[Impact of HypnoVR© with local anesthesia on pain and anxiety during oocyte pick-up].

IF 0.6 4区医学 Q4 OBSTETRICS & GYNECOLOGY Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-11-08 DOI:10.1016/j.gofs.2024.10.011

Anne-Laure Vanderstraeten, Samir Boukaidi, Coralie Cruzel, Coralie Dumont, Jérôme Delotte

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Abstract

Objective : Virtual reality with Snow World shows a 45% decrease in painful peaks during the care of burn victims. Hypnosis has anxiolytic effect and modulate the response to pain. HypnoVR© is based on many concepts recognized in medicine accessible without specific training. In our practice, 95% of oocyte pick-up are made with local anesthesia and simple premedication, whereas conscious sedation is recommanded in Europe. HypnoVR© is systematically offered during oocyte pick-up. Our study had to compare the pain felt between the 2 group with or without HypnoVR©, also anxiety, tolerance and satisfaction of patients. Method : It was a prospective comparative, non-randomized, single-center, open-label study. We included all patients who were to benefit from an oocyte pick-up from 18 to 43 years-old. The usual protocol of pick-up was used and it was possible to add HypnoVR©. A questionnaire was distributed to each patient to collect their opinion. Results : A total of 112 patients were included, 60 without HypnoVR© and 52 with HypnoVR© ; 2 were excluded from the main analysis for missing data. There is no statistically significant difference in pain and anxiety between the groups. Patients are satisfied : 90.20% (n=46/52) would like to use it again and 98.04% (n=50/52) would recommend it. Conclusion : Despite the absence of a statistically significant difference, patients are satisfied with HypnoVR© and tolerance is good. It seems interesting to be able to offer it during oocyte pick-up.

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[HypnoVR©与局部麻醉对卵母细胞采集过程中疼痛和焦虑的影响]。

目的："冰雪世界 "虚拟现实技术显示，在烧伤患者护理过程中，疼痛峰值减少了 45%。催眠具有抗焦虑和调节疼痛反应的作用。HypnoVR© 基于许多公认的医学概念，无需专门培训即可使用。在我们的临床实践中，95% 的卵母细胞采集都是在局部麻醉和简单预处理的情况下进行的，而在欧洲则建议使用意识镇静剂。在取卵过程中，我们会系统地提供催眠 VR©。我们的研究必须比较两组患者在使用或不使用 HypnoVR© 时的疼痛感受，以及患者的焦虑、耐受性和满意度。方法：这是一项前瞻性比较、非随机、单中心、开放标签研究。我们纳入了所有 18 至 43 岁的卵母细胞采集患者。我们采用了常规的取卵方案，并有可能添加 HypnoVR©。向每位患者发放调查问卷，收集他们的意见。结果：共纳入 112 名患者，其中 60 人未使用 HypnoVR©，52 人使用了 HypnoVR©；2 人因数据缺失被排除在主要分析之外。两组患者在疼痛和焦虑方面的差异无统计学意义。患者满意度：90.20%（n=46/52）的患者愿意再次使用，98.04%（n=50/52）的患者愿意推荐使用。结论：尽管在统计学上没有显著差异，但患者对 HypnoVR© 感到满意，并且耐受性良好。在卵母细胞采集过程中使用该方法似乎很有意义。

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来源期刊

Gynecologie Obstetrique Fertilite & Senologie Medicine-Obstetrics and Gynecology

CiteScore

1.70

自引率

0.00%

发文量

170

期刊介绍： Gynécologie Obstétrique Fertilité & Sénologie est un mensuel scientifique d''information et de formation destiné aux gynécologues, aux obstétriciens, aux sénologues et aux biologistes de la reproduction. La revue, dans ses éditoriaux, articles originaux, mises au point, lettres à la rédaction et autres rubriques, donne une information actualisée ayant trait à l''obstétrique et à la gynécologie et aux différentes spécialités développées à partir de ces deux pôles : médecine de la reproduction, médecine maternelle et fœtale, périnatalité, endocrinologie, chirurgie gynécologique, cancérologie pelvienne, sénologie, sexualité, psychosomatique…

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