Michel-Cherqui Mireille, Fessler Julien, Szekely Barbara, Glorion Matthieu, Sage Edouard, Fischler Marc, Vallée Alexandre, Le Guen Morgan
Department of Anesthesiology and Pain Management Clinic, Hospital Foch, 92150 Suresnes, France.
Department of Thoracic Surgery and Lung Transplantation, Hospital Foch, 92150 Suresnes, France.
J Clin Med. 2023 Feb 21;12(5):1722. doi: 10.3390/jcm12051722.
Transplanted patients could benefit from complementary techniques. This prospective single-center, open study, performed in a tertiary university hospital, evaluates the appropriation and efficacy of a toolbox-kit of complementary techniques. Self-hypnosis, sophrology, relaxation, holistic gymnastics, and transcutaneous electric nerve stimulation (TENS) were taught to adult patients scheduled for double-lung transplantation. Patients were asked to use them before and after transplantation, as needed. The primary outcome was appropriation of each technique within the first three postoperative months. Secondary outcomes included efficacy on pain, anxiety, stress, sleep, and quality-of-life. Among the 80 patients included from May 2017 to September 2020, 59 were evaluated at the 4th postoperative month. Over the 4359 sessions performed, the most frequent technique used before surgery was relaxation. After transplantation, the techniques most frequently used were relaxation and TENS. TENS was the best technique in terms of autonomy, usability, adaptation, and compliance. Self-appropriation of relaxation was the easiest, while self-appropriation of holistic gymnastics was difficult but appreciated by patients. In conclusion: the appropriation by patients of complementary therapies such as mind-body therapies, TENS and holistic gymnastics is feasible in lung transplantation. Even after a short training session, patients regularly practiced these therapies, mainly TENS and relaxation.
移植患者可以从辅助技术中受益。这项前瞻性单中心开放性研究在一所三级大学医院进行，评估了一套辅助技术工具箱的适用性和有效性。对计划进行双肺移植的成年患者教授自我催眠、身心调节法、放松、整体体操和经皮电刺激神经疗法（TENS）。要求患者在移植前后根据需要使用这些技术。主要结局是术后前三个月内对每种技术的掌握情况。次要结局包括对疼痛、焦虑、压力、睡眠和生活质量的影响。在2017年5月至2020年9月纳入的80例患者中，59例在术后第4个月进行了评估。在进行的4359次疗程中，术前最常使用的技术是放松。移植后，最常使用的技术是放松和TENS。就自主性、可用性、适应性和依从性而言，TENS是最佳技术。放松的自我掌握最容易，而整体体操的自我掌握虽困难但患者很欣赏。总之：在肺移植中，患者掌握身心疗法、TENS和整体体操等辅助疗法是可行的。即使经过短暂的培训，患者也会定期练习这些疗法，主要是TENS和放松。
