Exploratory Study of the Impact of a Preoperative Formal Hypnosis Session on Perioperative Anxiety Among Female Patients Hospitalised for Hysterectomy Due to Pelvic Gynecological Cancer
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 29
- 试验地点
- 2
- 主要终点
- evolution of anxiety
研究概览
简要总结
The research hypotheses that preoperative formal hypnosis session reduces perioperative anxiety among women undergoing a hysterectomy for pelvic gynecological cancer. The key objective is to estimate the effect of preoperative hypnosis on preoperative anxiety among this population
详细描述
Anxiety is present preoperatively in 40% of patients. The operated subjects are on average 20% more anxious than the general population, according to a study of 2013. Cancer as well as surgery modifying the body pattern and impairing femininity are risk factors for preoperative anxiety. Recent work in both children and adults has shown that significant levels of preoperative anxiety increase the risk of postoperative complications and the occurrence of postoperative emotional and behavioral disorders. The consequences of hysterectomy increase patients' anxiety, for fear of affecting femininity, and the modification of the body regimen. The prevention of preoperative anxiety in such population is therefore a major issue.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •≥ 18yrs with pelvic gynecological cancer (endometrium, cervix, ovary),
- •at any stage of the disease;
- •patient coming for anesthesia consultation before hysterectomy,
- •informed signed consent,
- •patient affiliated to or beneficiary of social security.
排除标准
- •patient <18yrs,
- •patient with a pelvic gynecological cancer that does not require hysterectomy;
- •patient with psychiatric history or a depressive syndrome;
- •deaf patient (deafness makes the hypnosis session impossible),
- •patient under legal protection.
研究组 & 干预措施
Interventional arm
Caregiver Accompaniment Time (CAT) + preoperative hypnosis session (experimental arm): The hypnosis session is performed by a nurse trained in medical hypnosis; this interview lasts approximately one hour and is carried out 5 to 15 days before the hospitalisation. During the hypnosis session, the patient is free to choose what issues she wants to address. The patient will then go from a state of ordinary consciousness to a modified state of consciousness. This state will allow her to activate her own resources to handle difficulties, especially anxiety. Using a post-hypnotic suggestion, the patient will be able to revisit her work at any time she needs
干预措施: Caregiver Accompaniment Time (CAT) + preoperative hypnosis session (Behavioral)
Control (CAT)
CAT is performed in routine care for all patients after the announcement of the illness by a trained nurse, if possible on the same day as the consultation or before the consultation of anesthesia. This is an interview of approximately 45 minutes to listen to the patient, to answer her questions and to re-explain the information delivered to her. The patient will tackle the history of the disease and then the treatment, this time dedicated evolves according to the desire of the patient and her ability to accept the disease. The patient can express her feelings, then the family circle is evoked talking about the resource persons and the future. The purpose of this interview is to obtain the autonomy of the patient by the setting up of supportive care
结局指标
主要结局
evolution of anxiety
时间窗: 1 month after the surgery
visual analog scale (from 0, no anxiety to 10, extreme anxiety)
次要结局
- nausea and vomiting(2 days, an average of 12 days, and 1 month after the surgery)
- concomitant medication(The day of the consultation with anesthesist, the day before the surgery, 2 days, an average of 12 days, and 1 month after the surgery)
- pain(The day of the consultation with anesthesist, the day before the surgery, 2 days, an average of 12 days, and 1 month after the surgery)
- medical history(The day of the consultation with anesthesist)
- length of hospital stay(an average of 12 days after the surgery)
- hypnosis intervention feasibility (composite outcome)(after the hypnosis session (average of 1 week before the surgery))