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Pain during ICU stay remains one of the major complaints for patients. Beside pain intensity, well described by patients' self reports, pain distress, which is an emotional experience, cannot be treated with usual analgesia. The aim of the study is to analyze the impact of hypnosis on pain intensity and distress on short and long term outcomes in non-sedated ICU patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients who receive hypnosis | Experimental | Patients who receive hypnosis during procedure by experiment physician |
|
| Control arm | No Intervention | Patient with conventional pain management |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hypnosis group | Other | Patients who receive hypnosis |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain distress | Pain distress change in the hypnosis group measured before and within the first hour after the procedure. Pain distress will be assessed using Numeric rating scale, which goes from 0 (no pain stress) to 10 (maximum pain stress). | within the before and the first hour after the procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Pain intensity | Pain intensity will be assessed using Numeric rating scale, which goes from 0 (no pain) to 10 (maximum pain imaginable). | within first hour and first 24 hours after procedure |
| Number of adverse events |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hôpital Saint-Louis | Paris | France |
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| during procedure |
| Length of each painful procedure | up to 3 months |
| Analgesia dose | The dose of each analgesia treatment received by the patient will be collected. | within first and 24 hours after procedure |
| Type of analgesia | The type of each analgesia treatment received by the patient will be collected. | within first and 24 hours after procedure |
| Anxiety | Anxiety within first and 24 hours after procedure will be assessed using Numeric rating scale, which goes from 0 (no anxiety) to 10 (maximum anxiety imaginable). | within first and 24 hours after procedure |
| Hospital Anxiety and Depression (HAD) scale | The HAD scale is a self-assessment scale for detecting states of depression and anxiety in the setting of an hospital medical outpatient clinic. HAD scale is a self-administered scale of 14 items which assessed levels of depression and anxiety, divided into 2 subscales of 7 items (Anxiety or HADS-A, Depression or HADS-D). Each item is scored on a scale of 0 to 3. A score is generated for each of the two sub-scales (sum of the 7 items, ranging from 0 to 21). A higher score indicates worse outcome. | at 3 months |
| Post traumatic stress disorder assessed using Impact of Event Scale Revisited (IES R) | The IES-R is a 22-item self-report measure (for DSM-IV) that assesses subjective distress caused by traumatic events. Items are rated on a 5-point scale ranging from 0 to 4 . The IES-R yields a total score (ranging from 0 to 88) | at 3 months |
| Proportion of patients who had hypnosis transe | during procedure |
| Description of the experience of hypnosis | Qualitative analysis of the experience of hypnosis will be performed using the semi-structured interview | at 3 months |