Perioperative medicine & outcomes

Cardiac coherence and medical hypnosis: a feasibility study of a new combined approach for managing preoperative anxiety in patients with breast or gynaecological cancer

BJA OpenPublished Feasibility study

Authors' conclusion

The implementation of a psychoeducational programme combining cardiac coherence and medical hypnosis is feasible and might potentially help patients undergoing BGCSI to manage preoperative anxiety.

Study context

Population
Patients undergoing breast or gynaecological cancer surgical interventions (BGCSI)43 completed ≥1 session
Participants
53 patients
Outcome
Optimal patient adherence (completion of ≥14 sessions)
Methodological detailssingle-group, intention-to-treat
  • Single-group
  • Intention-to-treat

Main finding

As reported in the abstract

Optimal adherence (≥14 sessions completed)

Optimal adherence achieved (ITT population)

64.2%

95% CI

49.8-76.9%

Secondary outcomes

Anxiety (Visual Analogue Scale (VAS)) in patients with severe baseline anxiety (VAS ≥70), among 43 who completed ≥1 session · Day before and morning of the intervention

Anxiety decreased on the day before the intervention
P = 0.02
Anxiety decreased on the morning of the intervention
P = 0.04
  • Exploratory analysis

Satisfaction with the programme (VAS)

Median VAS satisfaction score
10
Range
4-10

Willingness to include the COHErence Cardiaque (COHEC) programme in daily routine

Patients willing
94%

Original publication

Cardiac coherence and medical hypnosis: a feasibility study of a new combined approach for managing preoperative anxiety in patients with breast or gynaecological cancer. BJA Open. Published 24 September 2024. doi:10.1016/j.bjao.2024.100309

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