Pain Management of Amputation Wounds With AutoHypnosis

Launched by RENNES UNIVERSITY HOSPITAL · Mar 10, 2023

Keywords

ClinConnect Summary

This clinical trial is studying how self-hypnosis can help manage pain for patients who have recently undergone toe amputations due to vascular issues. Amputation can be a necessary procedure when blood flow to the limb is severely restricted, and it can lead to significant pain, especially during the daily dressing changes that are needed for healing. Researchers want to see if using self-hypnosis can make these experiences more comfortable for patients by reducing their pain and anxiety.

To be eligible for the trial, participants must be at least 18 years old, have had toe amputations within the last 24 hours, and experience moderate to severe pain during their first dressing change. Patients who have cognitive impairments, previous experiences with hypnosis, or certain medical conditions are not eligible. Those who participate will be guided on how to use self-hypnosis techniques during their dressing changes, with the hope that it will help them feel more at ease and reduce their pain.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Age ≥ 18 years;
• • Naïve to amputation procedures;
• • Amputated, within 24 hours prior to inclusion, one, more or all toes
• • Pain level on the Numerical Scale ≥ 3 during the first dressing;
• • Affiliated to a social security scheme;
• • Having signed a free, informed and written consent.
• Exclusion Criteria:
• • Cognitive impairments that limit understanding of instructions;
• • Cultural limitations reducing abstraction skills;
• • Previous practice of hypnosis;
• • Contraindications to hypnosis: Bipolar disorder or decompensated schizophrenia;
• • Chronic non-vascular pain;
• • Already in care for painful chronic wounds (ulcer wounds, bedsores...)
• • On morphine before surgery;
• • Analgesia by perineural catheter;
• • Protected person (adult subject to legal protection (safeguard of justice, curatorship, guardianship), person deprived of liberty, pregnant woman (declarative), nursing woman and minor).