Does practising hypnosis-derived communication techniques by oncology nurses translate into reduced pain and distress in their patients? An exploratory study

Abstract

Objectives:

To explore the effects of a hypnotic communication (HC) training for paediatric nurses in decreasing patients’ pain and distress during venipunctures.

Methods:

A 4-day theoretical and practical HC training was offered to five paediatric oncology nurses. The effects of HC were tested with 22 young cancer patients (13 girls, 9 boys, 10 ± 4 years) over four time points, with 88 encounters being video-recorded and coded in stable professional-patient dyads. Patients’ pain and distress were rated by patients and parents with visual analogue scales and coded from recordings using the Faces, Legs, Activity, Cry and Consolability (FLACC) scale.

Results:

We observed a significant decrease in pre-post distress reported by parents (d = 0.45, p = 0.046). Two out of five nurses with higher skills acquisition had larger reduction in patients’ self-reported pain (d = 1.03, p = 0.028), parents perceived pain (d = 1.09, p = 0.042), distress (d = 1.05, p = 0.043) as well as observed pain (d = 1.22, p = 0.025). Favourable results on pain and distress did not maintain at follow-up.

Conclusion and clinical implications:

Training nurses in HC may translate into improved pain and distress in patients, both self-rated and observed provided that skills are used in practice. HC training is a promising non-pharmacological intervention to address pain in paediatrics.

Keywords

Procedural pain distress paediatric haematology oncology hypnotic communication nurses’ training

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References

Birnie

Noel

Parker

, et al. Systematic review and meta-analysis of distraction and hypnosis for needle-related pain and distress in children and adolescents. J Pediatr Psychol 2014; 39(8): 783–808.

Pai

Kazak

. Pediatric medical traumatic stress in pediatric oncology: family systems interventions. Curr Opin Pediatr 2006; 18(5): 558–562.

Rogers

Ostrow

. The use of EMLA cream to decrease venipuncture pain in children. J Pediatr Nurs 2004; 19(1): 33–39.

Şahiner

İnal

Akbay

. The effect of combined stimulation of external cold and vibration during immunization on pain and anxiety levels in children. J Perianesth Nurs 2015; 30(3): 228–235.

Koller

Goldman

. Distraction techniques for children undergoing procedures: a critical review of pediatric research. J Pediatr Nurs 2012; 27(6): 652–681.

Accardi

Milling

. The effectiveness of hypnosis for reducing procedure-related pain in children and adolescents: a comprehensive methodological review. J Behav Med 2009; 32(4): 328–339.

Kuttner

Bowman

Teasdale

. Psychological treatment of distress, pain, and anxiety for young children with cancer. J Dev Behav Pediatr 1988; 9(6): 374–381.

Hawkins

Liossi

Ewart

, et al. Hypnosis in the alleviation of procedure related pain and distress in paediatric oncology patients. Contemporary Hypnosis 1998; 15: 199–207.

Hilgard

LeBaron

. Relief of anxiety and pain in children and adolescents with cancer: quantitative measures and clinical observations. Int J Clin Exp Hypn 1982; 30(4): 417–442.

10.

Katz

Kellerman

Ellenberg

. Hypnosis in the reduction of acute pain and distress in children with cancer. J Pediatr Psychol 1987; 12(3): 379–394.

11.

Liossi

Hatira

. Clinical hypnosis versus cognitive behavioral training for pain management with pediatric cancer patients undergoing bone marrow aspirations. Int J Clin Exp Hypn 1999; 47(2): 104–116.

12.

Liossi

Hatira

. Clinical hypnosis in the alleviation of procedure-related pain in pediatric oncology patients. Int J Clin Exp Hypn 2003; 51(1): 4–28.

13.

Liossi

White

Hatira

. Randomized clinical trial of local anesthetic versus a combination of local anesthetic with self-hypnosis in the management of pediatric procedure-related pain. Health Psychol 2006; 25(3): 307–315.

14.

Liossi

White

Hatira

. A randomized clinical trial of a brief hypnosis intervention to control venepuncture-related pain of paediatric cancer patients. Pain 2009; 142(3): 255–263.

15.

Smith

Barabasz

. Comparison of hypnosis and distraction in severely ill children undergoing painful medical procedures. J Counsel Psychol 1996; 43: 187–195.

16.

Wall

Womack

. Hypnotic versus active cognitive strategies for alleviation of procedural distress in pediatric oncology patients. Am J Clin Hypn 1989; 31(3): 181–191.

17.

Zeltzer

LeBaron

. Hypnosis and nonhypnotic techniques for reduction of pain and anxiety during painful procedures in children and adolescents with cancer. J Pediatr 1982; 101(6): 1032–1035.

18.

Yeh

Schnur

Montgomery

. Disseminating hypnosis to health care settings: applying the RE-AIM framework. Psychol Conscious 2014; 1(2): 213–228.

19.

Mizrahi

Sultan

Charest

M-C

, et al. Training nurses in basic hypno-analgesia techniques to reduce procedural distress and pain in children: a feasibility trial. Cogent Med 2016; 3: 1165083.

20.

Aramideh

Mizrahi

Charest

M-C

, et al. Development and inter-rater reliability of a tool assessing hypnotic communication behaviours adopted by nurses caring for children with cancer: the Sainte-Justine hypnotic communication assessment scale. Complement Ther Med 2018; 37: 178–184.

21.

Aramideh

Ogez

Mizrahi

, et al. Do professionals change their communication behaviours following a training in hypnosis-derived communication? A feasibility study in pediatric oncology. Complement Ther Med 2020; 52: 102426.

22.

Des Jarlais

Lyles

Crepaz

, et al. Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: the TREND statement. Am J Public Health 2004; 94(3): 361–366.

23.

Crandall

Lammers

Senders

, et al. Initial validation of a numeric zero to ten scale to measure children’s state anxiety. Anesth Analg 2007; 105(5): 1250–1253.

24.

Babl

Mandrawa

O’Sullivan

, et al. Procedural pain and distress in young children as perceived by medical and nursing staff. Paediatr Anaesth 2008; 18(5): 412–419.

25.

Ortiz

Lopez-Zarco

Arreola-Bautista

. Procedural pain and anxiety in paediatric patients in a Mexican emergency department. J Adv Nurs 2012; 68(12): 2700–2709.

26.

Dufresne

Dugas

Samson

, et al. Do children undergoing cancer procedures under pharmacological sedation still report pain and anxiety? A preliminary study. Pain Med 2010; 11(2): 215–223.

27.

Willis

Merkel

Voepel-Lewis

, et al. FLACC behavioral pain assessment scale: a comparison with the child’s self-report. Pediatr Nurs 2003; 29(3): 195–198.

28.

Nilsson

Finnstrom

Kokinsky

. The FLACC behavioral scale for procedural pain assessment in children aged 5-16 years. Paediatr Anaesth 2008; 18(8): 767–774.

29.

Blount

Loiselle

. Behavioural assessment of pediatric pain. Pain Res Manag 2009; 14(1): 47–52.

30.

Cicchetti

. Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Psychol Asses 1994; 6: 284–290.

31.

Po’

Benini

Sainati

, et al. The management of procedural pain at the Italian centers of pediatric hematology-oncology: state-of-the-art and future directions. Support Care Cancer 2012; 20(10): 2407–2414.

32.

Snowdon

Leggat

Taylor

. Does clinical supervision of healthcare professionals improve effectiveness of care and patient experience? A systematic review. BMC Health Serv Res 2017; 17: 786.

33.

Czajkowski

Powell

Adler

, et al. From ideas to efficacy: the ORBIT model for developing behavioral treatments for chronic diseases. Health Psychol 2015; 34(10): 971–982.

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