A Pilot Study to Assess the Effects of a Guided Imagery Audiotape Intervention on Psychological Outcomes in Patients Undergoing Coronary Artery Bypass Graft Surgery

Depression and anxiety are associated with increased risk of postoperative cardiac events and death in patients who have undergone coronary artery bypass graft surgery. These risks persist even several months after the procedure. Guided imagery has been used with cardiac surgery patients for some ti...

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Bibliographic Details
Published in:	Holistic nursing practice Vol. 24; no. 4; pp. 213 - 222
Main Authors:	Stein, Traci R, Olivo, Erin L, Grand, Sandy Hermele, Namerow, Pearila B, Costa, Joseph, Oz, Mehmet C
Format:	Journal Article
Language:	English
Published:	United States Lippincott Williams & Wilkins, Inc 01-07-2010 Lippincott Williams & Wilkins Ovid Technologies
Subjects:	Aged Alternative medicine Anxiety Anxiety - etiology Anxiety - therapy Coronary Artery Bypass - psychology Female Heart surgery Holistic nursing Humans Imagery (Psychotherapy) - methods Male Mental depression Middle Aged Music Therapy Nursing Patient Acceptance of Health Care Postoperative Complications - psychology Postoperative Complications - therapy Stress, Psychological - etiology Stress, Psychological - therapy Tape Recording
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Summary:	Depression and anxiety are associated with increased risk of postoperative cardiac events and death in patients who have undergone coronary artery bypass graft surgery. These risks persist even several months after the procedure. Guided imagery has been used with cardiac surgery patients for some time and with numerous anecdotal reports of considerable benefit. In addition, this therapy is low-cost and easy to implement, and the literature holds ample evidence for its efficacy in symptom reduction in various patient populations. It was thus hypothesized that preoperative use of guided imagery would reduce postoperative distress in patients undergoing coronary artery bypass graft. Fifty-six patients scheduled to undergo coronary artery bypass graft at Columbia University Medical Center were randomized into 3 groupsguided imagery, music therapy, and standard care control. Patients in the imagery and music groups listened to audiotapes preoperatively and intraoperatively. All patients completed psychological, complementary medicine therapies use, and other assessments preoperatively and at 1 week and 6 months postoperatively. Only preoperative distress was predictive of postoperative distress at follow-up. Use of complementary medicine therapies was high in all groups and this fact, in addition to the small sample size, may have accounted for the lack of significant relationship between imagery and postoperative distress. Regardless, this complementary and alternative medicine therapy remains palatable to patients. Given its efficacy in other patient populations, it is worth exploring its potential utility for this population with a larger sample.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-News-1 ObjectType-Feature-3 content type line 23
ISSN:	0887-9311 1550-5138
DOI:	10.1097/HNP.0b013e3181e90303