Hypnose als Chance für die Anästhesie.

IF 0.3 4区 医学 Q4 ANESTHESIOLOGY Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie Pub Date : 2024-01-01 Epub Date: 2024-01-08 DOI:10.1055/a-2044-8428
Barbara Schmidt
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Abstract

Patients undergoing challenging medical procedures often suffer from high levels of anxiety and stress. Their most important need is a feeling of control and safety. Hypnotic communication provides a means of addressing these feelings without medication. The core technique is to use the perceived stimuli, like beeping sounds or the pressure of the ventilation mask and re-evaluate them as helpful signs. For example, the beeping sounds can be an indicator of the optimal treatment with the highest level of medical equipment in the intensive care unit and the pressure of the ventilation mask might feel like a tight hug of a friend that wants to help. Positive suggestions work even better when patients are in a trance state. In the intensive care unit, you can use the natural trance state instead of inducing a formal hypnotic trance. Positive suggestions can even help to prevent negative emotions before the challenging medical procedure starts. It greatly improves patients' well-being to replace common phrases in the everyday medical practice. This article gives examples of better phrasings and elaborates the scientific evidence of positive suggestions that can even stop bleeding. The goal is to show simple ways to improve communication with patients and induce feelings of control and safety.

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催眠是麻醉的契机。
接受具有挑战性的医疗程序的病人通常会承受高度的焦虑和压力。他们最需要的是一种控制感和安全感。催眠沟通提供了一种无需药物即可解决这些感受的方法。其核心技术是利用感知到的刺激,如哔哔声或通气面罩的压力,并将其重新评估为有用的信号。例如,哔哔声可能是重症监护室最高级别医疗设备的最佳治疗指标,而通气面罩的压力可能让人感觉是朋友想要帮助的紧紧拥抱。当病人处于恍惚状态时,积极的建议效果会更好。在重症监护室,你可以利用自然的恍惚状态,而不是诱导正式的催眠恍惚。积极暗示甚至可以在具有挑战性的医疗程序开始之前帮助预防负面情绪。替换日常医疗实践中的常见用语可以大大提高患者的幸福感。本文举例说明了更好的措辞,并阐述了积极建议甚至可以止血的科学证据。其目的是介绍一些简单的方法,以改善与患者的沟通,并激发患者的控制感和安全感。
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来源期刊
CiteScore
0.80
自引率
25.00%
发文量
115
审稿时长
6-12 weeks
期刊介绍: AINS ist die Fachzeitschrift für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie im Georg Thieme Verlag. Sie vermittelt aktuelles Fachwissen und bietet Fortbildung. AINS hat sich das Ziel gesteckt, den Leserinnen und Lesern – Fachärzten und Weiterbildungsassistenten in der Anästhesiologie – immer praxisbezogenen Nutzwert und größtmögliche Unterstützung zu bieten.
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