From the Cizik School of Nursing, University of Texas Health Science Center, Houston, TX.
Pain Manag Nurs. 2021 Aug;22(4):465-469. doi: 10.1016/j.pmn.2021.02.007. Epub 2021 Mar 24.
The use and impact of guided imagery in the acute care setting is limited.
The purpose of this quality improvement project was to evaluate the feasibility of a guided imagery intervention to change pain scores, anxiety scores, and opioid analgesia usage among hospitalized adults in an acute care setting.
Quality improvement project using three measurements (baseline, 24 hours, and 48 hours).
Acute care hospital.
PARTICIPANTS/SUBJECTS: Adult inpatients referred to an APRN-led pain management service.
The intervention was the use of a 30-minute guided imagery recording delivered via MP3 player which patients used twice daily.
Limited changes were seen in pain scores, with no statistically significant results (p = .449). Statistically significant reductions were found in both anxiety scores (p < .001) and opioid analgesia usage (p = .043).
Findings from this quality improvement project support the impact of guided imagery on anxiety and opioid analgesia use. Changes in pain scores were not demonstrated in this project. Additional research with a rigorous design is needed to determine cause and effect conclusions.
The use of guided imagery as an adjunctive intervention for pain control may engage and empower the patient in self-care activities, which may have an impact on how care is perceived. Guided imagery is a low-cost, easily implemented approach that can be incorporated into patient care to reduce anxiety and, potentially, opioid analgesia use.
在急症护理环境中，引导想象的使用和影响有限。
本质量改进项目旨在评估引导想象干预对改变急性护理环境中住院成人疼痛评分、焦虑评分和阿片类镇痛药使用的可行性。
使用三个测量值（基线、24 小时和 48 小时）的质量改进项目。
急症护理医院。
参与者/受试者：被转介到 APRN 领导的疼痛管理服务的成年住院患者。
干预措施是使用 30 分钟的引导想象录音，通过 MP3 播放器播放，患者每天使用两次。
疼痛评分变化不大，无统计学意义（p=0.449）。焦虑评分显著降低（p<0.001），阿片类镇痛药使用量显著减少（p=0.043）。
本质量改进项目的结果支持引导想象对焦虑和阿片类镇痛药使用的影响。该项目未显示疼痛评分的变化。需要进行更严格设计的研究来确定因果关系结论。
将引导想象作为疼痛控制的辅助干预措施，可以使患者参与并自主进行自我护理活动，这可能会影响对护理的看法。引导想象是一种低成本、易于实施的方法，可以纳入患者护理中，以降低焦虑程度，并可能减少阿片类镇痛药的使用。
