Abstract:
:Depression and anxiety are associated with increased risk of postoperative cardiac events and death in patients who have undergone coronary artery bypass graft surgery. These risks persist even several months after the procedure. Guided imagery has been used with cardiac surgery patients for some time and with numerous anecdotal reports of considerable benefit. In addition, this therapy is low-cost and easy to implement, and the literature holds ample evidence for its efficacy in symptom reduction in various patient populations. It was thus hypothesized that preoperative use of guided imagery would reduce postoperative distress in patients undergoing coronary artery bypass graft. Fifty-six patients scheduled to undergo coronary artery bypass graft at Columbia University Medical Center were randomized into 3 groups: guided imagery, music therapy, and standard care control. Patients in the imagery and music groups listened to audiotapes preoperatively and intraoperatively. All patients completed psychological, complementary medicine therapies use, and other assessments preoperatively and at 1 week and 6 months postoperatively. Only preoperative distress was predictive of postoperative distress at follow-up. Use of complementary medicine therapies was high in all groups and this fact, in addition to the small sample size, may have accounted for the lack of significant relationship between imagery and postoperative distress. Regardless, this complementary and alternative medicine therapy remains palatable to patients. Given its efficacy in other patient populations, it is worth exploring its potential utility for this population with a larger sample.
journal_name
Holist Nurs Practjournal_title
Holistic nursing practiceauthors
Stein TR,Olivo EL,Grand SH,Namerow PB,Costa J,Oz MCdoi
10.1097/HNP.0b013e3181e90303subject
Has Abstractpub_date
2010-07-01 00:00:00pages
213-22issue
4eissn
0887-9311issn
1550-5138pii
00004650-201007000-00005journal_volume
24pub_type
杂志文章,随机对照试验abstract::Despite the plethora of treatments available for patients with fibromyalgia, there is insufficient evidence to date as to what the ideal treatment approach is. This study sought to determine the effectiveness of a home program of audio-recorded guided imagery relaxation on people with fibromyalgia. This experimental 8...
journal_title:Holistic nursing practice
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journal_title:Holistic nursing practice
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journal_title:Holistic nursing practice
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journal_title:Holistic nursing practice
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journal_title:Holistic nursing practice
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journal_title:Holistic nursing practice
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journal_title:Holistic nursing practice
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journal_title:Holistic nursing practice
pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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journal_title:Holistic nursing practice
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journal_title:Holistic nursing practice
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