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Guided imagery as a coping strategy for perioperative patients
D Tusek1, J M Church, V W Fazio
1Guided Imagery Program, Cleveland Clinic Foundation, USA.
AORN Journal
|October 24, 1997
Summary
Guided imagery significantly reduced preoperative and postoperative anxiety and pain in colorectal surgery patients. This therapeutic tool also decreased their need for narcotic pain medication by nearly 50%.
Area of Science:
- Psychoneuroimmunology
- Surgical Patient Care
- Mind-Body Therapies
Background:
- Surgical procedures often induce significant fear and anxiety in patients.
- Preoperative and postoperative anxiety can negatively impact patient outcomes and recovery.
- Guided imagery presents a low-cost, accessible intervention for managing patient distress.
Purpose of the Study:
- To evaluate the effectiveness of guided imagery in reducing anxiety and pain in patients undergoing colorectal surgery.
- To assess the impact of guided imagery on postoperative narcotic medication requirements.
Main Methods:
- A randomized controlled trial involving 130 patients undergoing elective colorectal surgery.
- Intervention group received guided imagery audio for three days pre-surgery through six days post-surgery.
- Control group received routine perioperative care.
Main Results:
- The guided imagery group reported significantly lower preoperative and postoperative anxiety levels.
- Patients using guided imagery experienced considerably less pain perception.
- Narcotic medication requirements were reduced by almost 50% in the guided imagery group compared to the control group.
Conclusions:
- Guided imagery is an effective therapeutic tool for mitigating preoperative and postoperative anxiety and pain in surgical patients.
- Implementing guided imagery can lead to reduced reliance on narcotic analgesics, improving recovery.
- This non-pharmacological approach offers a valuable adjunct to standard perioperative care for enhancing patient well-being.
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