Complementary Alternative Medical Therapies for Heart Surgery Patients: Feasibility, Safety, and Impact

Kshettry, Vibhu R.; Carole, Linda; Henly, Susan J.; Sendelbach, Sue; Kummer, Barbara

doi:10.1016/j.athoracsur.2005.06.016

Cited by 76 publications

(46 citation statements)

References 12 publications

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“…9 The intervention-associated decrease in anxiety is in line with previous reports on relaxation, 28,[44][45][46]54 music, 48,49,55 and touch-massage. 21,55,56 We also found some effect of the intervention on patients' fear, which is an important outcome because fear is involved in pain perception.…”

Section: Discussionsupporting

confidence: 77%

“…23 However, despite reports of increased effectiveness of multimodal integrative interventions, www.ajcconline.org integrative approaches in critically ill patients. In most instances, relaxation was combined with guided imagery [25][26][27] ; in 1 study, 28 relaxation and guided imagery were combined with gentle massage. Anxiety, pain, and sleep were the most common outcomes addressed, and the results varied.…”

Section: Literature Review and Definitionsmentioning

confidence: 99%

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Effects of an Integrative Nursing Intervention on Pain in Critically Ill Patients: A Pilot Clinical Trial

Papathanassoglou¹,

Hadjibalassi²,

Miltiadous³

et al. 2018

Am J Crit Care

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Background Pain, a persistent problem in critically ill patients, adversely affects outcomes. Despite recommendations, no evidence-based nonpharmacological approaches for pain treatment in critically ill patients have been developed. Objectives To investigate the effects of a multimodal integrative intervention on the incidence of pain and on secondary outcomes: intensity of pain, hemodynamic indices (systolic and mean arterial pressure, heart rate), anxiety, fear, relaxation, optimism, and sleep quality. Methods A randomized, controlled, double-blinded repeated-measures trial with predetermined eligibility criteria was conducted. The intervention included relaxation, guided imagery, moderate pressure massage, and listening to music. The primary outcome was incidence of pain (score on Critical Care Pain Observation Tool > 2). Other outcomes included pain ratings, hemodynamic measurements, self-reported psychological outcomes, and quality of sleep. Repeated-measures models with adjustments (baseline levels, confounders) were used. Results Among the 60 randomized critically ill adults in the sample, the intervention group experienced significant decreases in the incidence (P = .003) and ratings of pain (P < .001). Adjusted models revealed a significant trend for lower incidence (P = .002) and ratings (P < .001) of pain, systolic arterial pressure (P < .001), anxiety (P = .01), and improved quality of sleep (P = .02). Conclusion A multimodal integrative intervention may be effective in decreasing pain and improving painrelated outcomes in critically ill patients. (American Journal of Critical Care. 2018; 27:172-185) EFFECTS OF Unrelieved pain is common among ICU patients and may compromise outcomes, by contributing to unstable hemodynamic parameters, hypercatabolism, hyperglycemia, infections, delirium, and posttraumatic stress. 2 Pain in ICU patients may also be part of a vicious circle implicating anxiety 3 and insomnia. 4 Moreover, pain has been linked to the post-ICU syndrome 5 and may become chronic in survivors, a situation associated with poor quality of life and poor psychological and physiological outcomes. 6Management of pain in patients with a critical illness is challenging.7 Opioids, the drug class of choice, are associated with marked side effects, including respiratory depression, hypotension, decreased gastrointestinal motility, delirium, and higher costs due to increased use of resources and prolonged stay in the ICU.8 Nociception, the perception of painful stimuli, entails a complex interaction among sensory, affective, and social components.9 Moreover, anxiety, fear, and negative expectations are common in critically ill patients and may contribute to heightened perception of pain.10 Thus, the multifactorial nature of ICU pain calls for approaches that address both physiological and psychosocial responses to pain. Current guidelines highlight the need to test and implement nonpharmacological strategies for pain treatment in critically ill patients.2 Interventions that elicit a relaxation ...

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Section: Discussionsupporting

confidence: 77%

Section: Literature Review and Definitionsmentioning

confidence: 99%

Effects of an Integrative Nursing Intervention on Pain in Critically Ill Patients: A Pilot Clinical Trial

Papathanassoglou¹,

Hadjibalassi²,

Miltiadous³

et al. 2018

Am J Crit Care

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“…Relaxation techniques led to decreased pain after surgery, 22 including patients undergoing heart surgery. 21,28 In cardiac surgery patients who received aromatherapy to the feet on postoperative day 1, respiratory rate was significantly decreased; 24 however, in another study of foot massage to increase well-being in cardiac surgery patients, there were no differences in physiologic parameters between groups. 29 In an equivalent-groups design conducted in patients after abdominal surgery, massage therapy patients experienced less pain.…”

mentioning

confidence: 87%

A randomized trial of massage therapy after heart surgery

et al. 2009

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“…During subsequent wrist extension exercises, participants in the massage group and in the touch group both experienced decreased delayed-onset muscle soreness relative to control participants. Massage therapy has also proven effective at reducing pain for postoperative patients [35], advanced cancer patients with moderate-to-severe pain [36], cardiac surgery patients [37], and for children and adolescents with chronic pain [38].…”

Section: Massage Therapymentioning

confidence: 99%

Interpersonal Touch Buffers Pain Sensitivity in Romantic Relationships but Heightens Sensitivity between Strangers and Friends

Floyd¹,

Ray²,

Raalte³

et al. 2018

RPBS

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A variety of evidence suggests that interpersonal behaviors such as touch can have pain-alleviating effects on recipients. Less well understood is how touch affects sensitivity to pain in the first place, and whether its effects depend on the nature of the relationship in which it occurs. In the present experiment, 55 adults who had not been diagnosed with a pain disorder were exposed to a cold pressor pain induction with an opposite-sex stranger, platonic friend, or romantic partner who either touched their shoulders, was present in the room without touching them, or was absent during the cold pressor. The outcome variable was the self-reported level of pain induced by the stimulus at the moment when the stimulus became painful (i.e., pain sensitivity). Compared to presence or absence, touch dampened pain sensitivity for romantic partners, allowing them to tolerate more intensity before the stimulus became painful. Touch had the opposite effect for friends and strangers, heightening their sensitivity to pain.

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Complementary Alternative Medical Therapies for Heart Surgery Patients: Feasibility, Safety, and Impact

Cited by 76 publications

References 12 publications

Effects of an Integrative Nursing Intervention on Pain in Critically Ill Patients: A Pilot Clinical Trial

Effects of an Integrative Nursing Intervention on Pain in Critically Ill Patients: A Pilot Clinical Trial

A randomized trial of massage therapy after heart surgery

Interpersonal Touch Buffers Pain Sensitivity in Romantic Relationships but Heightens Sensitivity between Strangers and Friends

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