姑息关怀医疗专业人员、患者及其亲属对临床催眠的看法和经验的专题分析。

IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Journal of palliative medicine Pub Date : 2024-11-01 Epub Date: 2024-09-05 DOI:10.1089/jpm.2024.0085
Anca-Cristina Sterie, Philip Larkin, Corine Guyaz, Chantal Berna, Fabienne Teike Lüthi
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引用次数: 0

摘要

背景:临床催眠似乎对临终病人有一些很好的疗效。患者和医护人员(HPs)都倾向于采用这种做法。然而,关于催眠在这种情况下的体验的研究仍然不足。研究目的:了解将催眠融入传统护理的过程,以及姑息治疗患者及其亲属的需求。设计:一项基于半结构式访谈的定性研究,于 2022 年 2 月至 2023 年 1 月在瑞士进行。访谈内容逐字记录,并采用主题分析法进行分析。环境/研究对象:总样本由 44 名参与者组成,包括 30 名接受催眠的服务使用者(20 名姑息关怀患者和 10 名亲属)以及 14 名姑息关怀服务人员,其中 5 名是催眠从业人员。研究结果根据医护人员的反馈,我们绘制了在姑息关怀中提供和整合催眠的各种做法。然后,我们确定了与参与者对催眠和自我催眠的体验有关的五个次主题:(1)影响选择参与催眠的因素;(2)不推荐催眠的原因;(3)催眠的效果和意义;(4)困难和弊端;以及(5)对自我催眠实践的看法。结论:催眠的做法多种多样,并受到资源和机构支持的限制。患者和亲属认为,催眠对他们认识和调动个人资源以增强自我能力有积极影响。我们的研究结果表明,催眠可能对患者及其亲属具有真正的潜力,因此值得进一步研究其在姑息关怀中的效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Thematic Analysis of Perceptions and Experiences Regarding Clinical Hypnosis from Palliative Care Health Professionals, Patients, and Their Relatives.

Background: Clinical hypnosis appears to hold some promising effects for patients at end-of-life. Patients and health care professionals (HPs) are inclined to adopt the practice. Yet, the experience of hypnosis in this context remains under-researched. Objectives: To understand the process of integrating hypnosis into conventional care and the needs of palliative care patients and their relatives. Design: A qualitative study based on semi-structured interviews conducted between February 2022 and January 2023 in Switzerland. Interviews were transcribed verbatim and analyzed using thematic analysis. Setting/Subjects: The total sample was composed of 44 participants, including 30 service users who received hypnosis (20 palliative care patients and 10 relatives) and 14 palliative care HPs, among whom 5 were hypnosis practitioners. Results: Based on the feedback of HPs, we mapped various practices of offering and integrating hypnosis in palliative care. Then, we identified five sub-themes relating to the participants' experience of hypnosis and self-hypnosis: (1) factors influencing the choice to engage in hypnosis; (2) reasons for not recommending hypnosis; (3) effects and meaning of hypnosis; (4) difficulties and drawbacks; and (5) the perception of the practice of self-hypnosis. Conclusions: The practice of hypnosis is very diverse and constrained by resources and limitations in institutional support. Patients and relatives identified that hypnosis had a positive impact to enable them to recognize and mobilize their personal resources toward greater self-empowerment. Our findings suggest that hypnosis might hold a real potential for patients and their relatives, thus warranting further study of its effects in palliative care.

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来源期刊
Journal of palliative medicine
Journal of palliative medicine 医学-卫生保健
CiteScore
3.90
自引率
10.70%
发文量
345
审稿时长
2 months
期刊介绍: Journal of Palliative Medicine is the premier peer-reviewed journal covering medical, psychosocial, policy, and legal issues in end-of-life care and relief of suffering for patients with intractable pain. The Journal presents essential information for professionals in hospice/palliative medicine, focusing on improving quality of life for patients and their families, and the latest developments in drug and non-drug treatments. The companion biweekly eNewsletter, Briefings in Palliative Medicine, delivers the latest breaking news and information to keep clinicians and health care providers continuously updated.
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