Anxiety, Hydrocephalus, Hypnosis, Pain
Conditions
Keywords
hypnosis, infusion study, Hydrocephalus, Anxiety, Pain
Brief summary
Infusion tests are now the gold standard for the diagnosis of chronic adult hydrocephalus (CAH), also known as normal pressure hydrocephalus. It is an invasive procedure using the same approach as a lumbar puncture. Once the intrathecal puncture is performed, the intracranial pressure is measured in lateral decubitus via a pressure head. Dynamic tests (injection of 0.9% NaCl at a constant flow rate) are performed after recording the basal pressure. This type of test lasts 30 to 45 minutes in lateral decubitus. Patients with CAH have cognitive-behavioral disorders that can alter the gesture and its interpretation in case of movements or contractures. Movement artefacts lead to a longer recording time. The longer the test, the more the patients' tolerance tends to decrease. Moreover, the patient's feeling towards this test is important because it may have to be repeated. Pain, anxiety and patient comfort are essential parameters to consider. Non-medicinal techniques (hypnosis, music therapy) have shown a tendency to reduce anxiety in pediatric and adult populations with an impact on instantaneous anxiety but also on personality-related anxiety. Most studies are focused on specific pathologies, primarily in palliative care, or on pediatric application. The use of these techniques in an elderly population with mild cognitive-behavioral disorders has not been explored. The objective is to evaluate the impact of hypnosis on anxiety, pain and comfort during the lumbar infusion test.
Interventions
OTHERhypnosis
the patient benefits from a dedicated nurse consultation. During this consultation, the nurse will explain the highlights of the hospitalization, the procedure and anticipate the hypnosis technique to be used. The technique chosen during the consultation will be applied during the test. The nurse is positioned at the head of the patient and with physical contact.
OTHERcomfort
the patient benefits from a nurse consultation. Non-medicinal techniques are not offered. During the infusion test, the nurse will be positioned at the patient's head allowing proximity but without oral or physical intervention.
Sponsors
Centre Hospitalier Universitaire, Amiens
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient over 65 years old undergoing assessment for suspected CAH in day hospitalization for a lumbar infusion test * No major cognitive impairment (MMSE\>20)
Exclusion criteria
* Patient less than 65 years old * Major cognitive impairment (MMSE\<20) * History of lumbar surgery * Contraindication to lumbar puncture or infusion test * Hearing impairment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Decrease in anxiety in group 1compared to the other groups | 2 years | Decrease in anxiety in group 1 compared to the other groups |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Increase in comfort in group 1 | 2 years | Increase in comfort on the numerical scale in group 1 versus the other groups |
| Better overall patient impression in group 1 versus other groups | 2 years | Better overall patient impression (Likert scale) in group 1 versus other groups |
| Decrease in pain in group 1 | 2 years | Decrease in pain on the numerical scale in group 1 versus other groups |
| Decreased puncture time required in group 1 versus other groups | 2 years | Decreased puncture time required in group 1 versus other groups |
| fewer position changes required in group 1 versus other groups | 2 years | fewer position changes required in group 1 versus other groups |
| Less heart rate variation in group 1 versus other groups | 2 years | Less heart rate variation in group 1 versus other groups |
Countries
France
Contacts
Primary ContactLaurence JANIAK, APRN
Outcome results
None listed