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

AbstractBACKGROUND:
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.
AuthorsJill R Johnson, Daniel J Crespin, Kristen H Griffin, Michael D Finch, Rachael L Rivard, Courtney J Baechler, Jeffery A Dusek
JournalBMC complementary and alternative medicine (BMC Complement Altern Med) Vol. 14 Pg. 486 (Dec 13 2014) ISSN: 1472-6882 [Electronic] England
PMID25494710 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Topics
  • Acupuncture Therapy
  • Adult
  • Aged
  • Aged, 80 and over
  • Anxiety (etiology, therapy)
  • Cardiovascular Diseases (complications, psychology)
  • Combined Modality Therapy
  • Female
  • Hospitalization
  • Humans
  • Inpatients
  • Integrative Medicine
  • Male
  • Massage
  • Medicine, Chinese Traditional
  • Middle Aged
  • Midwestern United States
  • Mind-Body Therapies
  • Pain (etiology)
  • Pain Management (methods)
  • Retrospective Studies
  • Treatment Outcome

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