1
|
Acar K, Ersöz H. Effect of Guided Imagery on Patient Comfort, Vital Signs, Pain, Anxiety, and Satisfaction in Cancer Patients Undergoing Port Catheterization With Local Anesthesia: A Prospective Randomized Controlled Study. Cancer Nurs 2024; 47:93-99. [PMID: 37903178 DOI: 10.1097/ncc.0000000000001194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2023]
Abstract
BACKGROUND Port catheter placement is usually an operation performed under local anesthesia. Being conscious during the interventions performed with local anesthesia can lead to anxiety and stress. OBJECTIVE The aim of this study was to determine the effect of guided imagery performed before and during the procedure on vital signs and comfort, pain, anxiety, and satisfaction levels in patients with cancer undergoing port catheterization with local anesthesia. METHODS A total of 80 patients were included in the study. Patients in the intervention group received standard treatment and nursing care, as well as a guided imagery intervention once before and once during the procedure. Patients in the control group received only standard treatment and nursing care. RESULTS Patients in the guided imagery group reported lower pain and anxiety scores, higher patient satisfaction, and increased comfort compared with patients in the control group. Patients in the guided imagery group showed significantly lower respiratory rate and heart rate than the control group by the end of the procedure. There was no significant difference in blood pressure. CONCLUSION Practicing guided imagery before and during a procedure performed under local anesthesia reduced cancer patients' pain, increased patient satisfaction and comfort, and had a positive effect on their respiratory and heart rates. IMPLICATIONS FOR PRACTICE We recommend guided imagery as a practical, low-cost complementary therapy for patients receiving local anesthesia.
Collapse
Affiliation(s)
- Kadriye Acar
- Author Affiliations: Surgery Room (Dr Acar) and Department of Thoracic Surgery (Dr Ersöz), İzmir Katip Çelebi University Atatürk Training and Research Hospital, Turkey
| | | |
Collapse
|
2
|
Yu X, Liu Y, Huang Y, Zeng T. The effect of nonpharmacological interventions on the mental health of high-risk pregnant women: A systematic review. Complement Ther Med 2022; 64:102799. [PMID: 34995769 DOI: 10.1016/j.ctim.2022.102799] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2021] [Revised: 12/31/2021] [Accepted: 01/03/2022] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES To evaluate the effect of nonpharmacological interventions on the mental health of high-risk pregnant women. METHODS This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 (PRISMA) statement. The Cochrane Library, Embase, CINAHL, PubMed and Web of Science databases were systematically searched for randomized controlled trials and quasi-randomized controlled trials from inception to April 2021. The quality of the studies was assessed using the Cochrane Risk of Bias Tool 2.0. Data were independently extracted and narratively synthesized. RESULTS Fifteen studies involving 1723 pregnant women were selected. Nonpharmacological interventions included cognitive behavioral interventions, yoga, relaxation interventions, psychological and educational support interventions, and acupressure. Cognitive behavioral interventions and yoga for high-risk pregnant women had potential benefits on the symptoms of anxiety, stress and depression. There was insufficient evidence that relaxation interventions, psychological and educational support interventions and acupressure had positive effects on these women's mental health. CONCLUSIONS This review showed that cognitive behavioral interventions and yoga during pregnancy may benefit women with high-risk pregnancies. However, due to methodological limitations of this review, further studies with robust methodological designs are needed to verify the efficacy.
Collapse
Affiliation(s)
- Xiaoyan Yu
- Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1095 Jiefang Avenue, Wuhan 430030, China
| | - Yu Liu
- Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1095 Jiefang Avenue, Wuhan 430030, China.
| | - Yi Huang
- Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1095 Jiefang Avenue, Wuhan 430030, China
| | - Tieying Zeng
- Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1095 Jiefang Avenue, Wuhan 430030, China
| |
Collapse
|
3
|
Abstract
Maternal stress can perturb physiology and psychiatric health leading to adverse outcomes. This review investigates the effectiveness of several mind-body therapies-namely biofeedback, progressive muscle relaxation, guided imagery, tai chi, and yoga-as interventions in reducing maternal stress and other pregnancy-related conditions. Through randomized trials, these techniques have shown promising benefits for reducing pain, high blood pressure, stress, anxiety, depressive symptoms, labor pain and outcomes, and postpartum mood disturbances. As these interventions are easy to implement, low cost, and safe to perform in pregnancy, they should be considered as alternative, nonpharmaceutical interventions to use during pregnancy and postpartum care.
Collapse
|
4
|
Kaplan E, Çevik S. The effect of guided imagery and reflexology on pain intensity, duration of labor and birth satisfaction in primiparas: randomized controlled trial. Health Care Women Int 2021; 42:691-709. [PMID: 34156906 DOI: 10.1080/07399332.2021.1880411] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
The aim of the researchers is to determine the effects of guided imagery and foot reflexology on pain intensity, duration of labor, and birth satisfaction. While cervical dilation was 4 cm, the guided imagery group has watched the guided imagery video; the reflexology group has received reflexology for both feet for 30 min. The mean VAS scores of the experimental groups were statistically lower than the mean score of the control group. The difference between the time averages of the groups was found to be significant. Birth satisfaction meanscores of the experimental groups was found to be higher than the control group.
Collapse
Affiliation(s)
- Ece Kaplan
- Faculty of Health Sciences Department of Nursing, Gaziantep University, Gaziantep, Turkey
| | - Semra Çevik
- Faculty of Health Sciences Department of Midwifery, Gaziantep University, Gaziantep, Turkey
| |
Collapse
|
5
|
Smith CA, Tuson A, Thornton C, Dahlen HG. The safety and effectiveness of mind body interventions for women with pregnancy induced hypertension and or preeclampsia: A systematic review and meta-analysis. Complement Ther Med 2020; 52:102469. [PMID: 32951719 DOI: 10.1016/j.ctim.2020.102469] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2019] [Revised: 06/02/2020] [Accepted: 06/03/2020] [Indexed: 01/22/2023] Open
Abstract
OBJECTIVES To undertake a systematic review of the safety and effectiveness of mind body approaches for women with hypertensive disorders in pregnancy (HDP). DESIGN A search was undertaken of databases from inception to 2019 for randomised and quasi randomised controlled trials. MAIN OUTCOME MEASURES The primary outcome was a reduction in systolic and / or diastolic blood pressure for women with hypertension and or preeclampsia in pregnancy. RESULTS 121 studies were identified and eight studies were included in this review. These included mind body interventions examining yoga, guided imagery, relaxation, music, and acupuncture for HDP. Two studies of relaxation found a reduction in systolic (MD -11.3, 95%CI -13.23 to -9.39) and diastolic blood pressure (MD -6.59, 95%CI -9.43 to -3.75) and reduced stress (MD -11.4, 95%CI -16.5 to -6.3). In one study of yoga, the risk of developing HDP was reduced (RR 0.28, 95% CI 0.09 to 0.91, 59 women) and a second study found a reduction in stress at the end of the intervention of yoga. One trial of guided imagery found a reduction in mean arterial blood pressure compared to the control (4.35, 95% -8.04 to -0.66, p=0.02). Overall there was no effect on the development of preeclampsia, use of anti-hypertensive medication and any neonatal outcomes from the interventions evaluated. Few trials reported on safety outcomes, one trial of acupuncture reported one case of placental abruption and three cases of acupuncture related side effects. CONCLUSION Few high quality trials have examined the effectiveness and safety of mind body interventions to manage HDP. Relaxation, yoga, guided imagery and music may have some potential benefit. Safety issues are completely unclear and thus the risk-benefit ratio of all interventions could not be determined. Further research is recommended.
Collapse
Affiliation(s)
- C A Smith
- NICM Health Research Institute, Western Sydney University, Penrith, 2751, Australia.
| | - A Tuson
- Registered Midwife and Western Sydney University Summer Scholar, Western Sydney University Penrith, 2751, Australia.
| | - Charlene Thornton
- College of Nursing and Health Sciences, Flinders University, Bedford Park, 5042, Australia.
| | - Hannah G Dahlen
- School of Nursing and Midwifery, Western Sydney University, Penrith, 2751, Australia.
| |
Collapse
|
6
|
Haruna M, Matsuzaki M, Ota E, Shiraishi M, Hanada N, Mori R. Guided imagery for treating hypertension in pregnancy. Cochrane Database Syst Rev 2019; 4:CD011337. [PMID: 31032884 PMCID: PMC6487386 DOI: 10.1002/14651858.cd011337.pub2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
BACKGROUND Hypertension (high blood pressure) in pregnancy carries a high risk of maternal morbidity and mortality. Although antihypertensive drugs are commonly used, they have adverse effects on mothers and fetuses. Guided imagery is a non-pharmacological technique that has the potential to lower blood pressure among pregnant women with hypertension. Guided imagery is a mind-body therapy that involves the visualisation of various mental images to facilitate relaxation and reduction in blood pressure. OBJECTIVES To determine the effect of guided imagery as a non-pharmacological treatment of hypertension in pregnancy and its influence on perinatal outcomes. SEARCH METHODS We searched the Cochrane Pregnancy and Childbirth Group's Trials Register, and two trials registers (October 2018). We also searched relevant conference proceedings and journals, and scanned the reference lists of retrieved studies. SELECTION CRITERIA We included randomised controlled trials (RCTs). We would have included RCTs using a cluster-randomised design, but none were identified. We excluded quasi-RCTs and cross-over trials.We sought intervention studies of various guided imagery techniques performed during pregnancy in comparison with no intervention or other non-pharmacological treatments for hypertension (e.g. quiet rest, music therapy, aromatherapy, relaxation therapy, acupuncture, acupressure, massage, device-guided slow breathing, hypnosis, physical exercise, and yoga). DATA COLLECTION AND ANALYSIS Three review authors independently assessed the trials for inclusion, extracted data, and assessed risk of bias for the included studies. We checked extracted data for accuracy, and resolved differences in assessments by discussion. We assessed the certainty of the evidence using the GRADE approach. MAIN RESULTS We included two small trials (involving a total of 99 pregnant women) that compared guided imagery with quiet rest. The trials were conducted in Canada and the USA. We assessed both trials as at high risk of performance bias, and low risk of attrition bias; one trial was at low risk for selection, detection, and reporting bias, while the other was at unclear risk for the same domains.We could not perform a meta-analysis because the two included studies reported different outcomes, and the frequency of the intervention was slightly different between the two studies. One study performed guided imagery for 15 minutes at least twice daily for four weeks, or until the baby was born (whichever came first). In the other study, the intervention included guided imagery, self-monitoring of blood pressure, and thermal biofeedback-assisted relaxation training for four total hours; the participants were instructed to practice the procedures twice daily and complete at least three relief relaxation breaks each day. The control groups were similar - one was quiet rest, and the other was quiet rest as bed rest.None of our primary outcomes were reported in the included trials: severe hypertension (either systolic blood pressure of 160 mmHg or higher, or diastolic blood pressure of 110 mmHg or higher); severe pre-eclampsia, or perinatal death (stillbirths plus deaths in the first week of life). Only one of the secondary outcomes was measured.Low-certainty evidence from one trial (69 women) suggests that guided imagery may make little or no difference in the use of antihypertensive drugs (risk ratio 1.27, 95% confidence interval 0.72 to 2.22). AUTHORS' CONCLUSIONS There is insufficient evidence to inform practice about the use of guided imagery for hypertension in pregnancy.The available evidence for this review topic is sparse, and the effect of guided imagery for treating hypertension during pregnancy (compared with quiet rest) remains unclear. There was low-certainty evidence that guided imagery made little or no difference to the use of antihypertensive drugs, downgraded because of imprecision.The two included trials did not report on any of the primary outcomes of this review. We did not identify any trials comparing guided imagery with no intervention, or with another non-pharmacological method for hypertension.Large and well-designed RCTs are needed to identify the effects of guided imagery on hypertension during pregnancy and on other relevant outcomes associated with short-term and long-term maternal and neonatal health. Trials could also consider utilisation and costs of health service.
Collapse
Affiliation(s)
- Megumi Haruna
- The University of TokyoDepartment of Midwifery and Women’s Health, Division of Health Sciences & Nursing, Graduate School of Medicine7‐3‐1 HongoTokyoJapan113‐0033
| | - Masayo Matsuzaki
- Osaka University Graduate School of MedicineDepartment of Children and Women's Health1‐7 YamadaokaSuitaOsakaJapan565‐0871
| | - Erika Ota
- St. Luke's International UniversityGlobal Health Nursing, Graduate School of Nursing Sciences10‐1 Akashi‐choChuo‐KuTokyoMSJapan104‐0044
| | - Mie Shiraishi
- Osaka UniversityDepartment of Children and Women's Health1‐7 YamadaokaSuitaOsakaJapan565‐0871
| | - Nobutsugu Hanada
- National Center for Child Health and DevelopmentDepartment of Health Policy2‐10‐1 OkuraTokyoJapan166‐0014
| | - Rintaro Mori
- National Center for Child Health and DevelopmentDepartment of Health Policy2‐10‐1 OkuraTokyoJapan166‐0014
| | | |
Collapse
|
7
|
Yeager J. Relaxation Interventions for Antepartum Mothers on Hospitalized Bedrest. Am J Occup Ther 2019; 73:7301205110p1-7301205110p7. [PMID: 30839266 DOI: 10.5014/ajot.2019.025692] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Women with a high-risk pregnancy on hospitalized bedrest engaged in relaxation interventions, including guided imagery, visual imagery, and listening to music. Qualitative interviews gathered their perspectives on the effects of hospitalized bedrest on well-being and the subjective experiences related to the relaxation interventions. Benefits identified included improved physical well-being and sleep. Such relaxation interventions were concluded to have the potential to positively influence the occupational well-being of this population, resulting in more positive outcomes for mothers.
Collapse
Affiliation(s)
- Jenna Yeager
- Jenna Yeager, PhD, OTR/L, is Associate Professor, Department of Occupational Therapy and Occupational Science, Towson University, Towson, MD;
| |
Collapse
|
8
|
Flynn TA, Jones BA, Ausderau KK. Guided Imagery and Stress in Pregnant Adolescents. Am J Occup Ther 2016; 70:7005220020p1-7. [PMID: 27548866 DOI: 10.5014/ajot.2016.019315] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE We examined the effects of a guided imagery intervention on perceived stress in pregnant adolescents. METHOD Thirty-five pregnant adolescents recruited from a local alternative education program participated in a guided imagery intervention. Participants listened to a pregnancy-specific guided imagery recording on four separate occasions during their pregnancies. Perceived stress was measured immediately before and after each session using the Perceived Stress Measure-9 (PSM-9). RESULTS Participants' pre- and postsession PSM-9 scores for three of the four sessions demonstrated a significant reduction in stress. Participants' baseline stress levels also decreased significantly across the four listening sessions. The greatest reductions in stress within and between sessions occurred in the early sessions, with effects diminishing over time. CONCLUSION Pregnant teens experienced initial short- and long-term stress reduction during a guided imagery intervention, supporting the use of guided imagery to reduce stress in pregnant adolescents.
Collapse
Affiliation(s)
- Theresa A Flynn
- Theresa A. Flynn, MS, OTR, is Occupational Therapist, UnityPoint Health Meriter Hospital, Madison, WI. At the time of the study, she was Student, Department of Kinesiology, Occupational Therapy Program, University of Wisconsin, Madison;
| | - Brittney A Jones
- Brittney A. Jones, MS, OTR/L, is Occupational Therapist, Presence St. Joseph Medical Center, Joliet, IL; at the time of the study, she was Occupational Therapy Master's Student, Department of Kinesiology, Occupational Therapy Program, University of Wisconsin, Madison
| | - Karla K Ausderau
- Karla K. Ausderau, PhD, OTR/L, is Assistant Professor, Department of Kinesiology, Occupational Therapy Program, University of Wisconsin, Madison, and Investigator at the Waisman Center, University of Wisconsin, Madison
| |
Collapse
|
9
|
Chuang LL, Liu SC, Chen YH, Lin LC. Predictors of Adherence to Relaxation Guided Imagery During Pregnancy in Women with Preterm Labor. J Altern Complement Med 2015; 21:563-8. [DOI: 10.1089/acm.2013.0381] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Affiliation(s)
- Li-Lan Chuang
- Department of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan
| | - Shu-Chen Liu
- Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taoyuan, Taiwan
| | - Yi-Heng Chen
- School of Nursing, Mackay Medical College, New Taipei City, Taiwan
| | - Li-Chan Lin
- Institute of Clinical and Community Health Nursing, National Yang-Ming University, Taipei, Taiwan
| |
Collapse
|
10
|
Haruna M, Matsuzaki M, Ota E, Shiraishi M, Hanada N, Mori R. Guided imagery for treating hypertension in pregnancy. Hippokratia 2014. [DOI: 10.1002/14651858.cd011337] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Megumi Haruna
- The University of Tokyo; Department of Midwifery and Women's Health; 7-3-1 Hongo Bunkyo-ku Tokyo Japan 113-0033
| | - Masayo Matsuzaki
- The University of Tokyo; Department of Midwifery and Women's Health; 7-3-1 Hongo Bunkyo-ku Tokyo Japan 113-0033
| | - Erika Ota
- National Center for Child Health and Development; Department of Health Policy; 2-10-1 Okura, Setagaya-ku Tokyo Japan 157-8535
| | - Mie Shiraishi
- The University of Tokyo; Department of Midwifery and Women's Health; 7-3-1 Hongo Bunkyo-ku Tokyo Japan 113-0033
| | - Nobutsugu Hanada
- National Center for Child Health and Development; Department of Health Policy; 2-10-1 Okura, Setagaya-ku Tokyo Japan 157-8535
| | - Rintaro Mori
- National Center for Child Health and Development; Department of Health Policy; 2-10-1 Okura, Setagaya-ku Tokyo Japan 157-8535
| |
Collapse
|
11
|
Effects of a Guided Imagery Intervention on Stress in Hospitalized Pregnant Women. Holist Nurs Pract 2013; 27:129-39. [DOI: 10.1097/hnp.0b013e31828b6270] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
|
12
|
Chen KW, Berger CC, Manheimer E, Forde D, Magidson J, Dachman L, Lejuez CW. Meditative therapies for reducing anxiety: a systematic review and meta-analysis of randomized controlled trials. Depress Anxiety 2012; 29:545-62. [PMID: 22700446 PMCID: PMC3718554 DOI: 10.1002/da.21964] [Citation(s) in RCA: 127] [Impact Index Per Article: 10.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/31/2011] [Revised: 04/13/2012] [Accepted: 04/28/2012] [Indexed: 01/04/2023] Open
Abstract
BACKGROUND Anxiety disorders are among the most common psychiatric disorders and meditative therapies are frequently sought by patients with anxiety as a complementary therapy. Although multiple reviews exist on the general health benefits of meditation, no review has focused on the efficacy of meditation for anxiety specifically. METHODS Major medical databases were searched thoroughly with keywords related to various types of meditation and anxiety. Over 1,000 abstracts were screened, and 200+ full articles were reviewed. Only randomized controlled trials (RCTs) were included. The Boutron (Boutron et al., 2005: J Clin Epidemiol 58:1233-1240) checklist to evaluate a report of a nonpharmaceutical trial (CLEAR-NPT) was used to assess study quality; 90% of the authors were contacted for additional information. Review Manager 5 was used for meta-analysis. RESULTS A total of 36 RCTs were included in the meta-analysis (2,466 observations). Most RCTs were conducted among patients with anxiety as a secondary concern. The study quality ranged from 0.3 to 1.0 on the 0.0-1.0 scale (mean = 0.72). Standardized mean difference (SMD) was -0.52 in comparison with waiting-list control (p < .001; 25 RCTs), -0.59 in comparison with attention control (p < .001; seven RCTs), and -0.27 in comparison with alternative treatments (p < .01; 10 RCTs). Twenty-five studies reported statistically superior outcomes in the meditation group compared to control. No adverse effects were reported. CONCLUSIONS This review demonstrates some efficacy of meditative therapies in reducing anxiety symptoms, which has important clinical implications for applying meditative techniques in treating anxiety. However, most studies measured only improvement in anxiety symptoms, but not anxiety disorders as clinically diagnosed.
Collapse
Affiliation(s)
- Kevin W Chen
- Center for Integrative Medicine, University of Maryland School of Medicine
- Center for Addictions, Personality & Emotion Research, Department of Psychology, University of Maryland College Park
| | | | - Eric Manheimer
- Center for Integrative Medicine, University of Maryland School of Medicine
| | - Darlene Forde
- Center for Integrative Medicine, University of Maryland School of Medicine
| | - Jessica Magidson
- Center for Addictions, Personality & Emotion Research, Department of Psychology, University of Maryland College Park
| | - Laya Dachman
- Center for Addictions, Personality & Emotion Research, Department of Psychology, University of Maryland College Park
| | - C. W. Lejuez
- Center for Addictions, Personality & Emotion Research, Department of Psychology, University of Maryland College Park
| |
Collapse
|
13
|
Abdoli S, Rahzani K, Safaie M, Sattari A. A randomized control trial: the effect of guided imagery with tape and perceived happy memory on chronic tension type headache. Scand J Caring Sci 2011; 26:254-61. [PMID: 21985338 DOI: 10.1111/j.1471-6712.2011.00926.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
PURPOSE To determine the effects of guided imagery techniques with tape and perceived happy memory on people with chronic tension-type headache (CTTH). METHODS Sixty people with CTTH completed the demographic questionnaire and headache diary 1 week before the treatment, that is, for 3 weeks during the treatment and 1 week immediately after that. The people were randomly assigned into one of three different treatment groups: a Guided imagery (GI) with tape group (n = 20), a GI with perceived happy memory group (n = 20) and a control group (n = 20). In addition to individualized headache therapy, subjects listened to a guided imagery audiocassette tape or imagined the happiest personal memory three times per week for 3 weeks. It should be noted that 20 control subjects received individualized therapy without guided imagery. RESULTS The guided imagery groups both tape and perceived happy memory had significantly more improvement than the controls in three of the outcome measures; headache intensity, headache frequency and headache duration. There were no other significant differences between the guided imagery groups (tape and perceived happy memory) at any time point. CONCLUSIONS Guided imagery is an effective, available and affordable nonpharmacological therapy either with tape or with perceived happy memory for the management of the CTTH.
Collapse
Affiliation(s)
- Samereh Abdoli
- Nursing and Midwifery Care Research Centre, Nursing and Midwifery Faculty, Isfahan University of Medical Sciences, Isfahan, Iran.
| | | | | | | |
Collapse
|
14
|
Abstract
High-quality perinatal nursing care should be based on the best evidence including research findings, clinical expertise, and the preferences of women and their families. Principles of perinatal research initiatives are defined, with suggested research priorities designed to close current gaps in the micro and macro environments of perinatal nursing throughout the world. Nearly a decade ago, the following question was asked, "Where is the 'E' (evidence) in maternal child health?" Improving the quality and safety of perinatal nursing care for culturally diverse women globally is the primary goal of nurse researchers leading the future of perinatal healthcare.
Collapse
|
15
|
Shennan AH, Vousden N. Commentary: Nonpharmacological approaches to hypertension in pregnancy need further evaluation. Birth 2010; 37:307-8. [PMID: 21083722 DOI: 10.1111/j.1523-536x.2010.00425.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|