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| ID | Type | Description | Link |
|---|---|---|---|
| 2017-A00084-49 | Other Identifier | ANSM |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Interventional arm | Experimental | 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 |
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| Control (CAT) | No Intervention | 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 |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Caregiver Accompaniment Time (CAT) + preoperative hypnosis session | Behavioral | 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 |
| Measure | Description | Time Frame |
|---|---|---|
| evolution of anxiety | visual analog scale (from 0, no anxiety to 10, extreme anxiety) | 1 month after the surgery |
| Measure | Description | Time Frame |
|---|---|---|
| pain | numerical scale of pain (from 0, no pain, to 10, extreme 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 |
| nausea and vomiting |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jennie SOURZAC | University Hospital, Bordeaux | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU Bordeaux | Bordeau | 33000 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30767472 | Result | Sourzac J, Berger V, Conri V. [The impact of conversational hypnosis on the pre- and postoperative anxiety of patients in gynecological surgery versus ordinary practice: A comparative study]. Rech Soins Infirm. 2018 Dec;(135):83-90. doi: 10.3917/rsi.135.0083. French. |
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frequency and intensity through an interview with a nurse
| 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) | 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) | The day of the consultation with anesthesist |
| length of hospital stay | 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 | after the hypnosis session (average of 1 week before the surgery) |