Contribution of Learning and Practice of Different Complementary Therapies in Pulmonary Transplant Patients

Hopital Foch80 enrolled

Overview

The aim of the study is to evaluate, 3 months after lung transplantation, integration and appropriation by the patient of complementary techniques (" Toolbox " included relaxation, autohypnosis, relaxation therapy, TENS (if pain) and holistic gymnastics to improve the comfort and the quality of life in very high-technology care pathway

Patients approaching a lung transplant will face specific infectious, immunological, ventilatory and hemodynamic problems but also to painful, stressful and anxiety-provoking situations. Learning different complementary therapies in the pre-transplant period allows patients to have personal tools to improve their comfort before and after the transplant. These tools can be used by patients who have acute or chronic pain symptoms, to support painful examination or care, and for situations of stress and anxiety. The project aims to present different therapies complementary to patients. Before and after transplant, patients benefits of learning and realization sessions of these techniques. They appropriate the techniques and choose the ones that suit best. The overall benefit will be judged comparing period before transplant to period after transplant on different criteria.

Study Type

INTERVENTIONAL

Allocation

Purpose

PREVENTION

Masking

NONE

Enrollment

Conditions

Lung Transplant

Interventions

RelaxationBEHAVIORAL

Relaxation

HypnosisBEHAVIORAL

Hypnosis

Holistic gymnasticsBEHAVIORAL

holistic gymnastics

Transcutaneous electrical nerve stimulation (TENS)

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Candidates for a lung transplantation benefiting from a pre-transplant evaluation Exclusion Criteria: * transplant patient in emergency * delay between pre-transplant evaluation and transplantation over 12 months

Locations (1)

Hopital Foch

Suresnes, France

Outcomes

Primary Outcomes

Number of sessions of complementary techniques

Number of sessions of complementary techniques practiced by the patient alone and by the patient with an investigator of the team.

Time frame: 3 months

Secondary Outcomes

Implication and satisfaction degree measured by Visual Analogical Scale (VAS)

Implication and satisfaction of the patient regarding the different techniques. Investment, autonomy, conformity to instructions, adaptation to different situation and use of the different techniques are evaluated by the patient and by the investigators using 5 Visual Analogical Scales (VAS)

Time frame: 3 months

Efficacy of complementary techniques on the pain felt.

Evaluate the efficacy of the "toolbox" on presence, intensity, location, type of pain 3 months after transplant by VAS, questionnaire DN4 and Kehlet's questionnaire. 3 VAS to measures the intensity of pain on a scale of 0 (no pain) to 10 (worst possible pain), and 1 question to locate the pain. DN4 to identify neuropatic pain: 4 questions to answer by "yes" or "no". "yes" = 1 point, "no" = 0 point. Total score ≥ 4/10 = positive test. Kehlet's questionnaire to evaluate the impact of pain on activities.

Time frame: 3 months

Efficacy of complementary techniques on anxiety and depression level

Evaluate the efficacy of the "toolbox" on anxiety and depression level 3 months after transplant by Hospital Anxiety and Depression (HAD) scale. 14 items rated from 0 to 3. Seven questions relate to anxiety and seven others to the depression. Two scores (maximum of each score = 21).

Time frame: 3 months

Efficacy of complementary techniques on stress level

Evaluate the efficacy of the "toolbox" on stress level 3 months after transplant by Perceived Stress Scale. 10 items rated from 0 to 5. Total score \< 21 = someone who knows how to manage stress. Total score between 21 and 26 = someone who usually knows how to manage stress, except in certain situations. Total score \> 27 = someone who don't knows how to manage stress.

Data from ClinicalTrials.gov

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