Thomas Karen M, Sethares Kristen A
Southcoast Hospitals Groups, St. Luke's Hospital, New Bedford, MA, USA.
Orthop Nurs. 2010 Nov-Dec;29(6):393-9. doi: 10.1097/NOR.0b013e3181f837f0.
To evaluate the effect of guided imagery as an intervention to reduce pain and anxiety in patients undergoing a total joint arthroplasty.
A total of 121 patients scheduled for elective total joint arthroplasty.
The design for this study was a 2-group quasi-experimental design. The intervention group listened to a guided imagery CD containing a message to develop a sense of relaxation and harmony. The intervention and control groups were compared on self-reported pain and anxiety levels postoperatively on Days 1, 2, and 3.
There was no significant difference in pain and anxiety levels between the groups. However, the intervention group had lower levels of anxiety and pain at all time points. Both groups followed a similar anxiety and pain pattern with the highest reported levels at Day 2.
Conduct further research of guided imagery as an intervention for reducing pain and anxiety utilizing randomized controlled trials with a diverse sample of patients.
评估引导式意象作为一种干预措施，对接受全关节置换术患者减轻疼痛和焦虑的效果。
共有121例计划接受择期全关节置换术的患者。
本研究采用两组准实验设计。干预组收听一张引导式意象CD，其中包含有助于培养放松与和谐感的信息。比较干预组和对照组术后第1天、第2天和第3天自我报告的疼痛和焦虑水平。
两组之间的疼痛和焦虑水平无显著差异。然而，干预组在所有时间点的焦虑和疼痛水平均较低。两组的焦虑和疼痛模式相似，第2天报告的水平最高。
利用随机对照试验，针对不同患者样本，进一步研究引导式意象作为减轻疼痛和焦虑的干预措施。
