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临床催眠用于降低乳腺癌乳房切除术疼痛:一项随机临床试验。

Clinical Hypnosis For Pain Reduction In Breast Cancer Mastectomy: A Randomized Clinical Trial.

作者信息

Moreno Hernández Diana, Téllez Arnoldo, Sánchez-Jáuregui Teresa, García Cirilo H, García-Solís Manuel, Valdez Arturo

机构信息

Psychology School, Universidad Autónoma de Nuevo León, Monterrey, México.

Center for Research and Development in Health Sciences, Universidad Autónoma de Nuevo León, Monterrey, México.

出版信息

Int J Clin Exp Hypn. 2022 Jan-Mar;70(1):4-15. doi: 10.1080/00207144.2022.2003697. Epub 2021 Dec 20.

DOI:10.1080/00207144.2022.2003697
PMID:34928192
Abstract

Surgical procedures for breast cancer treatment are commonly followed by pain. Clinical hypnosis has been shown to be effective in reducing pain during and after surgery, but most of the studies have used analogical scales, which only measure pain intensity. The aim of this study was to evaluate the effect of clinical hypnosis on pain intensity and its interference in daily activities in patients before and after mastectomy. The patients were evaluated using the Brief Pain Inventory. Forty patients were randomly assigned to an experimental or control group and evaluated 5 times: 1) baseline, 2) after clinical hypnosis session, 3) before surgery, 4) 1 day after surgery, and 5) 1 week after the surgery (follow-up). The results showed that after surgery the hypnosis group had a statistically significant reduction in pain intensity, less interference of pain with daily activities, sleep and life enjoyment compared with a control group. Clinical hypnosis may be recommended as a complementary treatment procedure for postmastectomy pain reduction and improving the quality of life of these patients.

摘要

乳腺癌治疗的外科手术之后通常会伴随着疼痛。临床催眠已被证明在减轻手术期间及术后疼痛方面有效,但大多数研究使用的是类比量表,其仅测量疼痛强度。本研究的目的是评估临床催眠对乳房切除术前和术后患者疼痛强度的影响及其对日常活动的干扰。使用简明疼痛量表对患者进行评估。40名患者被随机分为实验组或对照组,并进行5次评估:1)基线期,2)临床催眠疗程后,3)手术前,4)手术后1天,以及5)手术后1周(随访)。结果显示,与对照组相比,手术后催眠组的疼痛强度在统计学上显著降低,疼痛对日常活动、睡眠和生活乐趣的干扰更少。临床催眠可被推荐作为一种辅助治疗手段,用于减轻乳房切除术后的疼痛并改善这些患者的生活质量。

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