The Effects of Hypnosis/Guided Imagery on the Postoperative Course of Children

Lambert, Sally

doi:10.1097/00004703-199610000-00003

Cited by 113 publications

(89 citation statements)

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“…30 In addition, hypnosis is a noninvasive intervention with minimal risk, which returns control of the experience to the child. 31 Thus, training in hypnotic analgesia and anxiety control would seem to provide a fertile opportunity for improving the experience of children who undergo a VCUG examination.…”

mentioning

confidence: 99%

Hypnosis Reduces Distress and Duration of an Invasive Medical Procedure for Children

Butler¹,

Symons²,

Henderson

et al. 2005

Pediatrics

142

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ABSTRACT. Objective. Voiding cystourethrography (VCUG) is a commonly performed radiologic procedure in children that can be both painful and frightening. Given the distress that some children experience during the VCUG and the need for children to be alert and cooperative during the procedure, finding a psychological intervention that helps children to manage anxiety, distress, and pain is clearly desirable. This study was designed to examine whether relaxation and analgesia facilitated with hypnosis could reduce distress and procedure time for children who undergo this procedure.Methods. Forty-four children who were scheduled for an upcoming VCUG were randomized to receive hypnosis (n ‫؍‬ 21) or routine care (n ‫؍‬ 23) while undergoing the procedure. The sample consisted of 29 (66%) girls and 15 (34%) boys with a mean age of 7.6 years (SD: 2.5; range: 4 -15 years). Ethnic/racial backgrounds were 72.7% white, 18.2% Asian, 4.5% Latino, 2.3% black, and 2.3% Filipino. The mean number of previous VCUGs was 2.95 (SD: 2.51; mode: 2; range: 1-15). Potential participants were identified through computerized hospital records of upcoming VCUGs. Parents were contacted by telephone and invited to participate if their child was eligible. To be eligible for the study, the child must have undergone at least 1 previous VCUG, been at least 4 years of age at that time, and experienced distress during that procedure, and both the child and the participating parent had to be English speaking. Each eligible child and parent met with the research assistant (RA) before the day of the scheduled procedure for an initial assessment. Children were queried regarding the degree of crying, fear, and pain that they had experienced during their most recent VCUG. Parents completed a series of parallel questions. Immediately after this assessment, those who were randomized to the hypnosis condition were given a 1-hour training session in self-hypnotic visual imagery by a trained therapist. Parents and children were instructed to practice using the imaginative self-hypnosis procedure several times a day in preparation for the upcoming procedure. The therapist was also present during the procedure to conduct similar exercises with the child. The majority (83%) of those who were randomized to the routine care control group chose to participate in a hospital-provided recreation therapy program (offered as part of routine care). The program includes demonstration of the procedure with dolls, relaxation and breath work training, and assistance during the procedure. On the day of the VCUG, the RA met the family at the clinic before the procedure, and both the child and the parent rated the child's present level of fearfulness. During the procedure, the RA recorded observational ratings of the child's emotional tone and behavior and timed the overall procedure and its phases. Immediately after the VCUG, the child was asked how much crying, fear, and pain he or she had experienced during the procedure; the parent rated the child's experience on the same ...

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mentioning

confidence: 99%

Hypnosis Reduces Distress and Duration of an Invasive Medical Procedure for Children

Butler¹,

Symons²,

Henderson

et al. 2005

Pediatrics

142

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“…A szuggesztiók és a fókuszált figyelem mérhetõen módosítja a fájdalomper-cepciót (Albrecht & Wobst, 2007). A hipnózis és szuggesztiók segítségével csökkenteni tudják a preoperatív fájdalmat, a szorongást, illetve a posztoperatív hányingert (Calipel, Lucas-Polomeni, Wodey, & Ecoffey, 2005;Lambert, 1996;Sadaat és mtsai, 2006).…”

Section: Kognitív éS Pszichológiai Tényezõk Szerepe a Fájdalomcsillapunclassified

The role of imagery in treatment and rehabilitation with special regard to pain management

Hegedüs¹,

Szolcsányi²

2012

Mentálhigiéné és Pszichoszomatika

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Különbözõ pszichológiai módszereket már régóta alkalmaznak nem csak fájdalomcsök-kentés céljából, hanem a legkülönfélébb kognitív módszereket igénylõ klinikai helyzetekben is. A klinikumban és a rehabilitációban használatos pszichológiai módszerekkel törté-nõ fájdalomcsökkentés mellett a placebo-fájdalomcsillapítás is egyre inkább kutatott és feltárt jelensége az orvostudománynak. Mindkettõ hatásmechanizmusában fontos szerepet játszik az orvos-beteg kapcsolat minõsége. A beteg vonatkozásában a kognitív pszicholó-giai módszerek közül a képzelet alkalmazásának lehet nagy jelentõsége sok esetben, fõként azért, mert egy betegség vagy sérülés során a személy könnyen olyan regresszív munkamódba kerülhet, amelyben az elsõdleges folyamatok, így a képzelet is, felerõsödnek. Ezért a betegek képzeletének terápiás folyamatba való bevonása az egyik lehetséges módja annak, hogy minél szélesebb körben kihasználjuk a pszichoszociális tényezõkben rejlõ gyó-gyító lehetõségeket és gyorsítsuk a gyógyulás folyamatát. Jelen összefoglaló keretében a képzelõerõ terápiás alkalmazására vonatkozó szakirodalom néhány elemét kívánjuk bemutatni, elsõsorban arra a kérdésre koncentrálva, hogy a képzelõerõ milyen módon játsz-hat szerepet a különbözõ betegségekkel kapcsolatban megjelenõ fájdalomcsillapítás terü-letén.

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“…For example, pain control techniques translate into ''ouch kits,'' in which the use of blowing bubbles can represent blowing pain out of the body or playing ''puppies'' helps a toddler in starting to ambulate as part of a game. Research supports significant decrease in pain and anxiety in children after surgery [32][33][34]. In addition, a book written by Curren [35], who is a nurse, tells the story of how imagery scripts that she and her daughter developed played a pivotal part in her child's healing.…”

Section: Imagery and Pediatric Carementioning

confidence: 99%

Imagery in the Clinical Setting: A Tool for Healing

Reed

2007

Nursing Clinics of North America

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The Effects of Hypnosis/Guided Imagery on the Postoperative Course of Children

Cited by 113 publications

References 0 publications

Hypnosis Reduces Distress and Duration of an Invasive Medical Procedure for Children

Hypnosis Reduces Distress and Duration of an Invasive Medical Procedure for Children

The role of imagery in treatment and rehabilitation with special regard to pain management

Imagery in the Clinical Setting: A Tool for Healing

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