Department of Anaesthesiology and Intensive Care Medicine, University Hospital Marburg, Philipps University of Marburg, Baldingerstraße, 35043, Marburg, Germany.
Faculty of Medicine, Research Group Medical Ethics, Philipps University of Marburg, Marburg, Germany.
BMC Anesthesiol. 2024 Sep 6;24(1):314. doi: 10.1186/s12871-024-02705-4.
The aim of this study was to investigate whether and to what extent perioperative hypnosis and relaxation techniques are used in German anaesthesia departments, what they are, where any difficulties in their application lie and how great the interest in this type of therapy is. Another research question was to find out whether there are specialist areas in which these methods are used more frequently than in other specialist areas.
A descriptive survey was conducted by means of a questionnaire in all hospitals with anaesthesia departments in Germany. 1124 questionnaires were sent out by post. The survey period was five months from 27/02/2023 to 31/07/2023. The clinic directors of all anaesthesiology departments in German hospitals were surveyed.
476 departments (42%) responded by pre-paid envelope. Of these, only 39 (8%) use hypnosis and relaxation techniques perioperatively. These are mostly progressive muscle relaxation, hypnotic trance according to Erickson, calming words and suggestions or the use of virtual reality (e.g. using VR-glasses).
Hypnosis techniques have been shown in many studies to be effective in increasing patient comfort (less anxiety and stress) and reducing both the need for medication and perioperative pain. The therapy is rarely used in Germany, although once established it can be easily integrated into perioperative procedures. Many departments have shown great interest in the topic. In the interests of patients, a structural change should be considered to promote the use of hypnotic procedures.
本研究旨在调查德国麻醉科是否以及在何种程度上使用围手术期催眠和放松技术，它们是什么，在应用中存在哪些困难，以及对这种治疗方法的兴趣有多大。另一个研究问题是找出是否有专门领域比其他专门领域更频繁地使用这些方法。
通过问卷调查，对德国所有设有麻醉科的医院进行了描述性调查。共邮寄了 1124 份问卷。调查期为 2023 年 2 月 27 日至 7 月 31 日的五个月。调查了德国所有医院麻醉科的诊所主任。
476 个科室（42%）通过预付信封回复。其中，只有 39 个科室（8%）在围手术期使用催眠和放松技术。这些技术主要是渐进性肌肉放松、埃里克森催眠恍惚、平静的话语和暗示，或使用虚拟现实（例如使用 VR 眼镜）。
许多研究表明，催眠技术在提高患者舒适度（减少焦虑和压力）和减少药物和围手术期疼痛方面非常有效。在德国，这种疗法很少使用，尽管一旦建立起来，它可以很容易地整合到围手术期程序中。许多科室对这一主题表现出极大的兴趣。为了患者的利益，应考虑进行结构性变革，以促进催眠程序的使用。
