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      Therapeutic suggestion helps to cut back on drug intake for mechanically ventilated patients in intensive care unit

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          Abstract

          Research was conducted on ventilated patients treated in an intensive care unit (ICU) under identical circumstances; patients were divided into two groups (subsequently proved statistically identical as to age and Simplified Acute Physiology Score II [SAPS II]). One group was treated with positive suggestions for 15–20 min a day based on a predetermined scheme, but tailored to the individual patient, while the control group received no auxiliary psychological treatment. Our goal was to test the effects of positive communication in this special clinical situation. In this section of the research, the subsequent data collection was aimed to reveal whether any change in drug need could be demonstrated upon the influence of suggestions as compared to the control group. Owing to the strict recruitment criteria, a relatively small sample (suggestion group n = 15, control group n = 10) was available during the approximately nine-month period of research. As an outcome of suggestions, there was a significant drop in benzodiazepine ( p < 0.005), opioid ( p < 0.001), and the α2-agonist ( p < 0.05) intake. All this justifies the presence of therapeutic suggestions among the therapies used in ICUs. However, repeating the trial on a larger sample of patients would be recommended.

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          Author and article information

          Journal
          1646
          121666
          Interventional Medicine and Applied Science
          IMAS
          Akadémiai Kiadó, co-published with Springer Science+Business Media B.V., Formerly Kluwer Academic Publishers B.V.
          2061-1617
          2061-5094
          1 December 2013
          : 5
          : 4
          : 145-152
          Affiliations
          [ 1 ] Doctorate School of Psychology, Eötvös Loránd University, Izabella utca 46, H-1064, Budapest, Hungary
          [ 2 ] Department of Anesthesiology and Intensive Care Unit, Semmelweis University, Budapest, Hungary
          [ 3 ] Department of Affective Psychology, Eötvös Loránd University, Budapest, Hungary
          Author notes
          [* ] +36-1-461-2691, +36-1-461-2691, judit.schlanger@ 123456gmail.com
          Article
          1
          10.1556/imas.5.2013.4.1
          3873592
          24381732
          7c1ab14a-fc90-4db7-88ef-b3d870b3e3fe
          Categories
          Original Paper

          Medicine,Immunology,Health & Social care,Microbiology & Virology,Infectious disease & Microbiology
          therapeutic suggestion,opioid consumption,drug need,intensive ward,sedatives,critical state,positive communication,benzodiazepine consumption,ventilated patient

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