Standard of care versus standard of care plus Ericksonian hypnosis for percutaneous liver biopsy: Results of a randomized control trial.

IF 4.9 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Maxime Barat, Camille Ollivier, Linda Taibi, Véronique Nitsche, Philippe Sogni, Philippe Soyer, Lucia Parlati, Anthony Dohan, Hendy Abdoul, Marie-Pierre Revel
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Abstract

Purpose: The purpose of this study was to compare levels of pain and anxiety during percutaneous ultrasound-guided liver biopsy between patients receiving standard of care and those receiving standard of care plus the support of Ericksonian hypnosis.

Materials and methods: This prospective, single-center, single-blind, randomized controlled superiority trial included 70 participants. Participants were randomly assigned to either the standard of care group and received oral anxiolytic medications with reassuring conversational support, or to the experimental group, and received Ericksonian hypnosis (i.e., conversational hypnosis) in addition to standard of care. The primary outcome was the level of pain experienced during the biopsy, measured on a 10-point visual analog scale (0 indicating no pain to 10 indicating excruciating pain). Secondary outcomes included anxiety level during the biopsy, pain level within one hour of the biopsy measured using the same 10-point visual analog scale, amount of analgesic medication taken in the 24 h following the biopsy, and patient willingness to undergo another ultrasound-guided percutaneous liver biopsy in the future.

Results: Thirty-six participants were included in the standard of care group, and 34 were included in the experimental group. The mean score of pain experienced during the biopsy was lower in the experimental group (2.4 ± 1.9 [standard deviation (SD)]) compared to the standard of care group (4.4 ± 2.6 [SD]) (P = 0.001). The level of anxiety experienced during the biopsy was lower in the hypnosis group (2.1 ± 1.8 [SD]) compared to the standard of care group (4.8 ± 2.4 [SD]) (P < 0.001). No significant differences in other secondary outcomes were observed between the two groups.

Conclusion: The addition of Ericksonian hypnosis to standard of care reduces the pain experienced by patients during percutaneous ultrasound-guided percutaneous liver biopsy by comparison with standard of care alone.

经皮肝活检的标准护理与标准护理加艾瑞克森催眠:随机对照试验结果。
目的:本研究旨在比较接受标准护理和接受标准护理加艾瑞克森催眠支持的患者在经皮超声引导肝脏活检过程中的疼痛和焦虑程度:这项前瞻性、单中心、单盲、随机对照的优越性试验包括 70 名参与者。参与者被随机分配到标准护理组,接受口服抗焦虑药物和安慰性对话支持;或分配到实验组,在标准护理的基础上接受艾瑞克森催眠(即对话催眠)。主要研究结果是活组织切片检查过程中的疼痛程度,采用 10 点视觉模拟量表进行测量(0 表示无痛,10 表示剧痛)。次要结果包括活检过程中的焦虑程度、活检后一小时内的疼痛程度、活检后24小时内的镇痛药物用量以及患者今后再次接受超声引导下经皮肝穿刺活检的意愿:标准护理组有36人,实验组有34人。与标准护理组(4.4 ± 2.6 [标准差])相比,实验组在活检过程中的平均疼痛评分较低(2.4 ± 1.9 [标准差])(P = 0.001)。与标准护理组(4.8 ± 2.4 [标准差])相比,催眠组在活检过程中的焦虑程度较低(2.1 ± 1.8 [标准差])(P < 0.001)。两组患者在其他次要结果上无明显差异:结论:与单纯的标准护理相比,在标准护理的基础上增加艾瑞克森催眠可减轻患者在经皮超声引导下经皮肝穿刺活检过程中的疼痛。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Diagnostic and Interventional Imaging
Diagnostic and Interventional Imaging Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
8.50
自引率
29.10%
发文量
126
审稿时长
11 days
期刊介绍: Diagnostic and Interventional Imaging accepts publications originating from any part of the world based only on their scientific merit. The Journal focuses on illustrated articles with great iconographic topics and aims at aiding sharpening clinical decision-making skills as well as following high research topics. All articles are published in English. Diagnostic and Interventional Imaging publishes editorials, technical notes, letters, original and review articles on abdominal, breast, cancer, cardiac, emergency, forensic medicine, head and neck, musculoskeletal, gastrointestinal, genitourinary, interventional, obstetric, pediatric, thoracic and vascular imaging, neuroradiology, nuclear medicine, as well as contrast material, computer developments, health policies and practice, and medical physics relevant to imaging.
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