Quality of Life
Conditions
Keywords
Integrative medicine, Peri-operative anxiety, Pain, MOHS surgery
Brief summary
MOHS method is an effective surgical technique to remove skin cancerous tumors in the head-neck area. Patients undergoing MOHS surgery are struggled with emotional stress during the day of surgery, due to fear of significant damage to the body's image and anxiety about the need for repeated surgeries. In this study we will examine the effect of integrative medicine (including acupuncture, touch/manual, and breathing/relaxation modalities) on the reduction of anxiety and pain in patients undergoing MOHS surgery.
Detailed description
MOHS method is an effective surgical technique to remove skin cancerous tumors in the head-neck area, with immediate microscopic examination in a frozen slice of the full margin. Patients undergoing MOHS surgery are struggled with emotional stress during the day of surgery, due to fear of significant damage to the body's appearance and image and anxiety about the need for repeated surgeries performed on the same day to remove the tumor. In this study we will examine the effect of integrative medicine (including acupuncture, touch/manual, and breathing/relaxation modalities) on the reduction of anxiety and pain in patients undergoing MOHS surgery. The study was designed on the basis of interdisciplinary collaboration of researchers from plastic, integrative and gynecological medicine.
Interventions
OTHERIntegrative medicine care
Including acupuncture, relaxation/breathing, and manual/touch modalities
Sponsors
Carmel Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Masking description
Patients will be referred by the surgeon to MOHS surgery without knowing if integrative care will be provided at the surgery day. Allocation of integrative care to specific surgery days will be determined by a 1:1 randomization.
Intervention model description
Prospective randomized controlled
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
\* Patients referred to MOHS surgery
Exclusion criteria
* Pregnancy * Hypertension treated with alpha and beta-blockers * Chronic atrial fibrillation * insulin dependent diabetes type 1 * Thyroid disease (hyperthyroidism)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Anxiety as assessed by State-Trait Anxiety Inventory | 8 hours | Alleviating anxiety throughout MOHS surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Heart rate variability (HRV) | 30 minutes | Monitoring HRV |
| Pain as assessed by visual analogue scale | 60 minutes | Reducing pain before, during and following local anesthesia |
Countries
Israel
Outcome results
None listed