Hypnosis to Enhance Well-being and Reduce Post-Intensive Care Syndrome in Critically Ill Adults

What this Trial Is About

Critically ill patients in the Intensive Care Unit ICU often face acute pain, anxiety, and long-term challenges including post-intensive care syndrome PICS, which affects mental, physical, and cognitive health for up to a year after discharge. This trial is evaluating whether hypnosis sessions at ICU discharge and on days 7 and 14 after discharge can improve patient well-being at 28 days and reduce symptoms of PICS at three months. The study compares patients receiving standard post-discharge care with those receiving the same care plus hypnosis sessions. Participants in the hypnosis group will receive three hypnosis sessions one on the day of ICU discharge, a second seven days after discharge, and a third on day 14 if they remain hospitalized. These sessions are conducted by trained professionals using a standardized protocol focused on relaxation, reconnecting with the body, and creating a sense of safety and well-being. The control group will receive standard post-discharge care including mobilization, nutrition, pain control, and family support without hypnosis. During the study, researchers will assess well-being at 28 days using scales like ESAS and EQ-5D-5L. Secondary measures include anxiety, depression, PTSD, quality of life, and patient impressions of change at three months. Immediate well-being after hypnosis sessions will also be evaluated. The trial involves randomized assignment and single masking, with assessments at ICU discharge, day 7, day 14, day 28, and three months, to monitor the effects and safety of the hypnosis intervention.

Hypnosis to Improve Well-beings of Critically Ill Patients and Prevent Post-intensive Care Syndrome