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Master Thesis

Supports pour l'utilisation de l'hypnose médicale aux urgences pédiatriques

Abstract : Introduction: pain is "an unpleasant sensory and emotional experience associated with, or resembling, actual or potential tissue damage". Hypnosis is being used more and more to manage it. It has shown its clinical effectiveness in pediatrics, particularly in acute pain related to care. It remains insufficiently used in pediatric emergency departments. Objective: the objective of this study was to evaluate the value of two new materials designed to facilitate and increase the use of medical hypnosis in pediatric emergencies. Methods: this was a prospective study, evaluating practices, concerning children over 6 years of age, consulting in the pediatric emergency department of the Bordeaux University Hospital, and requiring care (suture, wound, burn, immobilization or fracture reduction). A playful booklet was proposed to the child in order to facilitate the pre-hypnotic interview. An e-learning containing general notions on conversational and formal hypnosis was made available to the nursing staff. The 1st phase allowed an inventory of the practices. The 2nd phase took place after the two supports were made available. Results : Hypnosis was used in 51.6% of care in the 1st phase and in 54.3% in the 2nd phase (p=0.8). Hypnosis, adjusted to the use of MEOPA and analgesics, resulted in lower VAS scores compared to care without hypnosis (p=0.005). Conclusion: hypnosis has again proven its effectiveness as a non-drug analgesic technique. The tools we proposed did not significantly increase the percentage of treatments performed with hypnosis. However, the booklet has been well received by patients, their families and caregivers, and it would certainly prove even more useful during care that systematically includes a paramedical caregiver, or within teams that are better trained in hypnosis.
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https://dumas.ccsd.cnrs.fr/dumas-03343174
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Submitted on : Tuesday, September 14, 2021 - 9:02:21 AM
Last modification on : Friday, October 22, 2021 - 3:44:42 AM

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  • HAL Id : dumas-03343174, version 1

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Mallorie Mondenx. Supports pour l'utilisation de l'hypnose médicale aux urgences pédiatriques. Sciences du Vivant [q-bio]. 2021. ⟨dumas-03343174⟩

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