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Published on: January 7, 2020
Integrative Care Therapies and Physiological and Pain-related Outcomes in Hospitalized Infants
Elizabeth E Hathaway1, Christina M Luberto2, Lois H Bogenschutz3
1Department of Family and Community Medicine, Division of Integrative Medicine, University of Cincinnati College of Medicine, Ohio, United States (Ms Hathaway).
Insights
Integrative therapies like massage and healing touch significantly reduced pain and improved physiological outcomes in hospitalized infants. These findings suggest their potential as effective pain management strategies in the neonatal intensive care unit (NICU).
Area of Science:
- Neonatal Intensive Care
- Integrative Medicine
- Pain Management
Background:
- Pain is a prevalent issue in the neonatal intensive care unit (NICU).
- Limited research exists on integrative care therapies' effects on neonatal pain, especially concerning physiological outcomes and practice-based settings.
Purpose of the Study:
- To investigate the association between integrative care therapies (massage, healing touch) and pain-related outcomes in hospitalized infants.
- To examine these associations within a practice-based retrospective study design.
Main Methods:
- Retrospective review of a clinical database from a level III NICU.
- Paired-samples t-tests analyzed pre-post therapy changes in therapist-rated pain, infant presentation, heart rate, and oxygen saturation.
Main Results:
- Statistically significant improvements were noted in heart rate (156 to 140 bpm), oxygen saturation (95.0% to 97.4%), therapist-rated pain (2.8 to 0.2), and infant presentation (3.2 to 1.0).
- These improvements occurred following massage and/or healing touch therapies in 186 infants.
Conclusions:
- Massage and healing touch demonstrated positive effects on pain-related outcomes in neonates.
- These integrative therapies show promise as valuable options for pain management within the NICU setting.
Background:
Pain management is a frequent problem in the neonatal intensive care unit (NICU). Few studies examining effects of integrative care therapies on pain-related outcomes in neonates have included physiological outcomes or investigated the use of such therapies in a practice-based setting.
Objective:
The purpose of this practice-based retrospective study was to examine the associations between integrative care therapies, particularly massage and healing touch, and pain-related outcomes among hospitalized infants.
Methods:
We conducted a retrospective review of a clinical database from a level III NICU regularly delivering integrative care therapies. Paired-samples t-tests were used to examine associations between integrative care therapies and 4 pre-post outcome measures: therapist-rated pain and presentation (ranging from asleep to agitated) and neonates' heart rate and oxygen saturation.
Results:
Of 186 patients (M age=68 days), 58% were male and 67% were Caucasian. Sixty-two percent received both massage and healing touch; the remainder received a single therapy. From pre-post therapy, statistically significant changes were observed in infants' heart rate (M pre=156 vs M post=140 per minute; P<.001), oxygen saturation (M pre=95.0% vs.M post=97.4%; P<.001), and therapist-reported pain (M pre=2.8 vs M post=0.2; P<.001) and presentation (M pre=3.2 vs. M post=1.0; P<.001).
Conclusion:
Observed improvements in pain-related outcomes suggest that massage and healing touch may be useful integrative therapies to consider as pain management options in the NICU.
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