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Crit Care Nurse ; 37(1): 62-69, 2017 Feb.
Article in English | MEDLINE | ID: mdl-28148616

ABSTRACT

BACKGROUND: Patients in the progressive care unit typically experience high levels of pain and anxiety and exhibit difficulty sleeping. OBJECTIVE: To determine whether either clinical massage or guided imagery could reduce pain and anxiety and improve sleep. METHODS: This study included 288 inpatients on 2 floors of a progressive care unit. On 1 floor, each patient was offered daily a 15-minute complimentary clinical massage, whereas the patients on the other floor were provided access to a 30-minute guided-imagery recording. Patients were asked to rate their pain and anxiety levels immediately before and after the massage intervention or were asked whether the guided-imagery intervention was helpful for pain, anxiety, or insomnia. RESULTS: The massage intervention showed an immediate and significant reduction in self-reported pain and anxiety (P < .001); likewise, a significant number of patients self-reported that guided imagery helped alleviate pain, anxiety, and insomnia (P < .001). CONCLUSION: The results of this study indicate that clinical massage and guided imagery can benefit patients in the progressive care unit.


Subject(s)
Anxiety/therapy , Hospital Units/classification , Imagery, Psychotherapy/methods , Massage/methods , Pain Management/methods , Pain/diagnosis , Anxiety/physiopathology , Complementary Therapies/methods , Female , Hospital Costs , Humans , Imagery, Psychotherapy/economics , Inpatients/statistics & numerical data , Male , Massage/economics , Michigan , Pain Measurement , Patient Satisfaction/statistics & numerical data , Pilot Projects , Risk Assessment , Severity of Illness Index , Statistics, Nonparametric , Tertiary Care Centers , Treatment Outcome
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