Dyspnea (breathlessness) in patients with severe chronic obstructive pulmonary disease (COPD) Respiratory
Conditions
Interventions
Treatment: Hypnosis (15-minute script, available on request)
Sham: Active listening session (15-minute script, available on request)
6-week, randomized, sham-controlle
Sponsors
Bligny Hospital Center
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged 35-80 years 2. Affiliated to a Social Security scheme or beneficiary of such a scheme 3. Absence of neurological disease interfering with the passing of tests 4. Capable of giving free, informed consent. 5. Severe COPD with dyspnea and distension 6. Hospitalized, with or without a tracheotomy 7. Non-obese 8. Predicted FEV1 120% in pulmonary function tests 9. Severity marked by ongoing hospitalization, with at least one prior instance of decompensation 10. Dyspneic, with resting Borg Scale score =3 11. Not having yet participated in the complementary care protocol offered by the hospital, a pulmonary rehabilitation program (PRP) protocol, or any hypnosis protocol
Exclusion criteria
Exclusion criteria: 1. Pregnancy 2. Mechanical ventilation during the session 3. Known severe cardiac insufficiency 4. Known severe pulmonary arterial hypertension 5. Cancer diagnosis 6. Significant cognitive impairment, hypercapnic encephalopathy or confusional syndrome 7. Deafness 8. Anemia (hemoglobin =8 g/dl) 9. Psychotic pathology 10. Anti-epileptic treatment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Anxiety assessed using the STAI-6 questionnaire at baseline and immediately after intervention | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Respiratory rate in cycles/min measured manually, following the accepted standard procedure, at baseline and immediately after intervention 2. Oxygen saturation (SpO2) measured with a pulse oximeter at baseline and immediately after intervention | — |
Countries
France
Outcome results
None listed