的 7 次 15 分钟的治疗可显著降低疼痛感知和疼痛干扰。催眠可以被认为是医疗保健专业人员管理老年人慢性疼痛的一种最佳附加方法，具有长期疗效。本研究为通过低成本非药物干预改善老年人在家中慢性疼痛管理提供了一种新的长期选择。
