Schmidt Barbara
Anasthesiol Intensivmed Notfallmed Schmerzther. 2024 Jan;59(1):59-63. doi: 10.1055/a-2044-8428. Epub 2024 Jan 8.
Patients undergoing challenging medical procedures often suffer from high levels of anxiety and stress. Their most important need is a feeling of control and safety. Hypnotic communication provides a means of addressing these feelings without medication. The core technique is to use the perceived stimuli, like beeping sounds or the pressure of the ventilation mask and re-evaluate them as helpful signs. For example, the beeping sounds can be an indicator of the optimal treatment with the highest level of medical equipment in the intensive care unit and the pressure of the ventilation mask might feel like a tight hug of a friend that wants to help. Positive suggestions work even better when patients are in a trance state. In the intensive care unit, you can use the natural trance state instead of inducing a formal hypnotic trance. Positive suggestions can even help to prevent negative emotions before the challenging medical procedure starts. It greatly improves patients' well-being to replace common phrases in the everyday medical practice. This article gives examples of better phrasings and elaborates the scientific evidence of positive suggestions that can even stop bleeding. The goal is to show simple ways to improve communication with patients and induce feelings of control and safety.
接受具有挑战性的医疗程序的患者常常承受着高度的焦虑和压力。他们最重要的需求是一种掌控感和安全感。催眠式沟通提供了一种无需药物就能解决这些感受的方法。核心技巧是利用感知到的刺激,比如哔哔声或通气面罩的压力,并将它们重新评估为有益的信号。例如,哔哔声可以表明在重症监护病房中使用最高水平医疗设备进行的最佳治疗,而通气面罩的压力可能会让人感觉像是想要帮忙的朋友给予的紧紧拥抱。当患者处于恍惚状态时,积极的暗示效果会更好。在重症监护病房,可以利用自然的恍惚状态,而不是诱导正式的催眠恍惚。积极的暗示甚至可以在具有挑战性的医疗程序开始前帮助预防负面情绪。在日常医疗实践中替换常用短语能极大地改善患者的幸福感。本文给出了更好措辞的示例,并阐述了积极暗示甚至可以止血的科学证据。目标是展示改善与患者沟通并引发掌控感和安全感的简单方法。