دورية أكاديمية
Effects of integrative medicine on pain and anxiety among oncology inpatients.
| العنوان: | Effects of integrative medicine on pain and anxiety among oncology inpatients. |
|---|---|
| المؤلفون: | Johnson JR; Integrative Health Research Center, Penny George Institute for Health and Healing, Allina Health, Minneapolis, MN (JRJ, KHG, JAD); Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN (DJC); Medical Industry Leadership Institute, Carlson School of Management, University of Minnesota, Minneapolis, MN (MDF). Jill.Johnson3@allina.com., Crespin DJ; Integrative Health Research Center, Penny George Institute for Health and Healing, Allina Health, Minneapolis, MN (JRJ, KHG, JAD); Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN (DJC); Medical Industry Leadership Institute, Carlson School of Management, University of Minnesota, Minneapolis, MN (MDF)., Griffin KH; Integrative Health Research Center, Penny George Institute for Health and Healing, Allina Health, Minneapolis, MN (JRJ, KHG, JAD); Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN (DJC); Medical Industry Leadership Institute, Carlson School of Management, University of Minnesota, Minneapolis, MN (MDF)., Finch MD; Integrative Health Research Center, Penny George Institute for Health and Healing, Allina Health, Minneapolis, MN (JRJ, KHG, JAD); Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN (DJC); Medical Industry Leadership Institute, Carlson School of Management, University of Minnesota, Minneapolis, MN (MDF)., Dusek JA; Integrative Health Research Center, Penny George Institute for Health and Healing, Allina Health, Minneapolis, MN (JRJ, KHG, JAD); Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN (DJC); Medical Industry Leadership Institute, Carlson School of Management, University of Minnesota, Minneapolis, MN (MDF). |
| المصدر: | Journal of the National Cancer Institute. Monographs [J Natl Cancer Inst Monogr] 2014 Nov; Vol. 2014 (50), pp. 330-7. |
| نوع المنشور: | Journal Article; Research Support, N.I.H., Extramural |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: United States NLM ID: 9011255 Publication Model: Print Cited Medium: Internet ISSN: 1745-6614 (Electronic) Linking ISSN: 10526773 NLM ISO Abbreviation: J Natl Cancer Inst Monogr Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2003-> : Cary Nc : Oxford University Press Original Publication: Bethesda, MD : U.S. Dept. of Health and Human Services, Public Health Service, National Institutes of Health ; Washington, DC : For sale by the Supt. of Docs., U.S. G.P.O., [1990- |
| مواضيع طبية MeSH: | Integrative Medicine*, Anxiety/*therapy , Complementary Therapies/*statistics & numerical data , Inpatients/*psychology , Neoplasms/*psychology , Pain Management/*methods, Acupressure ; Acupuncture Therapy ; Adult ; Age Factors ; Aged ; Female ; Humans ; Male ; Massage ; Middle Aged ; Neoplasms/complications ; Pain/etiology ; Retrospective Studies ; Severity of Illness Index ; Sex Factors |
| مستخلص: | Background: Few studies have investigated the effectiveness of integrative medicine (IM) therapies on pain and anxiety among oncology inpatients. Methods: Retrospective data obtained from electronic medical records identified patients with an oncology International Classification of Diseases-9 code who were admitted to a large Midwestern hospital between July 1, 2009 and December 31, 2012. Outcomes were change in patient-reported pain and anxiety, rated before and after individual IM treatment sessions, using a numeric scale (0-10). Results: Of 10948 hospital admissions over the study period, 1833 (17%) included IM therapy. Older patients had reduced odds of receiving any IM therapy (odds ratio [OR]: 0.97, 95% confidence interval [95% CI] = 0.96 to 0.98) and females had 63% (OR: 1.63, 95% CI = 1.38 to 1.92) higher odds of receiving any IM therapy compared with males. Moderate (OR: 1.97, 95% CI = 1.61 to 2.41), major (OR: 3.54, 95% CI = 2.88 to 4.35), and extreme (OR: 5.96, 95% CI = 4.71 to 7.56) illness severity were significantly associated with higher odds of receiving IM therapy compared with admissions of minor illness severity. After receiving IM therapy, patients averaged a 46.9% (95% CI = 45.1% to 48.6%, P <.001) reduction in pain and a 56.1% (95% CI = 54.3% to 58.0%, P <.001) reduction in anxiety. Bodywork and traditional Chinese Medicine therapies were most effective for reducing pain, while no significant differences among therapies for reducing anxiety were observed. Conclusions: IM services to oncology inpatients resulted in substantial decreases in pain and anxiety. Observational studies using electronic medical records provide unique information about real-world utilization of IM. Future studies are warranted and should explore potential synergy of opioid analgesics and IM therapy for pain control. (© The Author 2014. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.) |
| References: | Ann Oncol. 2007 Sep;18(9):1437-49. (PMID: 17355955) Pain. 1995 Nov;63(2):189-98. (PMID: 8628584) J Nurs Adm. 2013 Feb;43(2):101-7. (PMID: 23343726) J Pain Symptom Manage. 2011 Nov;42(5):691-701. (PMID: 21565460) J Pain Symptom Manage. 1999 Sep;18(3):157-63. (PMID: 10517036) J Pain Symptom Manage. 2003 Nov;26(5):990-7. (PMID: 14585550) JAMA. 1998 Nov 11;280(18):1569-75. (PMID: 9820257) Evid Based Complement Alternat Med. 2013;2013:383142. (PMID: 24371456) J Clin Oncol. 2013 Nov 10;31(32):4151-7. (PMID: 24127450) J Pain Symptom Manage. 2004 Sep;28(3):244-9. (PMID: 15336336) J Pain Symptom Manage. 2006 Jan;31(1):58-69. (PMID: 16442483) Natl Health Stat Report. 2008 Dec 10;(12):1-23. (PMID: 19361005) Indian J Palliat Care. 2011 May;17(2):116-26. (PMID: 21976851) Cancer Nurs. 2000 Jun;23(3):237-43. (PMID: 10851775) BMJ. 1996 May 11;312(7040):1215-8. (PMID: 8634569) J Pain Symptom Manage. 2009 Apr;37(4):754-63. (PMID: 19070458) BMC Complement Altern Med. 2013;13:191. (PMID: 23885789) J Nurs Scholarsh. 2002;34(3):257-62. (PMID: 12237988) Ann Oncol. 2008 Dec;19(12):1985-91. (PMID: 18632721) J Altern Complement Med. 2006 Oct;12(8):805-12. (PMID: 17034287) J Altern Complement Med. 2011 Aug;17(8):729-34. (PMID: 21745096) Cancer Nurs. 2008 May-Jun;31(3):214-21. (PMID: 18453878) J Pain Symptom Manage. 2007 Mar;33(3):258-66. (PMID: 17349495) Appl Nurs Res. 1990 Nov;3(4):140-5. (PMID: 2252400) J Patient Saf. 2010 Mar;6(1):48-51. (PMID: 22130304) Curr Oncol. 2012 Dec;19(6):e436-61. (PMID: 23300368) Oncol Nurs Forum. 2001 Nov-Dec;28(10):1561-8; quiz 1569-70. (PMID: 11759304) |
| معلومات مُعتمدة: | R01 AT006518 United States AT NCCIH NIH HHS |
| تواريخ الأحداث: | Date Created: 20150310 Date Completed: 20151012 Latest Revision: 20230701 |
| رمز التحديث: | 20240829 |
| مُعرف محوري في PubMed: | PMC4411536 |
| DOI: | 10.1093/jncimonographs/lgu030 |
| PMID: | 25749600 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1745-6614 |
|---|---|
| DOI: | 10.1093/jncimonographs/lgu030 |