Document Detail


A pilot study to assess the effects of a guided imagery audiotape intervention on psychological outcomes in patients undergoing coronary artery bypass graft surgery.
MedLine Citation:
PMID:  20588130     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Traci R Stein; Erin L Olivo; Sandy Hermele Grand; Pearila B Namerow; Joseph Costa; Mehmet C Oz
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Holistic nursing practice     Volume:  24     ISSN:  1550-5138     ISO Abbreviation:  Holist Nurs Pract     Publication Date:    2010 Jul-Aug
Date Detail:
Created Date:  2010-06-30     Completed Date:  2011-01-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8702105     Medline TA:  Holist Nurs Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  213-22     Citation Subset:  N    
Affiliation:
Division of Pain Medicine, Department of Anesthesiology, Columbia University, New York, NY 10032, USA. ts2007@columbia.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Anxiety / etiology,  therapy*
Coronary Artery Bypass / psychology*
Female
Humans
Imagery (Psychotherapy) / methods*
Male
Middle Aged
Music Therapy
Patient Acceptance of Health Care
Postoperative Complications / psychology,  therapy*
Stress, Psychological / etiology,  therapy*
Tape Recording*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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