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
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
29
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
CHU Bordeaux
Bordeau, France
evolution of anxiety
visual analog scale (from 0, no anxiety to 10, extreme anxiety)
Time frame: 1 month after the surgery
pain
numerical scale of pain (from 0, no pain, to 10, extreme pain)
Time frame: 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
nausea and vomiting
frequency and intensity through an interview with a nurse
Time frame: 2 days, an average of 12 days, and 1 month after the surgery
concomitant medication
concomitant medication within anxiolytic, antalgic, and/or antiemetic pharmaceutical classes (yes/no)
Time frame: 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
chronic pathologies (e.g. arterial hypertension, type 2 diabetes) (yes/no)
Time frame: The day of the consultation with anesthesist
length of hospital stay
Time frame: an average of 12 days after the surgery
hypnosis intervention feasibility (composite outcome)
Compliance with the formal Hypnosis session checklist (Installation, pre-session interview, kinesthetic induction, dissociation, deepening, post-hypnotic suggestions and anchoring, return to normal wakefulness) Other factors: proportion of refusals, proportion of abandoned, proportion of lost sight
Time frame: after the hypnosis session (average of 1 week before the surgery)
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