The effectiveness of integrative medicine interventions on pain and anxiety in cardiovascular inpatients: a practice-based research evaluation

BMC Complementary and Alternative Medicine

Jeffery A Dusek¹  Courtney J Baechler¹  Rachael L Rivard¹  Michael D Finch²  Kristen H Griffin¹  Daniel J Crespin³  Jill R Johnson¹ 

[1] Penny George Institute for Health and Healing, Allina Health, 800 East 28th Street, MR 33540, Minneapolis, MN 55407-3799, USA;Finch and King, Inc., 5917 Girard Ave South, Minneapolis, MN 55419, USA;Division of Health Policy and Management, University of Minnesota School of Public Health, 420 Delaware Street SE, MMC 729, Minneapolis, MN 55455, USA

关键词: Complementary medicine;    Inpatients;    Anxiety;    Pain;    Cardiology;    Integrative medicine;   

Others  :  1084907
DOI  :  10.1186/1472-6882-14-486

 received in 2014-07-25, accepted in 2014-12-10,  发布年份 2014

【 摘 要 】

Background

Pain and anxiety occurring from cardiovascular disease are associated with long-term health risks. Integrative medicine (IM) therapies reduce pain and anxiety in small samples of hospitalized cardiovascular patients within randomized controlled trials; however, practice-based effectiveness research has been limited. The goal of the study is to evaluate the effectiveness of IM interventions (i.e., bodywork, mind-body and energy therapies, and traditional Chinese medicine) on pain and anxiety measures across a cardiovascular population.

Methods

Retrospective data obtained from medical records identified patients with a cardiovascular ICD-9 code admitted to a large Midwestern hospital between 7/1/2009 and 12/31/2012. Outcomes were changes in patient-reported pain and anxiety, rated before and after IM treatments based on a numeric scale (0-10).

Results

Of 57,295 hospital cardiovascular admissions, 6,589 (11.5%) included IM. After receiving IM therapy, patients averaged a 46.5% (p-value < 0.001) decrease in pain and a 54.8% (p-value < 0.001) decrease in anxiety. There was no difference between treatment modalities on pain reduction; however, mind-body and energy therapies (p-value < 0.01), traditional Chinese medicine (p-value < 0.05), and combination therapies (p-value < 0.01) were more effective at reducing anxiety than bodywork therapies. Each additional year of age reduced the odds of receiving any IM therapy by two percent (OR: 0.98, p-value < 0.01) and females had 96% (OR: 1.96, p-value < 0.01) higher odds of receiving any IM therapy compared to males.

Conclusions

Cardiovascular inpatients reported statistically significant decreases in pain and anxiety following care with adjunctive IM interventions. This study underscores the potential for future practice-based research to investigate the best approach for incorporating these therapies into an acute care setting such that IM therapies are most appropriately provided to patient populations.

【 授权许可】

   
2014 Johnson et al.; licensee BioMed Central Ltd.

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