62 - Surgical Patient Interest in Complementary Therapy, Hypnosis for Anxiety and Pain
Description: ABSTRACTUndergoing surgery is an inherently life changing event and generates anxiety for 11% to 80% of all patients with a ‘fear of pain’ being a consistently cited source of their concerns. Anxiety negatively effects patients both physiologically and psychologically with studies reporting preoperative anxiety, type of surgery, and age as primary predictors of postoperative pain. Healthcare providers, sensitive to these concerns and attempt to ameliorate it through education and reassurance, however for some this has little to no effect and pharmacologic options persist alone as the standard of care. With recent concerns regarding overuse of opiate based medications, consideration of complementary and integrative therapies for anxiety and pain has become an imperative. According to the National Institutes of Health, complementary and integrative therapies for treating pain and anxiety have been used for thousands of years and include such practices as hypnosis; which research has shown to decrease preoperative anxiety by 54% to 68% while simultaneously reducing postoperative pain, overall opiate consumption, and time to discharge from hospital. Hypnosis for surgical anxiety and pain was well documented in the early 1800’s, predates the use of chemical anesthetics, and has been used in austere environments and in combat zones during World War II where chemical anesthetics were in short supply or non-existent. The purpose of this study was to determine patient interest in hypnosis as an adjunctive therapy for anxiety and pain. The concept of the link between mind and body with Complementary and Alternative Medicine (CAM) interventions targeted toward psychological stress, symptom distress, and mood states to improve clinical outcomes is the framework used in for study. A literature review was conducted using keywords relevant to hypnosis and hypnotherapy, anxiety, surgery and pain. Over the course of the review there were 139 articles and six books published from between 1960 to 2018 were examined used to guide this study. The target population included all eligible beneficiaries having a same-day surgical procedure and who are 18-years of age or older. The sampling method consisted of offering all same-day surgery patients a sheet of paper with question and response options on it. Data was collected from the handwritten check-box response to a dichotomous question on their interest in hypnosis, acknowledgement of their age, and demographic information. Of the 200 patient surveys collected, a significant interest in hypnosis as an adjunct treatment for preoperative anxiety and pain was expressed by 63.5% (t-test p <.001) of the respondents. Perioperative implications derived from this study suggest an increase in patient’s awareness of CAM interventions and the associated positive outcomes coupled with the highly publicized campaign to control opiate use may result in reduced operative times, complications, and pain all of which contribute to a positive surgical experience for the patient. These results will be used to inform future research targeted at increasing military readiness by reducing opiate use and increasing resilience.