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Published on: September 15, 2023
Effect of Complementary Therapies in Patients Following Cardiac Surgery: A Narrative Review
Ramesh Chandrababu1, Baby S Nayak, Vasudev Baburaya Pai
1Manipal College of Nursing (Mr Chandrababu and Drs Nayak, A. George, L. S. George, and Devi) and Kasturba Medical College (Drs Pai and Patil), Manipal University, Manipal, India.
Insights
Complementary therapies show some promise for improving outcomes after cardiac surgery, but evidence remains inconclusive. More research is needed to confirm their effectiveness in enhancing patient recovery following cardiovascular procedures.
Area of Science:
- Cardiology
- Evidence-Based Medicine
- Integrative Health
Background:
- Cardiovascular diseases (CVDs) represent a growing global health concern, particularly in developing nations.
- Cardiac surgery is often necessary for patients with CVDs unresponsive to conventional treatments.
- Postoperative outcomes in cardiac surgery patients require optimization.
Purpose of the Study:
- To evaluate the existing evidence on the impact of complementary therapies on postoperative outcomes in patients undergoing cardiac surgery.
- To synthesize findings from studies investigating complementary therapies in this patient population.
Main Methods:
- A systematic literature search was conducted across major databases (PubMed-Medline, CINAHL, Science Direct, Scopus, Web of Science, Cochrane Library) for studies published between 2000 and 2015.
- Original research articles focusing on complementary therapies and their effects on cardiac surgery patients were included.
- Twenty-eight studies were critically analyzed to assess the evidence.
Main Results:
- The analyzed studies yielded conflicting results regarding the efficacy of complementary therapies.
- A majority of studies (25 out of 28) reported positive effects of complementary therapies on improving postoperative outcomes.
- However, three studies found no significant evidence of improvement, highlighting variability in findings.
Conclusions:
- There is preliminary evidence suggesting that complementary therapies may contribute to positive postoperative outcomes in cardiac surgery patients.
- The overall evidence for the efficacy of complementary therapies in this context is currently inconclusive.
- Further rigorous research is essential to establish a robust evidence base for utilizing complementary therapies to enhance recovery after cardiac surgery.
Abstract:
Cardiovascular diseases are increasing rapidly and have become a major health problem worldwide. The incidence and prevalence of cardiovascular disease are increasing rapidly, predominantly in the developing countries. Patients with cardiovascular disease who do not respond to routine medical treatment will have to follow cardiac surgical procedures. The objective of this study was to apprise the evidence of the effect of various complementary therapies on postoperative outcomes among patients undergoing cardiac surgery. A comprehensive literature search was made on PubMed-Medline, CINAHL, Science Direct, Scopus, Web of Science, and the Cochrane Library databases for original research studies published between 2000 and 2015. Original articles that reported the effect of complementary therapies in patients undergoing cardiac surgery were included. Twenty-eight studies were analyzed, and they have produced conflicting results. Most of the studies (n = 25) have documented the effects of complementary therapies on improving postoperative outcomes of patients, whereas other studies (n = 3) found no evidence of improvement. Although methods varied considerably, most of the studies included in this review reported positive results. Therefore, there is some evidence that complementary therapies can lead to positive postoperative outcomes. Evidence of the efficacy of complementary therapies in cardiac surgical patients remains inconclusive. Additional research is needed to provide a strong evidence base for the use of complementary therapies to improve postoperative outcomes and recovery in patients undergoing cardiac surgery.
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